Pharmacology Flashcards
(27 cards)
What can you use to treat neuropathic pain?
- Antidepressants: Tricyclic antidepressants, SNRIs or SSRIs
- Anticonvulsants: banapentin, pregabalin, carbamazepine
- Topical analgesics
- Canabis
- Non-pharmalogical: thermal, CBT, PT, OT, TENS, acupuncture…
What are Triptans?
Selective agonists at 5-HT 1B/1D serotonin receptor developed as a specific migraine treatment
What medication can you give to a patient with a big headache in the ER?
Metoclopramide IV
What can you prescribe for prophylactic treatment of headaches (more than 1 day/month of headache)?
- Vitamin B2 (Riboflavin) 400 mg QD
- Magnesium 600 mg QD
- Cyproheptadine (Periactin) 4 mg TID for young kids < 10
For which types of seizures is used Phentoin (Dilantin)?
Partial and generalized
Which type of medication for seizure is taken ONCE a day?
Phentoin (Dilantin)
Which type of medication is indicated for generalized seizures?
- Valproic acid (Epival)
- Phentoin (Dilantin)
- Leviteracetam (Keppra)
Which type of medication is indicated for partial seizures?
- Carbamazepine (Tegretol)
- Phentoin (Dilantin)
- Leviteracetam (Keppra)
Which seizure medication have side effects of weight gain and tremor?
Valproic Acid (Epival)
Which seizure medication have a side effect of rash?
- Carbamazepine (Tegretol)
- Phentoin (Dilantin)
Which seizure medication have pstchiatric side effects?
Leviteracetam (Keppra)
Name the types of SSRIs
- Effective–E**scitalopram*
- For–F**luoxetine, Fluvoxamine*
Sadness–Sertraline
Panic–Paroxetine
Compulsions–Citalopram
What are the indications for SSRIs?
- Major depressive disorder
- Anxiety disorders
- PTSD
- OCD
- Premenstrual dysphoric disorder
- Bulimia nervosa
- Bipolar Depression (Fluox + olanz combo)
What are the side effects of SSRIs?
- GI upset
- Headache
- Sexual dysfunction
Name the SNRIs
- Venlafaxine (Effexor)
- Desvenlafaxine (Pristiq)
- Duloxetine (Cymbalta)
- Levomilnacipran (Fetzima)
What are the indications of SNRIs?
- Depression
- Anxiety disorders
- Pain
- Energy
- Concentration
What are the side effects of SNRIs?
Noradrenergic beta-receptors
- Tremor
- Hypertension
- Tachycardia
Noradrenergic alpha-receptors
- Dry mouth
- Constipation
- Urinary retention
Sweating
What are the types of antidepressants?
- Serotonin Serum Reuptake Inhibitors (SSRIS)
- Serotonin Norepinepherine Reuptake Inhibitors (SNRIS)
- Tricyclic Antidepressants (TCAs)
- Monoamine Oxidase Inhibitors (MAOIs)
- Atypical antidepressant
What are the side effects of Monoamine Oxidase Inhibitors (MAOIs)?
Serotonin Syndrome
Hypertensive crisis
What are the indications for lithium?
- Mania (prominent irritability)
- Resistant depression: anti-suicidal
What are the common side effects of lithum?
- L – leukocytosis
- I – Inspidus (diabetes)
- T – Tremors
- H – Hypothyroid
- I – increased urine (polyuria)
- M – Mom’s beware (teratogenicity)
Which mood stabilizer medication is compatible with lactation?
Valproate
What antidepressant medication CAN’T you give to an anorexic patient?
Bupropion
What are the 2 only drugs that decrease suicidal ideations?
- Lithium
- Clozapine
