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Flashcards in Psychopharmacology Deck (34):
1

1st line pharmacotherapy for OCD

SSRI

2

what drug causes leukopenia that must be monitored?

Clozapine

3

mild leukopenia

3,000-3,500

check CBC 2x/week

4

moderate leukopenia

2,000-3,000

stop clozapine treatment and put in isolation

5

Blood Lithium levels greater than 2.5

emergency dialysis

6

contraindications to Ramelteon

severe liver impairment, COPD, sleep apnea

7

side effects of carbamazepine

bone marrow suppression, hepatotoxic, rash (benign but must d/c drug because can become problematic)

8

Antipsychotics aka

Neuroleptic drugs

9

Use of St John's Wort

antidepressant, sedative, anxiolytic

10

Use of Ginsing

antidepressant, stimulant, increase mood, improve immune system

11

Sleep-Eating is a side effect of?

Zolpidem and Zalepon

12

treatment for akathisia

aka restlessness

beta blocker (propanolol)

13

treatment for tardive dyskinesia

decrease dose

add clozapine

14

sedative used in conjunction with ECT

Methohexital

15

side effects of Ritalin

insomnia (do not give after noon), decreased appetite, GI upset, HA, tics

16

Modafinil (Provigil)

only approved drug to promote wakefulness

for sleep disorders from shift work

17

ECT

fastest and most effective treatment for Major Depressive Disorder

good for rapid onset (to decrease SI), for those who failed pharmacotherapy or cannot have pharmacotherapy

18

Best antipsychotic for Parkinson's Pt?

Quetiapine>Clozapine (both are good)

Clozapine may make Parkinson's symptoms better but has the big risk of agranulcytosis

19

Erythromycin is a CYP

inhibitor

20

Theophylline is a CYP

substrate

21

Cisplatin is a CYP

substrate

22

MAOi Always Foods

non-aged cheeses (cottage and creamed)

23

Seasonal Affective Disorder/Depression

Phototherapy!

Gets SIGECAPS every winter

24

Drugs for PTSD?

Clonidine and beta-blockers are best

25

Safest antipsychotics for orthostatic hypotension?

Haloperidol and Fluphazine

least anticholinergic

(anticholingerics cause less hypotension)

26

Next step if pt on Clozapine develops Sz

discontinue the clozapine and start valproate

restart clozapine at 50% later

27

treatment for Seasonal Affective Disorder/ SADD

Phototherapy!

28

Safe anti-psychotics for orthostatic hypotension/elderly?

Haloperidol and Fluphazine

29

Medications for PTSD?

Clonidine and beta-blockers

30

What receptor do benzos act on?

GABA

31

MAOi Never Foods

aged cheese, meats, liquor, overripe fruit, pickled fish, kraut

32

MAOi Sometimes Foods

coffee, chocolate, white wine, beer, tea

33

MAOi Always Foods

non-aged cheeses (cottage and creamed)

34

What drug reduces and delays REM sleep?

Despiramine