Treatment guideline mnemonics

Question 1

Unipolar depression

1st line recommendations for Rx

Answer 1

1st line recommendations for Rx - MDD: Stop Sadness and Bring More Vibrance

SSRIs
SNRIs
Agomelatine
Buproprion
Mirtazapine
Vortioxetine

Question 2

Unipolar depression

1st line adjunctive strategies
2nd line adjunctive strategies

Answer 2

1st line: A Quiet Recovery
- Aripiprazole
- Quetiapine
- Risperidone

2nd line: Bring Balance, Let’s Manage Mood Optimally Together
- Brexpripazole
- Bupropion
- Lithium
- Mirtaz/mianserin
- Modafinil
- Olanzapine
- Triiodothyronine

Question 3

Antidepressants with lower risk of sexual side effects

Answer 3

All Brave Minds Value Vitality

Agomelatine, buproprion, mirtazapine, vilazodone, vortioxetine = lower risk

Question 4

Superior antidepressants

Answer 4

Every Moment Sparks Vitality And Clarity

-  Escitalopram (level 1) 
-  Mirtazapine (level 1) 
-  Sertraline (level 1)
-  Venlafaxine (level 1) 

- Agomelatine (level 2) 
- Citalopram (level 2)

Question 5

Acute Mania
1st line monotherapies:

Answer 5

1st line monotherapies:
“LQ DAARP CAR” –> Like a racecar speeding through mania
OR
Loud Queens Dance At A Royal Party Celebration

- Lithium 
- Quetiapine 
- Divalproex 
- Asenapine
- Aripiprazole 
- Paliperidone (>6mg)  
- Risperidone Cariprazine

Question 6

Acute mania
1st line Tx: Combination therapies

Answer 6

1st line Tx: Combination therapies

Queen And Royals Always Lead
Or
Queen Anne Rules All

- Quetiapine + Li/DVP 
- Aripiprazole + Li/DVP 
- Risperidone + Li/DVP 
- Asenapine + Li/DVP

Question 7

Acute mania
2nd line Tx: combination therapies

Answer 7

2nd line treatments: Combination therapies

“On Crazy Overdrive, Let’s Zoom Hyper Euphoria!”

- Olanzapine 
- Carbamazepine 
- Olanzapine + Li/DVP 
- Li + DVP 
- Ziprasidone
- Haloperidol 
- ECT

Question 8

Acute Bipolar 1 Depression

Answer 8

1st line
“Quick Little Lights Lift Cloudy Lives”

- Quetiapine 
- Lurasidone + Li/DVP 
- Lithium 
- Lamotrigine
- Cariprazine (new)
- Lurasidone (adj) 

2nd line
“Dark Storms Eventually Open Light”

- Divalproex
- SSRIs/buproprion (adj) 
- ECT 
- Olanzapine-fluoxetine -Lumateperone (new)