Anti-psychotics Flashcards

0
Q

Describe hallucinations when real.

A

Perceived as real, voices are constant, talk in the second (YOU) and third (HE) person.There is also an absence of affective expression.

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1
Q

What are the first generation anti-psychotics?

A

Haloperidol, Chlorpromazine, Zuclopenthixol, Fluphenazine, Flupenthixol.

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2
Q

What are the second generation antipsychotics.

A

Aripiprazole, Olanzapine, Quetiapine, Paliperidone, Risperidone and Amisulpride.

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3
Q

What are the side-effects of second generation antipsychotics?

What are the side-effects of first generation antipsychotics?

What symptoms are second generation antipsychotics better with?

A

metabolic.

EPSE

Negative symptoms.

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4
Q

What pathways do antipsychotics target?

Is D2 excitatory or inhibitory?

Are antipsychotics a D2 antagonist or agonist?

A

histaminic, adrenergic, serotonin, dopaminergic, acetylcholine.

Excitatory.

Antagonist.

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5
Q

What is the dosage of Clozapine?

What is the max dose of Clozapine?

What should you do if the side effects are based on dose?

A

200-400mg.

800mg

augment with another antipsychotic.

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6
Q

Why would you use a first generation antipsychotic called benperidol?

A

sexual deviancy. 0.25mg.

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7
Q

What is tardive dyskinsesia?

Would you use procyclidine for TD?

What is the dosage for procyclidine?

A

uncontrollable movements.

No

2.5mg - 30mg.

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8
Q

What is the dosage of orphenadrine?

What can orphenadrine cause?

A

150mg - 400mg.

Cognitive impairment.

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9
Q

What is the first thing to do when prescribing a depot?

What is the dosage of flupentixol?

What is the dosage of Risperdal Consta?

A

Test dose.

50 - 300mg every 2 weeks.

25mg - 50mg

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10
Q

Which depot should be chilled?

Piportil dosage is?

Risperdal dosage is?

A

Risperdal.

50 - 200mg every 4 weeks.

25 - 50mg every 2 weeks.

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11
Q

What dosage Aripiprazole?

What dosage olanzapine?

What dosage Quetiapine?

A

10-15mg max 30

5 - 20mg

5 mg bd to 450mg max 800

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12
Q

Dosage paliperidone? Oral

Dosage Risperidone? Oral

Dosage Amisulpride? Oral

A

3-12mg

2-6mg

400 - 800mg divided. Max 1.2g

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13
Q

What is the dosage of haloperidol?

What is the dosage of fluphenazine?

What is the dosage of Chlorpromazine?

A

5-30mg

12.5-100mg

75-300mg max 1g

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14
Q

Dosage of Flupentixol? Oral.

A

3-9mg max 18mg.

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15
Q

Which depot may not be suitable for agitated or aggressive patients?

Which is most suitable for these patients.

A

Flupentixol.

Zuclopenthixol.