Psych Meds

Question 1

What does SSRI stand for and do?

Answer 1

Selective Serotonin Reuptake Inhibitor
blocks the reuptake of serotonin
allows more serotonin to be available in the synaptic gap

Question 2

Side effects of SSRI

Answer 2

nausea
wt gain
dizziness
restlessness
decreased libido
ED
anorgasmia
insomnia
suicidal ideations

Question 3

What is the delayed onset of SSRIs?

Answer 3

3-4 weeks

Question 4

fluvoxomine

Answer 4

Luvox

SSRI, best used on OCD

Question 5

paroxetine

Answer 5

Paxil

SSRI

Question 6

fluoxetine

Answer 6

Prozac

SSRI

Question 7

sertraline

Answer 7

Zoloft

SSRI

Question 8

escitalopram

Answer 8

Lexapro

SSRI

Question 9

citalopram

Answer 9

Celexa

SSRI

Question 10

What does TCA stand for and do?

Answer 10

Tricyclic Antidepressants
blocks the reuptake of serotonin and norepinephrine
blocks receptors: muscarinic and histamine

Question 11

side effects of TCA

Answer 11

anticholinergic effects:
- consitpation, urinary retention, blurred vision, orthostatic hyptension, dry mouth
cardiac issues:
- inhibits Na, Ca, K, channels causing arrhythmias

Question 12

Common suffixes for TCA

Answer 12

• iptryline

- ipramine

Question 13

amitriptyline

Answer 13

Elavil

TCA

Question 14

amoxapine

Answer 14

Asendin

TCA

Question 15

doxepin

Answer 15

Sinequan

TCA

Question 16

imipramine

Answer 16

Tofranil

TCA

Question 17

desipramine

Answer 17

Norpramine

TCA

Question 18

What does MAOI stand for and what does it do?

Answer 18

Monoamine Oxidase Inhibitors
inhibits enzyme from destroying monoamine
increases levels of serotonin tryamine, NE, dopamine

Question 19

Tryamine containing foods/drinks

Answer 19

fermented foods
beer
wine
aged cheeses

Question 20

drug interactions with MAOI

Answer 20

SSRI
meperidine
TCA
amphetamines

Question 21

isocarboxazid

Answer 21

Marplan

MAOI

Question 22

pheneizine

Answer 22

Nardil

MAOI

Question 23

tranicypromine

Answer 23

Parnate

MAOI

Question 24

1st generation antipsychotics

Answer 24

Typical
treat positive sx of schizophrenia and psychosis
blocks dopamine receptors

Question 25

Typical antipsychotics side effects

Answer 25

EPS (neuro s/e) anticholinergic: dry mouth, blurred vision, constipation, urinary retention, delirium cardio: orthostatic hypotension, tachycardia, EKG changes Neuroleptic Malignant Syndrome

Question 26

What does high potency mean?

Answer 26

higher potency with lower dosage causes less sedation less anticholinergic effects higher EPS

Question 27

What does low potency mean?

Answer 27

prescribed in higher dosages very sedating less EPS very anticholinergic

Question 28

examples of high potency, typical antipsychotics

Answer 28

fluphenazine haloperidol trifluoperazine pimozide

Question 29

fluphenazine

Answer 29

Prolixin typical antipsychotic high potency

Question 30

haloperidol

Answer 30

Haldol typical antipsychotic high potency

Question 31

trifluoperazine

Answer 31

Selazine typical antipsychotic high potency

Question 32

Examples of low potency, typical antipsychotics

Answer 32

chlorpromazine thioridazine clozepine mesoridazine

Question 33

chlorpromazine

Answer 33

Thorazine typical antipsychotic low potency

Question 34

thioredazine

Answer 34

Mellaril typical antipsychotic low potency

Question 35

2nd generation antipsychotics

Answer 35

Atypical lower EPS elderly with dementia have higher incidence of stroke and headache

Question 36

side effects of atypical antipsychotics

Answer 36

weight gain | metabolic syndrome

Question 37

aripiprazole

Answer 37

Abilify atypical antipsychotic lower rate of metabolic syndrome and weight gain

Question 38

olanzapine

Answer 38

Zyprexa atypical antipsychotics high rate of weight gain

Question 39

quetiapine

Answer 39

Seroquel | atpypical antipsychotic

Question 40

risperidone

Answer 40

Risperdal | atypical antipsychotic

Question 41

ziprasidone

Answer 41

Geodon lower rate of weight gain atypical antipsychotic

Question 42

clozapine

Answer 42

``` Clozaril atypical antipsychotic can cause agranulocytosis needs blood test (CBC) monitor levels ```