Top 200 Midterm review

Question 1

What controlled substance schedule does Narcan belong to?

Answer 1

Not controlled

Question 2

How long should patients be counseled it should take to see benefit of an SSRI?

Answer 2

4-6 weeks to see benefit, but side effects appear sooner

Should be symptom free for 6-9 months before stopping

Should always slowly titrate up doses and slowly titrate doses down when stopping/switching to another medication

Question 3

Which smoking cessation medication is also an antidepressant?

Answer 3

Bupropion (Zyban)

Chantix is not an antidepressant, only for smoking cessation

Question 4

Which smoking cessation medication causes vivid dreams?

Answer 4

Chantix (varenicline)

Question 5

Which of the following antidepressants may not be ideal in a patient with uncontrolled hypertension?

Cymbalta
Zoloft
Wellbutrin
Desyrel

Answer 5

Cymbalta-SNRI (norepinephrine is what can increase BP)

Question 6

Which antidepressant is contraindicated for use in patients with a history of seizures?

Buspirone
Trazodone
Tramadol
Bupropion

Answer 6

Bupropion- buspirone and tramadol are not antidepressants, always check that a drug is in the right class when I ask a question like this so you don’t get distracted by other classes that may cause the same side effect, etc.