psych- meds

Question 1

haloperidol

Answer 1

FGA

Question 2

ziprazidone side effects

Answer 2

prolonged QT interval
little risk EPS
take with food

Question 3

ziprazidone used for

Answer 3

psychosis
antianxiety
antidepressant

Question 4

risperidone used for

Answer 4

SGA
psychosis
ptsd

Question 5

risperidone AE

Answer 5

Weight gain, gynecomastia, low risk EPS, orthostatic hypotension

Question 6

paliperidone used for

Answer 6

psychosis, similar to risperidone

SGA

Question 7

Consta is the long acting version of ____ given every 2 weeks

Answer 7

risperidone

Question 8

paliperidone long acting form- monthly

Answer 8

invega sustenna

Question 9

clozapine used for

Answer 9

psychosis
schizophrenia gold standard
last resort
SGA

Question 10

clozapine AE

Answer 10

Seizures, sialorrhea (excessive salivation), agranulocytosis (low ANC), monitor WBC regularly

Question 11

quetiapine used for

Answer 11

psychosis
acute delirium
SGA

Question 12

quetiapine AE

Answer 12

Sedation, HTN, 15-20lb weight gain, metabolic syndrome

Question 13

aripiprazole used for

Answer 13

psychosis, ptsd

sga

Question 14

ariprprazole AE

Answer 14

least weight gain 10lbsm, better side effects

Question 15

olanzapine AE

Answer 15

SGA
weight gain (most)
diabetes

Question 16

olanzapine sublingual form

Answer 16

zydis

Question 17

iloperidone AE

Answer 17

sga

Orthostatic hypotension, anxiety, N/V

Question 18

asenapine AE

Answer 18

weight gain, EPS, NMS

Question 19

asenapine need to avoid

Answer 19

food or milk for 10 min after taking

Question 20

lurasidone AE

Answer 20

Sedation, EPS, minimal weight gain or sexual dysfunction

Question 21

Fluoxetine, Escitalopram, Sertaline are

Answer 21

SSRI

Question 22

SSRI AE

Answer 22

rebound depression 2-3mo, Lower incidence side effects, MAOI interaction is fatal.
Anticholinergic effects: dry mouth, ataxia, decrease mucus production, increased HR, GI distress, mild sedation, sex dysfunction, HA, nausea, weight gain
SEROTONIN SYNDROME

Question 23

treats serotonin syndrome

Answer 23

dantrolene

Question 24

cymbalta is a

Answer 24

SNRI
antidepressant
causes seizures
similar to SSRI

Question 25

Amitriptyline, Doxepine, Notriptyline, Imipramine (Tofranil), Clomipramine (OCD) are

Answer 25

tricyclics- antidepressants, OCD

Question 26

tricyclic AE

Answer 26

Higher incidence AE than SSRI Sedation, drowsiness, wt gain, hypotension, potentiation of CNS drugs, blurred vision, anticholinergic, SINUS TACHYCARDIA, decreased memory fatal overdose, drug interactions

Question 27

Phenelzine, Isocarboxazid, Tranylcypromine are

Answer 27

MAOI- antidepressant (1st one)

Question 28

MAOI AE

Answer 28

tyramine, HTN crisis

Question 29

tyramine found in

Answer 29

Tyramine found in: aged cheese, yogurt, bananas, processed meats, caffeinated beverages, chocolate, pickled foods, wine

Question 30

Lithium carbonate (Eskalith) Others: lamotrigine (Lamictal), sodium valproate (Depakote), carbamazepine (Tegretol)

Answer 30

mood stabilizers- bipolar manic

Question 31

lithium toxicity symptoms at AE

Answer 31

Toxicity= runny nose, coughing, chest congestion, fever, gi upset, blurred vision, ringing ears Other AE: DI, wt gain, polyurea, polydipsia, hypokalemia *narrow therapeutic range- check levels frequently

Question 32

anticonvulsants are also used as

Answer 32

mood stabilizers

Question 33

lorazepam and clonazepam are

Answer 33

benzodiazepines

Question 34

need to avoid what with benzos

Answer 34

grapefruit juice, kava, alcohol

Question 35

benzo AE

Answer 35

Sedation Very addictive, orthostatic hypotension, cross-tolerance (etoh + benzo), older adults- delusions **short term use only

Question 36

clonidine is used for

Answer 36

ptsd in kids | alpha blocker

Question 37

prazosin is used for

Answer 37

nightmares | alpha blocker