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Flashcards in 8 Deck (17)
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1

frequency and length of avg bipolar episode

– episode lasts 1½ - 4 months
– 1 episode every 2 years

2

without meds, how many lifetime bipolar episodes?

9-10

3

If non-responsive to Lithium:

– better to add depakote or tegretol rather than switch tomonotherapy with something ele

4

if lithium is effective

After 4-6 weeks, over next 1-3 months may slowly
d/c adjuvant meds

Continue lithium for at least 9-24 months
– After1 manic episode-sometimes maintenance tx
sometimes d/c
– After 2 manic episodes-always maintenance tx

Use in maintenance treatment/prophylaxis
– decrease # and severity of future episodes

5

1st line acute bipolar episode

Lithium, quetiapine, lamotrigine,
olanzapine/fluoxetine combination (Symbyax)

6

maintenance tx for bipolar

Lithium, lamotrigine, depakote

7

which med induces switch from depression to bipolar the most

TCAs

8

serotonin syndrome symptoms

‐ Hyperthermia, Autonomic Instability, Rigidity, Myoclonus

HARM

9

long term complications of anorexia

osteoporosis

growth retardation

cerebral atrophy

reproductive complications

renal tubular disease

constipation

10

binge eating disorder therapy

CBT + behavior intervention for weight loss

11

antidepressant that helps treat akasthesia vs treatment of choice for akathesia

mirtzepine

propranolol

12

SSRI discontinuation syndrome

agitated, irritable

can last up to 3-4 days

not lethal

13

venlafaxine at low vs high vs very high doses

low- serotonin

-high- NE

very high- DA

14

poop out syndrome

receptors saturate- meds stop working (SSRIs)

15

duloxetine at low vs high doses

low- NE (good for treating chronic pain)

high- serotonin

16

lithium causes postural or resting tremor

postural

17

why does lamictal have to be decreased in half when added to depakote

depakote messes with UGT which metabolizes lamictal, therby increasing lamictal, and causing steven johnson