CNS Part 2 Flashcards

(30 cards)

1
Q

What are examples of Non-ergot -derived dopamines

A
  • Pramipexole
  • Rotigotine
  • Ropinerole
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2
Q

What can Non-ergot -derived dopamines do to blood pressure

A

Hypotension (pramipexole, rotigotine, ropinerole)

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3
Q

What is the normal OTC age for Codeine sale

A

12 plus

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4
Q

What are the monitoring requirements for patients taking Antipsychotics

A
  • body weight
  • UandE
  • FBCs
  • Blood lipids
  • blood glucose
  • pulse
  • blood pressure
  • ECGs
  • Prolactin levels
  • LFTs
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5
Q

Which monitoring requirements do antipsychotics not warrant

A

renal tests

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6
Q

What is the minimum age for Domperidone

A

12 plus

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7
Q

What is the washout period for imipramine and clomipramine when changing form MAOi

A

3 weeks

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8
Q

What disorders can lithium cause

A

Thyroid

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9
Q

What can a symptom of SSRIs or NSAIDs be confused with

A

SSRIs cause GI bleed can be thought to be heartburn

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10
Q

When should lithium serum conc samples be taken after administration

A

12 hours

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11
Q

How often should methylphenidate monitoring be done

A

every 6 months

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12
Q

What does Phenytoin do to blood glucose levels

A

Hyperglycaemia

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13
Q

How often should lithium monitoring take place

A

every 6 months

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14
Q

What is the Pneumonic for Benzodiazepines that have a legal driving limit

A

COLD FeeT

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15
Q

Why take sertraline in the morning

A

can cause insomnia

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16
Q

Which Tricyclic antidepressants are least sedating

A
  • Imipramine
  • Lofepramine
  • Nortiptaline
17
Q

Treatment of Hospital Status epilepticus

A
  • IV Lorazepam (repeated 1 time after 10 mins)
  • IV Diazepam
18
Q

What should happen if patient taking Rivastigmine become dehydrated (N+V)

A
  • stop medication
  • change to patch or amend dose
19
Q

When does Domperidone cause QT interval

A

when given with lithium

20
Q

Lisdexamphetamine toxicity symptoms

A

2 phases:

Phase 1:
alert, paranoid, all body systems full force

Phase 2:
exhausted, seizures, hyperthermia, coma

21
Q

How to treat derleium in alcohol dependance

A

Oral lorazepam

22
Q

Carbamazepine, Phenytoin and Sodium Valproate side effects

A
  • depression
  • suicide
  • hepatotoxicity
  • blood dyscrasia
23
Q

Which deficiency is Carbamazepine, Phenytoin and Sodium Valproate associated with

A
  • vit D deficiency
24
Q

How long after dose change or withdrawal from anti-epileptics should you not drive for

A

6 months after

25
What colour can levodopa make urine
Red
26
What colour can amitriptyline make urine
green blue
27
Which medications should be avoided for depression and why
Amitriptyline Dosuleptin (dangerous in overdose)
28
What can amitriptyline do to blood pressure
Hypotension
29
Which 2nd Generation anti-psychotics cause the most hyperglycaemia
- Clozapine - Risperidone - Olanzapine - Quetiapine
30
Which antidepressants decrease efficacy of Tamoxifen
- Fluoxetine - Paroxetine