psy pharm Flashcards
(127 cards)
adhd treatment
stimulants (methylphenidate ritalin), amphetamines (adderall)
CBT, alternatives: atomoxetine (NRI), guanfacine (a2a), clonidine
tourette syndrome
for tics
high potency antipsychotics (eg haloperidol, fluphenazine, pimozide), tetrabenazine (vmat inhibitors), a2 agonists (guanfacine, clonidine), or atypical antipsychotic
disruptive mood dysregulation
antipsychotics
delirium
can use antipsychotics like haloperidol or other 1st gen for agitation and psychosis
shizophrenia
atypical antipsychotics like risperidone are first line
bipolar disorder
mood stabilizers (lithium, valproic acid, carbamazepine, lamotrigrine), atypical antipsyhotics
MDD
SSRIs, and CBT first line
SNRIs and atypical antidepressants (mirtazapine, bupropion)
ECT in select patients
atypical depression
CBT and SSRTs are first line
MAOI can be used but are not first line
postpartum depression
cbt and ssris
postpartum psychosis
antypical antipsychotic, if insufficient can use ECT
panic disorder
CBT, SSRI, and venlafaxine are first line.
Benzos can be used in the acute setting or until SSRI kicks in
specific phobia
can be treated with systematic desensitization
social anxiety disorder
CBT SSRIs and venlafaxine
for ocasionnaly anxiety inducing situations/performance use benzos or beta blockers
GAD
SSRI, SNRI are first line
Buspirone, TCAs, benzos are second line
stuff about benzo immediately if needed
adjustement disorder
CBT an SSRI
OCD
CBT, SSRIs, clomipramine (TCA), venlafaxine
PTSD
CBT, SSRIs, venlafaxine 1st line
Prazosin for nightmares
anorexia nervosa
psychotherapy, nutritional rehabilitation, SSRI
bulemia
psychotherapy, nutritional rehabilitation, SSRI
binge eating disorder
psychotherapy such as CBT is first line: SSRIs, lisdexamfetamine (prodrug of dextroampehtamine)
narcolepsy
daytime stimulants (amphetamines, modafanil) and nighttime sodium oxybate (GHB) -> good for cataplexy and daytime sleepiness
amphetamines include
detroamphetamine (with levo is adderall), and methampheatmine (mostly for ilicit use)
MDMA is?
a snythetic derivative of methamphetamine
methylphenidate is?
an amphetamine derivative