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RRCCPA Pharmacotherapeutics > Beyond Xanax Meds (Midterm) > Flashcards

Beyond Xanax Meds (Midterm) Flashcards

(48 cards)

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1
Q

Sx of serotonin syndrome

A
  • dilated pupils
  • N/D
  • restlessness
  • confusion
  • tachy
  • inc BP
  • sweating
  • loss of muscle coordination, twitching
  • muscle rigidity
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2
Q

Preferred SSRIs

A
  1. Sertraline (Zoloft)
  2. Fluoxetine (Prozac)
  3. Escitalopram (Lexapro)
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3
Q

Dosing range for Sertraline (Zoloft)

A

25mg - 250mg

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4
Q

Indications for Sertraline (Zoloft)

A
  • Anxiety
  • Depression
  • OCD
  • Irritability
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5
Q

When do you see results of Sertraline (Zoloft)

A

3 wks (2 if tweaking)

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6
Q

Sertraline (Zoloft) S/Es

A
  • GI disturbance
  • Reflux
  • Somnolence
  • Libido
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7
Q

Dosing range for Fluoxetine (Prozac)

A

10mg - 80mg

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8
Q

Indications for Fluoxetine (Prozac)

A
  • Anxiety
  • Depression
  • OCD
  • Motivation
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9
Q

When do you see results of Fluoxetine (Prozac)

A

4 wks (2-3 if tweaking)

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10
Q

Fluoxetine (Prozac) S/Es

A
  • Anorexia
  • Activation (take in AM)
  • Libido
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11
Q

Dosing range for Escitalopram (Lexapro)

A

5mg - 40mg

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12
Q

Indications for Escitalopram (Lexapro)

A
  • Anxiety
  • Depression
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13
Q

When do you see results of Escitalopram (Lexapro)

A

3 wks (2 if tweaking)

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14
Q

Of the 3 preferred SSRIs, which one is the most activating/serotonergic?

A

Escitalopram (Lexapro)

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15
Q

Escitalopram (Lexapro) S/Es

A
  • Activating
  • Weight gain
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16
Q

Prior to initiation of SSRI Citalopram (Celexa), what do you need to ensure you’ve asked your patient? Why?

A

If they have/had any cardiac issues - concern for QT prolongation

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17
Q

What are the 3 preferred SNRIs

A
  1. Duloxetine (Cymbalta)
  2. Desvenlafaxine (Pristiq)
  3. Venlafaxine (Effexor)
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18
Q

What is the dosing range for Duloxetine (Cymbalta)

A

20mg - 120mg

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19
Q

Indications for Duloxetine (Cymbalta)

A
  • Pain
  • Anxiety
  • Depression

*NOT irritability

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20
Q

When do you see results of Duloxetine (Cymbalta)

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A

4 wks (2-3 if tweaking)

21
Q

Duloxetine (Cymbalta) S/Es

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A
  • GI disturbance
  • Somnolence
  • Libido
  • W/D syndrome
22
Q

What is the dosing range for Desvenlafaxine (Pristiq)

23
Q

Indications for Desvenlafaxine (Pristiq)

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A
  • Anxiety
  • Depression
  • Energy
24
Q

When do you see results of Desvenlafaxine (Pristiq)

Study These Flashcards
A

4 wks (3 if tweaking)

25
Desvenlafaxine (Pristiq) S/Es
* Libido * W/D syndrome - much more gentle though
26
Which of the 3 preferred SNRIs is well tolerated, has no metabolism in the liver, and lower risk of DDIs?
Desvenlafaxine (Pristiq)
27
What is the dosing range for Venlafaxine (Effexor)
37.5mg - 300mg
28
Indications for Venlafaxine (Effexor)
* Anxiety * Depression * Energy
29
When do you see results of Venlafaxine (Effexor)
3-4 wks (2 if tweaking)
30
Venlafaxine (Effexor) S/Es
* WICKED W/D SYNDROME * Libido * Last resort!
31
How many days is needed for initiation and b/w ramping doses of SSRIs
3-7 days
32
How many days is needed for initiating and b/w ramping doses of SNRIs
14 days (modulating 2 NTs)
33
What are some adjunct medications
* Buspar * Wellbutrin * Abilify * Lithium * Lamictal
34
Buspar indication, S/E, dosing
* Anti anxiety * S/E: Dizziness * Inc to 10mg BID
35
Wellbutrin indication and dosing
* Motivation, sexual side effects, smoking * SR 75mg - 400mg, XL 150mg - 450mg
36
Wellbutrin SEs
* **Lowers seizure threshold** * Inc anxiety
37
Abilify indications and dosing
* Super charger for mood lability/emotional reactivity * 2mg - (30mg) - typically do not go above 5mg
38
What labs do you need to obtain when a patient is taking Abilify?
Alc, Lipids after 6 months - then 1 x yr
39
Abilify S/Es
* Sedation * Weight gain
40
Lithium indications
* SI (esp. in adolescents) * Depression
41
What is the dosing range for Lithium
ER 300mg - 450mg (600mg)
42
What do you need if you are prescribing \>600mg of Lithium
Labs - lithium level, TSH, CMP
43
Lamictal indications
emotional reactivity
44
What is the dosing range for Lamictal
25mg - 200mg (400mg) - anything \>200mg is not effective
45
What labs do you need to get if a patient is prescribed Lamictal
A1c, Lipids after 6 months - then 1 x yr
46
Lamictal S/Es
* **SJS** * Weight gain
47
What are the non stimulants used for ADHD
* Strattera * Guanfacine/Intuniv
48
What are the stimulant options for ADHD
* Adderall * Vyvanse * Focalin * Concerta * Methylphenidate

RRCCPA Pharmacotherapeutics (11 decks)

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