Medications

Question 1

Antidepressions for Anxiety

Answer 1

SSRI + SNRI

Question 2

Noradrenergic: Antihypertensives for anxiety

Answer 2

Propranolol, Clonidine
to relieve somatic manifestations (eg. palpations)

Question 3

Anxiolytics
Action

Answer 3

depress subcortical levels
Enhance GABA

Question 4

Anxiolytics
Contraindications

Answer 4

CNS depressants
Preg/Lac
elderly
Debility
Hepatic/renal impairement

Question 5

Anxiolytics
Interactions

Answer 5

ETOH, narcs, herbals (Kava Kava, Valerian Root)
Decreases effect w caffeine/nicotine

Question 6

Benzodiazepines
Side effects

Answer 6

drowsiness, confusion, lethargy, ataxia, reduced motor coordination

“hangover”

Elderly- death/delirium

Question 7

Benzodiazepines EDUCATION

Answer 7

ABUSE POTENTIAL

wean off!

Question 8

Xanax, Valium, Ativan, Librium, Serax, Tranxene

Answer 8

Benzodiazepines
(Quick onset for Anxiety)

Question 9

BuSpar

Answer 9

Non-Benzo for Anxiety
Doesn’t decrease CNS
GOOD FOR ADDICTS
long-term treatment

SE: ortho’s

Question 10

Antianxiety: Antihistamines

Answer 10

Vistaril, Benadryl

safe/nonaddictive

SE: drowy, confusion, lethargy

Question 11

Antianxiety: sedative - hypnotic medications
Side effects

Answer 11

hallucinations,
abnormal behavior,
severe confusion,
SI,
ataxia

Question 12

PTSD
Clonidine (Cataprex)

Answer 12

hyperarousal/intrustive sx

Question 13

PTSD
Prazosin (Minipress)

Answer 13

nightmares/sleep disruptions

Question 14

PTSD
Propranolol (Inderal)

Answer 14

Hyperarousal/panic

Question 15

Autism risperdal

Answer 15

5/yo+

Question 16

Autism aripiprazole

Answer 16

6/yo+
2-15mg

Question 17

ADHD
Lisdexamfetamine (Vyvanse)

Answer 17

stimulant
amphetamine

Question 18

ADHD
Atomoxetine (Strattera)

Answer 18

nonstimulant
Inhibits reuptake of norepi

Question 19

ADHD
Dextroamphetamine
(Adderall)

Answer 19

stimulant

Question 20

ADHD Stimulants (4)

Answer 20

No addictions in the household
High street value
OORs (prescription monitor)
decrease appetite

Question 21

ADHD
guanfacine (Intuniv)

Answer 21

Non-stim
good for aggression
multiple times a day if needed

Question 22

ADHD
Med education

Answer 22

insomnia
anorexia
upset stomach
prevent tolerance via holiday

Question 23

Alc
Naltrexone (Revia)

Answer 23

reduces craving

Question 24

Alc
Acamprosate (Campral)

Answer 24

agonist activity at GABA receptor (after detox)

Question 25

Alc Ondansetron (Zofran)

Answer 25

Seratonin antagonist

Question 26

Alc Baclofen

Answer 26

muscle relaxant

Question 27

Alc Gabapentin (Neutrontin)

Answer 27

anticonvulsant, reduce dysphoria/insomnia therefore reducing relapse

Question 28

Cocaine Methylphenidate (ritalin)

Answer 28

aid self control/reduce craving

Question 29

Cocaine Vigabatrin (Sabril)

Answer 29

Reduce craving

Question 30

Cocaine NAC

Answer 30

reduce craving

Question 31

Cocaine Topiramate

Answer 31

decreases use

Question 32

Cocaine Nocaine

Answer 32

mimics effect of cocaine

Question 33

Nicotine replacement

Answer 33

patches, gum, inhalers

Question 34

Nicotine Bupropin

Answer 34

reduce craving, weight gain

Question 35

Nicotine Varenicline (Chantix)

Answer 35

block receptors

Question 36

Opiate Methadone

Answer 36

opioid agonist

Question 37

Narcan

Answer 37

Primary drug to treat overdose **Can cause immediate withdrawal**

Question 38

Opioid Buprenorphine (Temgesic, Subutex)

Answer 38

limited euphoria (celling action blokcing further effect) EVERY 3 DAYS

Question 39

Opioid Buprenorphine/Naloxone Suboxone, Zubsolv

Answer 39

naloxone blocks effect if med crushed/ingested at higher doses

Question 40

Opioid Nalmefene (revex) Neltrexone *revia)

Answer 40

Opioid antagnoists reduce receptor response, blocking effects of opioids