Side Effects Flashcards
1
Q
Valproate (valproic acid)
A
Weight gain Hair loss Idiosyncratic liver failure Teratogenic Spina bifida therefore give folic acid
WHITS
2
Q
Carbamazepine
A
Hyponatraemia Ataxia Neutropenia Enzyme inducer Rash
HANER
3
Q
Lithium
A
Lithium toxicity.
Therapeutic range 0.6-1mmol/l but toxic from 1.2mmol/l
Sluggishness, giddiness, ataxia, gross tremor, fits, renal failure. Polyurea polydipsia, arythmias.
GI disturbances including diarrhoea and vomiting.
Weight gain
4
Q
Lamotrigene
A
SJS or rash
5
Q
How do you deal with a paracetamol overdose
A
Activated charcoal
N acetyl cysteine
6
Q
Schneiders first rank symptoms
A
Auditory hallucinations (echo, 3rd person, running commentary) Delusional perceptions Delusion of thought interference ( insertion, withdrawal, broadcasting)
7
Q
Organic causes of schizophrenic like symptoms
A
Intoxication Withdrawal Medication side effects Delirium Dementia Epilepsy Brain pathology - SOL encephalitis, neurosyphilis, HIV
8
Q
SSRI side effects
A
Hyponatraemia
Nausea and vomiting Appetite or weight change Sweating Insomnia Tremor Dizziness Headaches Blurred vision Anxiety agitation
