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Pharmacotherapeutics - Midterm > Think Beyond Xanax > Flashcards

Think Beyond Xanax Flashcards

1
Q

4 aspects of assessment/presentation of a psych pt

A
  1. acute vs chronic
  2. thorough fam hx
  3. symptoms: SI, duration/frequency, intensity
  4. h/o of previous psychotropics
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2
Q

tool used to assess symptoms in psych pt

A

likert scale

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3
Q

max dose of lexapro

A

40 mg

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4
Q

2 contraindications when considering medications for psych patients

A

didn’t work in the past
increased dpn

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5
Q

4 types of therapy

A
  1. CBT
  2. DBT (dialectical behavior therapy)
  3. EMDR (eye movement desensitization/reprocessing)
  4. mindfulness
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6
Q

therapy for pt’s who have really big emotions (ex histrionic/alexithymia)

A

DBT

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7
Q

therapy for people who have had trauma

A

EMDR

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8
Q

lifestyle questions to ask pt before prescribing meds

A

social etoh?
THC?
party drugs/pills?

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9
Q

t/f: you can do a UA for toxicology screen in primary care

A

t!

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10
Q

screens for psych patients

A

PHQ9
GAD7
MDQ
epworth sleepiness scale
borderline personality screen
likert scale
psycheducation.org

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11
Q

max dose of prozac

A

80 mg

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12
Q

what is the pharmacotherapy journey

A

1-3 mo: to find therapeutic dose
6-9 mo: maintenance/remission phase

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13
Q

total length of the pharmacotherapy journey

A

12 months

~1 year on med for max efficacy

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14
Q

med for seasonal dpn

A

wellbutrin

only dpn med that can be given only during certain times of the year

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15
Q

during what phase of the pharmacotherapy journey can you augment

A

6-9 months

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16
Q

dpn med to avoid in pt w. IBS

A

zoloft -> causes diarrhea

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17
Q

med that is very helpful for acute SI

A

lithium

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18
Q

first line psych med

A

SSRI

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19
Q

you should try __ trials of SSRI
and then switch to __ if it is ineffective

A

2
SNRI

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20
Q

6 sx of serotonin syndrome

A

n/d
restlessness
confusion
tachycardia
hbp
sweating

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21
Q

3 PE exam findings of serotonin syndrome

A

dilated pupils **
loss of muscle coordination/twitching muscles
muscle rigidity

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22
Q

2 SSRI for OCD

A

zoloft (sertraline)
prozac (fluoxetine)

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23
Q

SSRI to avoid for OCD

A

lexapro (escitalopram)

24
Q

SSRI for ED

A

prozac (fluoxetine)

25
Q

SSRI that she rarely prescribes due to harsh s.e profile

A

prozac (fluoxetine)

26
Q

most serotonergic SSRI

A

lexapro (escitalopram)

27
Q

what is activation in relation to drug side effects

A

increase in activity - ex talking really fast, restlessness

28
Q

activation is a predisposition for __
and can tip pt into __

A

bipolar
mania

29
Q

which SSRI is activating

A

prozac (fluoxetine)

30
Q

3 SNRIs

A

cymbalta (duloxetine)
pristiq (desvenlafaxine)
effexor (venlafaxine)

31
Q

which SNRI causes GI upset

A

cymbalta

32
Q

last resort SNRI due to harsh s.e profile

A

effexor

33
Q

med combo that is good for psych pt with neuropathy

A

cymbalta + zoloft

34
Q

2 considerations when starting pt on SNRI

A

longer time required to increase dose
longer time required to taper off

35
Q

when dosing SSRI’s, you should titrate up q __

A

5-7 days

36
Q

max dose of cymbalta

A

360 mg

37
Q

with SNRI dosing, you should titrate up q __ days

A

14

38
Q

you should titrate antipsychotics up q __ days

A

3

39
Q

6 common side effects of psych meds

A

GI
dizzy
sedation
sexual dysfxn
anorexia
blunted affect

40
Q

2 iatrogenic consequences of psych meds

A

TD
EPS

41
Q

t/f: TD is irreversible

A

t!

42
Q

5 adjunct psych meds

A

buspar
wellbutrin
abilify
lithium
lamictal

43
Q

adjunct med for anxiety

A

buspar

44
Q

adjunct med for motivation/sexual side effects

A

wellbutrin

45
Q

adjunct med for mood lability/emotional reactivity

A

abilify

46
Q

adjunct med for SI and dpn

A

lithium

47
Q

adjunct med for emotional reactivity

A

lamictal

48
Q

which adjunct med is “borderline glue”

A

lamictal

49
Q

you need to warn pt about SJS with which adjunct med

A

lamictal

50
Q

2 non drug approaches to ADHD

A

executive functioning coaching
neurofeedback

51
Q

always check __ history before prescribing stimulant

A

PDMP

52
Q

2 non stimulants for ADHD

A

straterra
ganfacine/intuniv

53
Q

non stimulant for ADHD with better efficacy for emotional regulation in kids

A

guanfacine/intuniv

54
Q

5 stimulants for ADHD

A

adderall
vyvanse
focalin
concerta
methylphenidate

55
Q

benefit of stimulants over non stimulants for ADHD

A

you can take stimulants PRN

Pharmacotherapeutics - Midterm (11 decks)

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