Treatment in psychiatry Flashcards by Max Kam

Q

SSRI S/E

A

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Q

Serotonin syndrome S/E

A

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Q

Antidepressant

9 classes

A

Selective serotonin reuptake inhibitor (SSRI)
Serotonin noradrenergic reuptake inhibitor (SNRI), eg. venlafaxine, desvenlafaxine, duloxetine
Noradrenaline and dopamine reuptake inhibitor (NDRI), eg. bupropion
Selective noradrenergic reuptake inhibitor (NRI), eg. reboxetine
Serotonin antagonist and reuptake inhibitor (SARI), eg. trazodone
Noradrenaline antagonist and selective serotonergic antidepressant (NaSSA), eg. mirtazapine
Melatonin receptor agonist, eg. Agomelatine
Tricyclic antidepressants (TCAs) eg. amitriptylline, clomipramine
Monoamine oxidase inhibitor (MAOI), eg. Moclobemide

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Q

Antipsychotics
Dopamine pathways

A

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Q

Dopaminergic side effects

A

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Q

EPSE types

A

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Q

Acute dystonia EPSE

Features
Treatment

A

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Q

Parkinsonism EPSE

Treatment

A

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Q

Akathisia EPSE

Feature
Treatment

A

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Q

Tardive dyskinesia

Feature
Treatment

A

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Q

Neuroleptic malignant syndrome

Features
Treatment

A

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Q

Non-dopaminergic side effects anti-psychotics

A

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Q

Mood stabilizer

Types

A

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Q

Lithium

Pre-treatment preparation
Monitoring timing
On treatment monitoring
Discontinuation method

A

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Q

Lithium C/I

A

DDI- Diuretics- NSAID- CCB- ACEi

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Q

Lithium S/E

A

Q

Lithium toxicity
Level
Management

A

Q

BZD types

A

Q

BZD side effects

A

Q

BZD

Tolerance and withdrawal and toxicity management

A

Q

Pregabalin

S/E

A

Q

Z drug
MoA

S/E

A

MOA
- Binds selective to BZ1 subtype GABA-receptors
- Facilitate GABA-mediated chloride influx and neuronal inhibition
- Antagonised by Flumazenil (competitive antagonist of binding site)

Special SE:
- Zolpidem: Sleepwalking
- Zopiclone: Methaemoglobinaemia

Q

Buspirone

MoA
ADR
DDI

A

Q

MAOI

MoA
ADR
Caution with which food and drugs

A

Q

TCA

MoA
ADR

A

Tricyclic/ Tetracyclic Antidepressants (TCA) Psychiatry e.g. Amitriptyline, Clomipramine, Imipramine, Nortriptyline, Prothiaden

Q

SSRI

Types
Which has least DDI

A

Q

SSRI

ADR
DDI

A

Q

NRI/ NDRI/ SNRI/ SARI examples

A

Q

NASA example

A

Q

MRA
example
Special SE

A

Q

SSRI

Specific receptor types SE

A

Q

Specific ADR of TCA, SARI, NASA, SNRI, MRA

A

Q

Valproate

MoA
ADR
DDI

A

Q

Lamotrigine

Use
ADR
DDI

A

Q

Carbamazepine

ADR

A

Q

Mood stabilisers in pregnancy

A

Q

Compare FGA and SGA

A

Q

Antipsychotic

Specific receptors and SE

A

Q

EPSE

Types

Mx

A