Test 1 meds Flashcards by Lindsay Combs

Q

Amitriptyline

A

Tricyclic medications (TCAs) antidepressant

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Q

Tricyclic medications (TCAs)

A

Lines, pines, mines

“CAN’T SEE, CAN’T PEE, CAN’T EAT, CAN’T SHIT”
• Antidepressant (1st line)
• Increase appetite
• Given at night (drowsy); excreted in the urine
• Need a complete cardiac workup
• 10-14 days for effective
• 4-8 weeks therapeutic

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Q

Doxepin

A

Tricyclic medications (TCAs) antidepressant

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Q

Imipramine

A

Tricyclic medications (TCAs) antidepressant

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Q

Nortriptyline

A

Tricyclic medications (TCAs) antidepressant

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Q

Clomipramine

A

(only TCA used for OCD) antidepressant

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Q

Citalopram

A

Selective Serotonin Reuptake Inhibitor (SSRIs) Antidepressant 1st line

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Q

Escitalopram

A

Selective Serotonin Reuptake Inhibitor (SSRIs) Antidepressant 1st line

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Q

Fluoxetine

A

Selective Serotonin Reuptake Inhibitor (SSRIs) Antidepressant 1st line

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Q

Paroxetine

A

Selective Serotonin Reuptake Inhibitor (SSRIs) Antidepressant 1st line

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Q

Sertraline

A

Selective Serotonin Reuptake Inhibitor (SSRIs) Antidepressant 1st line

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Q

Selective Serotonin Reuptake Inhibitor (SSRIs)

A

Prams, tines
• Antidepressant (1st line)
• Great for anxiety
• Initial repose 1-3 weeks (21 days)
• Lower incidence of anticholinergic SE
• CAUTION WITH ELDERLY (falls, stroke, seizures)
• Black box warning for children, teens
• **Serotonin Syndrome (SES)- increase fever, increase BP, shock/death (when given with MAOI or too much SSRI)
• Fluoxetine d/c for 5 weeks before MAOI given; vise versa 2 weeks

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Q

Bupropion

A

Atypical Antidepressant (SNRIs)
depression and smoking

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Q

Buspirone

A

Atypical Antidepressant (SNRIs)
helps with anxiety and pain

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Q

Duloxetine

A

Atypical Antidepressant (SNRIs)
good for severe depression and pain; can cause liver toxicity

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Q

Venlafaxine

A

Atypical Antidepressant (SNRIs)
good for severe depression and GAD

Q

Trazadone

A

Atypical Antidepressant (SNRIs)
insomnia/antidepressant

Q

Atypical Antidepressant (SNRIs)

A

Dual action, working form more than one issues
•	Antidepressant (1st line)
•	Anxiolytic 
•	Takes 2-3 weeks 
•	Sexual disfunction 
•	Insomnia 
•	No OTC or alcohol

Q

Monoamine Oxidase Inhibitors (MAOI’s)

A

Tyramine diet!
No: Caffeine, cheese, Chinese, sour cream, avocado, yeast, sausage, pepperonis

• Antidepressant (2nd line)
• **Hypertensive crisis- increase b/p, c/p, stroke (occipital headaches), coma, death (interaction with food/drug)
• Monitor BP 2xdaily (notify MD in up)
No St. John’s wart acts as an antidepressant=counteractive

Q

Phenelzine

A

Monoamine Oxidase Inhibitors (MAOI’s)

Q

Isocarboxazid

A

Monoamine Oxidase Inhibitors (MAOI’s)

Q

Tranylcypromine

A

Monoamine Oxidase Inhibitors (MAOI’s)

Q

Selegiline transdermal system Patch (EMSAM)

A

Monoamine Oxidase Inhibitors (MAOI’s)

given to patients with Parkinson’s

Q

Mood Stabilizer

A

Lithium

Q

Mood stabilizer

A

Therapeutic levels (0.4-1)
10-21 days to show improvement, Can take up to 3 weeks
Increase fluids 1,500-3,000ml/day
Renal and hypothyroidism eval.
Labs 2x weekly, weekly, monthly
Harmful to fetus
No antidote=gastric lavage

Q

Lithium

A

“normal” SE: fine hand tremors, polyuria, mild thirst/nausea, weight gain, discomfort

early warning signs of toxicity= slurred speech, muscle weakness
severe=2-2.5

give with food

Q

Antiepileptic/anticonvulsant Drugs

A

Controlling mania (2 weeks)
Controlling depression (3 weeks)
Helps with alcohol withdraw and benzos
Choice drug for bipolar depression
Liver toxicity (3.5-4.8 normal)

Q

Carbamazepine

A

rapid cycling and severely paranoid and angry pts., blood/platelet count qweekly for 8 weeks “resistant mania”, 4-12,g bi weekly

Q

Divalproex

A

monthly labs (LFT, PLT), acute mania not responding to lithium, 50-100 therapeutic, caution during pregnancy/childbearing years

Q

Lamotrigine

A

bipolar depression, S/E SJS(rash), meningitis, long-term maintenance

Q

Topiramate

A

depression in bipolar pts. With mania, aggressive behavior; what I took to help lose weight

Q

Antipsychotics

A

Mood stabilizing properties

Q

Olanzapine

A

Antipsychotics

1 of 2 FDA approved for maintenance treatment of Bipolar Spectrum disorder

Q

Aripiprazole

A

Antipsychotics

1 of 2 FDA approved for maintenance treatment of Bipolar Spectrum disorder

Q

Ziprasidone

A

Antipsychotics

Q

Quetiapine

A

Antipsychotics

Q

Risperidone

A

Antipsychotics