Psychopharmacology Flashcards Preview

Jason's MD3 Psychiatry Rot > Psychopharmacology > Flashcards

Flashcards in Psychopharmacology Deck (17):
1

Dangers of TCAs?

Can overdose.

2

How long for maintenance treatment for depression if:

1st episode
2 episodes within 5 years
3 or more within 5 years
Psychotic depression/suicide

6-12 month
3 years
5 years
Indefinite

3

Common SSRI side effects:

GIT, N/V/Diarrhoea
Can increase anxiety
Sexual dysfunction.

4

What side effect for SSRIs should you specifically ask for?

Sexual dysfunction

5

How long to wait to trial for change of symptoms?

4-5 weeks
Try a different group

6

How to monitor for clozapine SFx?

18 weeks of FBEs
1 year: Echo, ECG

7

Criteria to start clozapine?

Need to trial at least 2 different antipsychotics before considering.

8

What are eg. Of depots antipsychotics?

2nd
Aripiprizole
Olanzipine
Risperidone
Flupenthoxol


1st
Haliperidone
Zuclopenthixol





9

Off label use of antipsychotics?

quetiapine
Anxiety

10

Acute treatment of Mania?

Antipsychotics: olanzipine, Quetiapine, aripriprazole
Mood stabilizers: lithium, valproate, carbamazepine, lamotrigine

Consider ECT

11

Which mood stabilizer is best for preg?

Lithium

Others like valproate and carbamazepine have worst sfx

12

Are SSRIs addictive?

Nope

13

Are benzos addictive?

Yes

14

DDx of panic attacks?

MI, thyroiditis, pheo.

15

Drug of choice anfor generalized anxiety disorder?

Venlafaxine

16

Higher dose needed for anxiety or depression?

Anxiety

17

NMS can use what blood test to distinguish from SS?

CpK levels are really high in NMS