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Flashcards in atypicals Deck (30)
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1
Q

clozapine side effects

A

agranulocytosis, tachycardia, hypersalivation, myocarditis, seizures

(clozaril)

2
Q

risperidone side effects

A

orthostatic hypotension, increased prolactin, reflex tachycardia

(risperdal, risperdal consta)

3
Q

quetiapine

A

sedation, ortho hypotension

seroquel

4
Q

olanzapine

A

weight gain, dyslipidemia, sedation

zyprexa

5
Q

ziprasidone

A

qtc prolongation, take with food

geodon

6
Q

aripiprazole

A

partial d2 agonism
more activating than sedating
less weight gain

(abilify, abilify maintena)

7
Q

paliperidone

A

from risperidone

invega, invega susteina

8
Q

lurasidone

A

for bipolar depression, take with food

latuda

9
Q

long-acting (1st and 2nd gen) 4

A

haloperidol+fluphenazine (deconate)
abilify maintena-aripripazole
risperol consta-riseridone
invega sustaina-paliperidone

10
Q

more sedating 2

A

clozapine + quetiapine

11
Q

more orthostatic hypotension 2

A

risperidone + quetiapine

12
Q

can help with tourettes

A

risperidone

13
Q

other ttx by atypicals besides psychosis

A

ttx resistant depression, ocd (with ssri)

14
Q

drug classes for mood stabilization (3)

A

atypicals, lithium, anticonvulsants

15
Q

role of mood stabilizers (3)

A
  1. acute mania, maintenance,
  2. augmentation of antidepressants for major depressive disorder, potentiation of antipsychotics in schizo.,
  3. treat aggression and impulsivity, enhance abstience in alcoholism
16
Q

lithium uses (4)

A

acute mania, prophylaxis of manic and depressive episodes of bipolar + schizoaffective

cyclothymic, unipolar depression

17
Q

lithium lab tests

A

lithium, creatinine, thyroid, cbc, chem, pregnancy, ecg

18
Q

lithium side effects

A

gi disturbances, ecg changes, sedation, weight gain, benign leukocytosis

tremors, convulsion, mental status change, delurium, coma, death

ebstein’s anomoly

19
Q

factors increasing lithium levels

A

nsaids, diuretics (HCTZ), aspirin

dehydration
impaired renal function
sweating -salt loss, salt deprivation

20
Q

valproic acid moa

A

block na channels
increase GABA concn

monitor cbc, lft

21
Q

valproic acid use

A

acute mania, rapid cycling, mania w/mixed features

22
Q

lamotrigine moa

A

block na channels that modulate glutamate + aspartate

23
Q

lamotrigine use

A

bipolar DEPRESSION

24
Q

lamotrigine side effects

A

sjs at beginning (so low dose and gradually higher)

headache, dizziness, sedation, ataxia

25
Q

valproate lamotrigine relationship

A

valproate increases lamotrigine

lamotrigine decreases valproate

26
Q

lithium vs carbamazepine

A

lithium-benign leukocytosis (helpful in clozapine)
vs
carbamazepine-benign leukopenia + aplasic anemia

27
Q

carbamazepine

A

block Na channels

28
Q

carbamazepine use

A

acute mania + rapid cycling but not depressive

29
Q

carbamazepine side effects

A

sedation, confusion, ataxia, gi, benign leukopenia, aplasic anemia, hepatitis, nystagmus, motor restlessness, tremor, twitching

siadh, hyponatremia, sjs, rash

30
Q

carbamazepine monitoring

A

works 5-7d
monitor levels induction, 3w,6w,9w autometab by p450
cbc, lft,