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Flashcards in Psychiatry Medication - Omar Deck (40)
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1
Q

ANTIDEPRESSANTS

What can anti depressants be used for?

A

Depression

Anxiety

Pain

Insomnia

Not FDA approved but sometimes ADHD

2
Q

ANTIDEPRESSANTS

What is most common type of antidepressant

A

SSRI (Selective Serotonin Reuptake inhibitors)

3
Q

ANTIDEPRESSANTS

Give 5 examples of SSRI

A

Sertraline

Fluoxetine

Citalopram

paroxetine

Escitalopram

4
Q

ANTIDEPRESSANTS

What are other types of antidepressants?

A

SNRI (serotonin and norepinephrine reuptake inhibitors)

Tri-cyclic antidepressants (TCA) (older)

5
Q

ANTIDEPRESSANTS

Give 2 examples of SNRI

A

Venlafaxine

Duloxetine

6
Q

ANTIDEPRESSANTS

What is a special type of antidepressant

A

Bupropion

Third type of AD works differently from SSRI & SNRI

Helpful in treating seasonal affective disrorder and help stop smoking

7
Q

ANTIDEPRESSANTS

What are common Antidepressant side effects

A

Nausea and vomiting

Weight gain

Diarrhea

Sleepiness

Sexual problems

8
Q

ANTI-ANXIETY MEDICATION

What is anti anxiety medication used for?

A

Anti-anxiety medications help reduce the symptoms of anxiety, such as panic attacks, or extreme fear and worry

9
Q

ANTI-ANXIETY MEDICATION

What is the most common type of anti anxiety medication?

A

Benzodiazepines

10
Q

ANTI-ANXIETY MEDICATION

What are benzodiazepines used for

A

Generalised anxiety disorder

11
Q

ANTI-ANXIETY MEDICATION

When would benzodiazepines be second line treatment?

A

In the case of panic disorder or social phobia (social anxiety disorder):

1st line - Anti-depressant

2nd line - Benzodiazepines

12
Q

ANTI-ANXIETY MEDICATION

What are 3 common benzodiazepines?

A

Clonazepam

Alprazolam

Lorazepam

13
Q

ANTI-ANXIETY MEDICATION

What can be used to treat short term symptoms of anxiety

A

Short half-life (or short-acting) benzodiazepines (such as Lorazepam) and beta-blockers are used to treat the short-term symptoms of anxiety

14
Q

ANTI-ANXIETY MEDICATION

What can be taken for long term treatment of chronic anxiety

(unrelated to benzodiapenes)

A

Busiprone

Needs to be taken for a few weeks before reaching full effect

15
Q

ANTI-ANXIETY MEDICATION

Possible side effects of anti-anxiety medication

A

Nausea

Blurred vision

Headache

Confusion

Tiredness

Nightmares

16
Q

ANTI-ANXIETY MEDICATION

Possible side effects of busiprone

A

Dizziness

Headaches

Nausea

Nervousness

Lightheadedness

Excitement

Trouble sleeping

17
Q

STIMULANTS

What do stimulants do

A

Stimulants increase:

alertness

attention

energy,

blood pressure

heart rate

respiration

18
Q

STIMULANTS

What are they commonly prescribed for?

A

ADHD in children, adolescents or adults

19
Q

STIMULANTS

4 Common Stimulants

A

Methylphenidate

Amphetamine

Dextroamphetamine

Lisdexamfetamine Dimesylate

20
Q

STIMULANTS

What else can stimulants be used to treat?

A

Narcolepsy

Occassionally depression

21
Q

Other ADHD treatments?

A

2 non-stimulant antihypertensive medications: Clonidine & guanfacine

Often in children prescribed before stimulant, then if not working - stimulant

22
Q

STIMULANTS

Possible side effects?

A

Difficulty falling asleep or staying asleep

Loss of appetite

Stomach pain

Headache

23
Q

ANTIPSYCHOTICS

What are antipsychotics used for?

A

Primarily to manage psychosis

24
Q

ANTIPSYCHOTICS

What is Psychosis

A

Pschosis describes conditions that affect the mind, and in which there has been some loss of contact with reality.

This can be:

delusions (false, fixed beliefs)

hallucinations (hearing or seeing things that are not really there)

25
Q

ANTPSYCHOTICS

What can cause Psychosis

A

Can be a symptom of a physical condition such as drug abuse or a mental disorder such as schizophrenia, bipolar disorder, or very severe depression (also known as “psychotic depression”).

26
Q

ANTPSYCHOTICS

How are antipsychotics used in treatment

A

In combination with other drugs to help treat:

  • Delirium
  • Dementia
  • Other mental health disorders:
    • ADHD
    • Severe depression
    • Eating disorders
    • PTSD
    • OCD
    • Generalised anxitety disorder
27
Q

ANTPSYCHOTICS

4 Examples of older anti-psychotics

A

Chlorpromazine

Haloperidol

Perphenazine

Fluphenazine

28
Q

ANTPSYCHOTICS

Examples of new antipsychotics

A

Risperidone

Olanzapine

Quetiapine

Ziprasidone

Aripiprazole

Paliperidone

Lurasidone

29
Q

ANTPSYCHOTICS

Side effects

A

Drowsiness

Dizziness

Restlessness

Weight gain (the risk is higher with some atypical antipsychotic medicines)

Dry mouth

Constipation

Nausea

Vomiting

Blurred vision

Low blood pressure

Uncontrollable movements, such as tics and tremors (the risk is higher with typical antipsychotic medicines)

Seizures

A low number of white blood cells, which fight infections

30
Q

ANTIPSYCHOTICS

What is Tardive Dyskinesia

A

TD causes muscle movements, commonly around the mouth, that a person can’t control

Due to prolonged use of old (typical) antipsychotics

31
Q

MOOD STABILISERS

What are mood stabilisers used for?

A

primarily to treat bipolar disorder

mood swings associated with other mental disorders

to augment the effect of other medications used to treat depression

32
Q

MOOD STABILISERS

What is the most comon mood stabiliser?

A

Lithium

Approved for mania nad maintenance treatment of BD

Anti-suicide benefits also

33
Q

MOOD STABILISERS

How do mood stabilsers work?

A

Decrease abnormal activity in the brain

34
Q

MOOD STABILISERS

What can Mood stabilisers treat

A

Depression (usually along with an antidepressant)

Schizoaffective Disorder

Disorders of impulse control

Certain mental illnesses in children

35
Q

MOOD STABILISERS

What are other types of mood stabilisers?

A

Anticonvulsants

Initially used for seizures but have mood stabilising effect also

36
Q

MOOD STABILISERS

Common anti-convulsant used for mood stabilisation

A

Valporic acid

37
Q

MOOD STABILISERS

Other anti-convulsants

A

Carbamazepine

Lamotrigine

Oxcarbazepine

38
Q

MOOD STABILISERS

Possible side effects

A

Itching, rash

Excessive thirst

Frequent urination

Tremor (shakiness) of the hands

Nausea and vomiting

Slurred speech

Fast, slow, irregular, or pounding heartbeat

Blackouts

Changes in vision

Seizures

Hallucinations (seeing things or hearing voices that do not exist)

Loss of coordination

Swelling of the eyes, face, lips, tongue, throat, hands, feet, ankles, or lower legs.

39
Q

MOOD STABILISERS

What needs to be monitored with patient of lithium

A

Kidney Function

Thyroid Function

40
Q

PREGNANCY

Medications

A

AVOID:

  • Mood Stabilisers
  • Benzodiazepine
  • Antipsychotics

OKAY:

  • Antidepressants (SSRI best)

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