psychiatry Flashcards
which two classes of antidepressants should not be combined?
SSRIs and MAOIs (eg rasagiline)
what are the side effects of TCAs?
can’t see (blurred vision)
can’t pee (urinary retention)
can’t spit (dry mouth)
can’t shit (constipation)
what is the treatment for panic disorder?
CBT
SSRI
then imipramine/clomipramine (TCAs) after 12 weeks
what are the symptoms of serotonin syndrome?
- fever
- confusion
- seizures
- renal and hepatic impairment
- arrhythmia
- increased muscle tone
- hypersecretion of sweat
how long should antidepressants be continued for after remission?
6 months
how long should you try an antidepressant for before switching?
6 weeks
which antipsychotic is it best to try if a patient is having hyperprolactinaemic symptoms?
aripiprazole
what are the atypical antipsychotics?
If youre taking atypical antipsychotics youre having a CORQA (corker) of a day:
Clozapine
Olanzapine
Risperidone
Quetiapine
Aripiprazole
what are the side effects of first gen antipsychotics?
parkinsonism
acute dystonia
akathisia
tardive dyskinesia
how is an acute dystonic reaction managed?
procyclidine
alcohol withdrawal timeline
6-12h - symptoms
36h - seizures
48-72h - delirium tremens
