Mental Health - Final Medications

Question 1

Tricyclics

Answer 1

Block Norepinephrine reuptake

Question 2

SSRI

Answer 2

Block Serotonin reuptake

DONT STOP ABRUPTLY

Question 3

MAO AI

Answer 3

monoamine oxidase inhibitors

Question 4

Atypical Antidepressant

Answer 4

NDRI
SARI
SNRI
NaSSA

Question 5

Wellbutrin

Answer 5

Atypical Antidepressant - NDRI
*DECREASES SEIZURE THRESHOLD
smoking cessation

Question 6

Effexor

Answer 6

Atypical Antidepressant - SNRI

-need to monitor for elevated BP

Question 7

Cymbalta

Answer 7

Atypical Antidepressant - SNRI

Question 8

sertraline (Zoloft)

Answer 8

SSRI Antidepressant

Question 9

Citalopram (Celexa)

Answer 9

SSRI Antidepressant

Question 10

excitalopram (Lexapro)

Answer 10

SSRI Antidepressant

Question 11

fluoxitine (Prozac)

Answer 11

SSRI Antidepressant

Question 12

paroxetine (Paxil)

Answer 12

SSRI Antidepressant

Question 13

amitriptyline (Elavil)

Answer 13

Tricyclic Antidepressant

Question 14

AE of SSRI

Answer 14

Sleep disturbance
HA
Sexual dysfunction
sweating
*Serotonin syndrome

Question 15

Trazadone (Desyrel)

Answer 15

Atypical Antidepressant SARI
AE: Priapism
used as sleep aid

Question 16

AE of Tricyclics

Answer 16

Cardiac dysrhythmias
constipation
urinary retention
dry mouth
sedating
Lethal in OD

Question 17

AE of MAOIs

Answer 17

weight gain
orthostatic hypotension
sexual dysfunction
Need 2 week washout period before use with other meds
Avoid foods with Tyramine

Question 18

phenelzine (Nardil)

Answer 18

MAO AI

Question 19

tranylcypromine (Parnate)

Answer 19

MAO AI

Question 20

selegiline (Emsam)

Answer 20

MAO BI

Question 21

MAOI Toxicity

Answer 21

hypertensive crisis

Question 22

Lithium carbonate

Answer 22

Mood Stabilizer

Gold Standard for Bipolar Tx

Question 23

Therapeutic Lithium Level

Answer 23

0.8 to 1.4 mEq/L

Maintenance is 0.4 to 1.3

Question 24

AE of Lithium

Answer 24

fine hand tremors
thirst
weight gain
polyuria
nausea

Long term: hypothyroidism, kidney function

Question 25

Lithium Toxicity

Answer 25

levels greater than 1.4 mEq/L S/S: slurred speech, muscle weakness, polyuria, diarrhea, confusion, lack of coordination, muscle hyper irritability, seizures, incontinence, cardiac arrythmias, coma, death

Question 26

Labs for Lithium

Answer 26

Baseline EKG Kidney- BUN & CR Thyroid - TSH

Question 27

carbamazepine (Tegretol)

Answer 27

Anti-Epileptic for Bipolar (Acute Mania) | periodic liver function, platelet count, & blood levels

Question 28

oxcarbazepine (Trileptal)

Answer 28

Anti-Epileptic

Question 29

divalproex, Valproic Acid (Depakote)

Answer 29

Anti-Epileptic for Bipolar (Acute Mania) | periodic liver function & platelet count

Question 30

lamotrigine (Lamictal)

Answer 30

Anti-Epileptic for Bipolar | AE: Stevens-Johnson

Question 31

gabapentin (Neurontin)

Answer 31

Anti-Epileptic for Bipolar

Question 32

topiramate (Topamax)

Answer 32

Anti-Epileptic for Bipolar

Question 33

Meds available in Depot

Answer 33

Risperdal | Invega