Psychiatric Medications Flashcards

(37 cards)

1
Q

what are the 3 core symptoms of depression

A

low mood, lack of energy and anhedonia

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2
Q

what are some of the biological symptoms of depression

A

decreased appetite, sleep disturbances

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3
Q

what are some of the physical symptoms of depression

A

negative thoughts, reduced concentration, irritability

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4
Q

name 3 types of monoamine uptake inhibitors

A

SSRIs, TCAs, SNRIs

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5
Q

what is the first line treatment for depression

A

SSRIs

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6
Q

name an example of a SSRI

A

fluoxetine and citelopram

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7
Q

how do TCAs work

A

inhibit NA re-uptake, reduce cholingeric neurotransmission, block alpha 1 receptors

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8
Q

how do SSRIs work

A

increase the amount of serotonin in the synaptic clefts

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9
Q

give an example of a TCA

A

amitiptyline

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10
Q

give an example of a SNRI

A

VENLAFAXINE

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11
Q

why are monoamine oxidase inhibitors no longer used

A

lots of side effects

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12
Q

what are some of the positive symptoms of paranoid schizophrenia

A

hallucinations and delusions

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13
Q

what are some of the negative symptoms of paranoid schizophrenia

A

lack of insight, lack of motivation, poor concentration

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14
Q

what pathways is dopamine involved in which are important in schizophrenia

A

mesolimbic, mesocortical, nigrostriatal, tuberoinfundibular pathways

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15
Q

what pathway(s) are positively affected by using D2 blockers

A

mesolimbic as this is reduced

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16
Q

what 3 neurotransmitters are thought to be important in schizophrenia

A

dopamine, serotonin, glutamate

17
Q

give an example of a typical antipsychotic

18
Q

what are some side effects of typical antipsychotics

A

parkinsons symptoms, hypotension, increased prolactin, weight gain

19
Q

which atypical antipsychotic can particularly cause weight gain

20
Q

which atypical antipsychotic can particularly cause prolactin production

21
Q

why is clozapine not used as a first line treatment despite it being an atypical antipsychotic

A

high amount of side effects including constipation, weight gain and constipation

22
Q

what is bipolar disorder

A

where a patient experiences periods of depression and mania

23
Q

what will a patient be like in mania periods of bipolar disorder

A

unusually excited, overactive, rapid speech. poor judgement, psychotic symptoms

24
Q

what mood stabiliser is mostly used in bipolar disorder

25
what are some side effects of lithium use
hypothyroidism, weight gain, hair loss, kidney affects, polyuria, tremor
26
what are the different types of mood stabilisers used in bipolar disorder
lithium, sodium valproate, carbamezepine, lamotrigine
27
what is anxiety
where the patient has a fear which is out of proportion to the stimulus
28
what are the behavioural symptoms of anxiety
avoidance of stimulus
29
what are the psychological symptoms of anxiety
fear of dying/going crazy
30
what are the physical symptoms of anxiety
palpitations, tremor, shortness of breath, nausea, light headedness
31
what is the first line treatment for anxiety
CBT
32
what drugs can be used to help treat anxiety
benzodiazepines
33
how do benzodiazepines work
enhance GABA transmission therefore causing a reduction in stimulation and anxiety
34
what are the problems with benzodiazepines
- develop tolerance - withdrawal symptoms - side effects
35
what are the side effects of benzodiazepines
dry mouth, drowsiness, GI upset, headache, rash
36
what should be given in a benzodiazepines overdose
fluazenil
37
what drugs can be used in dementia
acetylcholinesterase inhibitors | NMDA antagonists