Side Effects Flashcards

1
Q

SSRI side effects

A
Sleep disturbance
Headache 
Nausea 
GI bleeding 
Weight changes
Sexual disturbance 
SIADH
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2
Q

TCA problem

A

Toxic, easy to over dose

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3
Q

Extrapyrimidal sx

A

Parkinsonism
Akathisia
Dystonia
Tardive dyskinesia

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4
Q

Parkinsonism

A

Rigidity
Bradykinesia
Tremor

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5
Q

Dystonia

A

Oculogyric crisis

Torticollis

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6
Q

Occulogyric crisis

A

Eye stuck in one direction

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7
Q

Torticollis

A

Neck stuck in one direction

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8
Q

Akathisia

A

Restlessness

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9
Q

Lithium SE

A
Fine Tremor (coarse in lithium toxicity)
Metalic taste 
Kidney toxicity 
Thyroid toxicity 
Ebstein anamoly (cardiac defect)
Polydipsia
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10
Q

Clozapine SE

A

Agranulocytosis (neutrophilopaenia)

Myocarditis

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11
Q

Sodium Valporate

A
Leukocytosis (high WBC)
Teratogenic (neuro tubal defect: absolute no)
Liver failure 
Alopecia
Nystagmus
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12
Q

Neuroleptic malignant syndrome (NMS)

A
Autonomic nervous system disturbance 
Hyperthermia
Normal pupil
Hyporeflexia
Rhabdomyolysis
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13
Q

NMS cause

A

Started an antipsychotic a few days ago

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14
Q

NMS mx

A

Supportive

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15
Q

NMS ix

A

CK raised

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16
Q

Serotonin syndrome cause

A

Taking more than 1 SSRI or SSRI with

17
Q

Serotonin syndrome management

A

Ciproheptadin(serotonin antagonist)

18
Q

Serotonin syndrome

A

ANS instability
Diaphoresis
Hyperreflexia
Dilated pupils

19
Q

Refeeding syndrome Ix

A

Mg
K
Phosphate

20
Q

Refeeding syndrome ptahophysiology

A

High insulin

Pushes all 3 ions intracellularly

21
Q

Pabronex

A

All the B vitamins
Give for 3 days if asymptomatic
Give for as long as needed if withdrawing

22
Q

Delirium tremens

A

2-3rd day of alcohol withdrawal

23
Q

Tardive dyskinesia

A

involuntary, repetitive body movements eg

  • grimacing
  • sticking out the tongue
  • smacking of the lips.
24
Q

Amisulpride SE

A

High prolactin (eg galactrorrhoea)

25
Q

seizure post alcohol time

A

36 hrs

26
Q

Timing for first alcohol withdrawal sx

A

6-12 hrs

27
Q

Sertraline

A

Used in Ischaemic heart disease

28
Q

Citalopram

A

Gives LQTS

29
Q

Fluoxetine

A

Used in kids under 18

30
Q

Benzo overdose treatment

A

Flumazenil

31
Q

Delirium tremens sx

A
Hallucination
Coarse tremor
Confusion/aggression
Fever
Tachycardia
32
Q

Paroxetine use

A

PTSD