psy pharm Flashcards

(127 cards)

1
Q

adhd treatment

A

stimulants (methylphenidate ritalin), amphetamines (adderall)

CBT, alternatives: atomoxetine (NRI), guanfacine (a2a), clonidine

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2
Q

tourette syndrome

A

for tics

high potency antipsychotics (eg haloperidol, fluphenazine, pimozide), tetrabenazine (vmat inhibitors), a2 agonists (guanfacine, clonidine), or atypical antipsychotic

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3
Q

disruptive mood dysregulation

A

antipsychotics

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4
Q

delirium

A

can use antipsychotics like haloperidol or other 1st gen for agitation and psychosis

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5
Q

shizophrenia

A

atypical antipsychotics like risperidone are first line

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6
Q

bipolar disorder

A

mood stabilizers (lithium, valproic acid, carbamazepine, lamotrigrine), atypical antipsyhotics

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7
Q

MDD

A

SSRIs, and CBT first line

SNRIs and atypical antidepressants (mirtazapine, bupropion)

ECT in select patients

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8
Q

atypical depression

A

CBT and SSRTs are first line

MAOI can be used but are not first line

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9
Q

postpartum depression

A

cbt and ssris

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10
Q

postpartum psychosis

A

antypical antipsychotic, if insufficient can use ECT

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11
Q

panic disorder

A

CBT, SSRI, and venlafaxine are first line.

Benzos can be used in the acute setting or until SSRI kicks in

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12
Q

specific phobia

A

can be treated with systematic desensitization

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13
Q

social anxiety disorder

A

CBT SSRIs and venlafaxine

for ocasionnaly anxiety inducing situations/performance use benzos or beta blockers

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14
Q

GAD

A

SSRI, SNRI are first line

Buspirone, TCAs, benzos are second line

stuff about benzo immediately if needed

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15
Q

adjustement disorder

A

CBT an SSRI

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16
Q

OCD

A

CBT, SSRIs, clomipramine (TCA), venlafaxine

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17
Q

PTSD

A

CBT, SSRIs, venlafaxine 1st line

Prazosin for nightmares

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18
Q

anorexia nervosa

A

psychotherapy, nutritional rehabilitation, SSRI

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19
Q

bulemia

A

psychotherapy, nutritional rehabilitation, SSRI

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20
Q

binge eating disorder

A

psychotherapy such as CBT is first line: SSRIs, lisdexamfetamine (prodrug of dextroampehtamine)

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21
Q

narcolepsy

A

daytime stimulants (amphetamines, modafanil) and nighttime sodium oxybate (GHB) -> good for cataplexy and daytime sleepiness

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22
Q

amphetamines include

A

detroamphetamine (with levo is adderall), and methampheatmine (mostly for ilicit use)

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23
Q

MDMA is?

A

a snythetic derivative of methamphetamine

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24
Q

methylphenidate is?

A

an amphetamine derivative

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25
CNS stimulants mech
542
26
CNS stimulants use
542
27
CNS stimulants effects
542
28
review nms vs ss
542
29
prochlorperazine
typical antipsychotic used as antiemetic
30
what is the nigrostiatal pathway balanced by?
m1
31
typical antipsychotics mech
dont forget mesolimbic pathway
32
typical antipsychotics main effects
543
33
eps
543
34
eps treatments
543
35
nms in fa
543
36
nms treatment
543
37
highest risk for metabolic syndrome of antipical antipsychotics
clozapine, olanzapine
38
use clozapine for?
treatment resistance shizo or schizoaffective disorder, and for suicidality in shozophrenia
39
atypical antipsychotics side effects all
543
40
-pines cause?
543
41
colzapine special effects
myocarditis
42
rsiperidone special effects
543
43
olanzapine -> obseity
543
44
lithium toxicity
acute -> n/v, diarrhea, later CNS, NM excitability, delirums chronic toxicity confusion, agitation, ataxia, tremors, fasiculations
45
lithium how to treat nephrogenic diabetes insipidus
amiloride, thiazide
46
lithium mech
544
47
lithium use
544
48
lithium main effects
544
49
lithium main effects
544
50
buspirone mech
544
51
buspirone main use
544
52
buspirone other features 2
no abuse potential or sx dysfxn
53
what takes weeks for effects?
SSRIs, SNRIs, TCAs, and MAOI
54
ssris mech
545
55
ssris use
545
56
ssris effect
545
57
snris
545
58
snri
545
59
snri mech
545
60
snri use
545
61
snri effects
545
62
drugs that can cause serotonin syndrome
545
63
how to treat serotonin syndrome
545
64
TCAs mech
545
65
TCAs use
545
66
TCAs effects
545
67
monoamines
epi, norepi, dopamine, serotonin, melatonin
68
MAOI mech
irreversible
69
MAOI use
selegine used in parkinsons
70
avoid maois with? aka others that can cause serotonin syndrome
SSRISS!!! St johns wort, meperidine
71
with MAOI why do you wait two weeks after stopping?
before beinning other serotonergic drugs or stopping dietary restrictions
72
bupropion mech
546
73
bupropion has effects like and might be good for who?
amphetamine like stiulation and might be good for those with fatigue or hypersomonia
74
bupropion toxicity
546
75
bupropion used as an adjuncto to ssri when?
to help alleviate sexual dysfxn
76
mirtazapine mech
546
77
mirtazapine toxicity
546
78
mirtazapine toxicity
546
79
trazodone mech
546
80
trazodone toxicity
546
81
varenicline mech
546
82
varenicline use
546
83
varenicline toxicity
546
84
vilazodone mech
546
85
vilazodone use
546
86
vilazodone toxicity
546
87
vortioxetine mech
546
88
vortioxetine use
546
89
vortioxetine side effects
546
90
pimozide
unspecified atypical
91
haloperiodol
high potency
92
fluphenazine
high potency
93
trifluoperazine
high potenccy
94
chlorpromazine
low potency
95
thiordazine
low potency
96
aripiprazole
antypical
97
asenapine
antypical
98
clozapine
antypical
99
olanzapine
antypical
100
quetiapine
antypical
101
iloperidone
antypical
102
paliperidone
antypical
103
risperidone
antypical
104
lurasidone
antypical
105
ziprasidone
antypical
106
fluoxetine
ssri
107
fluvoxamine
ssri
108
paroxetine
ssri
109
sertraline
ssri
110
escitalopram
ssri
111
citalopram
ssri
112
venlafaxine
snri
113
desvenlafaxine
snri
114
duloxetine
snri
115
levomilnacipran
snri
116
milnacipran
snri
117
amitriptyline
tca
118
nortriptyline
tca 2nd
119
imipramine
tca
120
desipramine
tca 2nd
121
clomipramine
tca
122
doxepine
tca
123
amoxapine
tca
124
tranylcypromine
maoi
125
phenelzine
maoi
126
isocarboxazid
maoi
127
selegiline
maoi