Psychotherapeutic Drugs

Question 1

Alparazolam (D) “Xanax”

Answer 1

-Anxiolytic; short acting
-PO/ 30-60 min.
-Anxiety

Question 2

Diazepam (D) “Valium”

Answer 2

-Anxiolytic; long acting
-IM/IV/PO 30-60 min.
-Anxiety
-Avoid in patients with hepatic dysfunction

Question 3

Lorazepam (D) “Ativan”

Answer 3

-Anxiolytic; intermediate acting
-IM/IV/PO 30-60 min.
-Anxiety, alcohol withdrawal, agitation

Question 4

Amitriptyline

Answer 4

-Antidepressant (TCA)
-PO/ 7-21 days
-Insomnia, neuropathic pain

Question 5

Clomipramine

Answer 5

-Antidepressant (TCA)
-PO/ 6-12 weeks
-Obsessive-compulsive disorder (OCD)

Question 6

Imipramine

Answer 6

-Antidepressant (TCA)
-PO/ 1-3 weeks
-Depression

Question 7

Isocarboxazid (Marplan)

Answer 7

-Antidepressant (MAOI)
-typically PO
-Depression

Question 8

Phenelzine (Nardil)

Answer 8

-Antidepressant (MAOI)
-typically PO
-Depression

Question 9

Tranylcypromine (Parnate)

Answer 9

-Antidepressant (MAOI)
-typically PO
-Depression

Question 10

Selegiline

Answer 10

-Antidepressant (MAOI)
-Transdermal patch
-Major depression

Question 11

Citalopram (Celexa)

Answer 11

-Antidepressant (SSRI)
-PO/ 1-4 weeks
-Depression, OCD

Question 12

Fluoxetine (Prozac)

Answer 12

-Antidepressant (SSRI)
-PO/ 2-4 weeks
-Depression, bulimia, OCD, panic disorder

Question 13

Escitalopram (Lexapro)

Answer 13

-Antidepressant (SSRI)
-PO/ 1-4 weeks
-Depression, anxiety

Question 14

Sertraline (Zoloft)

Answer 14

-Antidepressant (SSRI)
-PO/ 2-4 weeks
-Depression, OCD, panic disorder

Question 15

Duloxetine (Cymbalta)

Answer 15

-Antidepressant (SNRI)
-PO
-Depression, anxiety, diabetic peripheral neuropathy

Question 16

Venlafaxine (Effexor)

Answer 16

-Antidepressant (SNRI)
-PO
-Depression, anxiety

Question 17

Bupropion

Answer 17

-Antidepressant
-PO/ up to 4 weeks
-Depression, smoking cessation

Question 18

Trazodone

Answer 18

-Antidepressant
-PO/ up to 4 weeks
-Depression, insomnia

Question 19

Haloperidol (Haldol)

Answer 19

-Antipsychotic
-PO/ 2 hours
-IM/ 20-30 mins.
-schizophrenia, long-term psychosis

Question 20

Aripiprazole (Abilify)

Answer 20

-Antipsychotic
-PO/ 1-3 weeks
-Schizophrenia, bipolar disorder

Question 21

Clozapine (Clozaril)

Answer 21

-Antipsychotic
-PO/ 1-6 hours
-Schizophrenia, recurrent suicidal behavior in pts with psychotic disorders

Question 22

Risperidone (Risperdal)

Answer 22

-Antipsychotic
-PO/ 1-2 weeks
-IM/ 3 weeks
-Schizophrenia, mania, irritability associated with autism

Question 23

Anxiolytic drugs adverse reactions:

Answer 23

-Decreased CNS activity
-Sedation, drowsiness
-Hypotension
-Loss of coordination
-Dizziness
-Headaches
-Nausea, vomiting, dry mouth
-Constipation

Question 24

Tricyclic Antidepressant (TCA) adverse effects:

Answer 24

-Drowsiness
-Impotence
-GI upset
-Dry mouth, blurred vision
-Urinary retention
-Dysrhythmias
-Orthostatic hypotension

(older patients: dizziness, postural hypotension, constipation, edema, muscle tremors)

Question 25

Monoamine Oxidase Inhibitors (MAOIs) adverse effects:

Answer 25

-Dizziness -Dyskinesias -Nausea Syncope -Hypotension -Hypertensive crisis when taken with tyramine

Question 26

SSRI adverse effects:

Answer 26

-Anxiety -Dizziness -Drowsiness -Headache -Mild GI disturbance -Sexual dysfunction -Asthenia -Tremor

Question 27

SNRI adverse effects:

Answer 27

-Dizziness -Drowsiness -Headache -GI upset -Anorexia -Hepatotoxicity

Question 28

Misc. Antidepressant adverse effects:

Answer 28

-Dizziness -Headache -Sedation -Nausea -Blurred vision -Tachycardia

Question 29

Antipsychotic drug adverse effects:

Answer 29

-Weight gain -Tardive dyskinesia -Headache -Dry mouth -Tachycardia -Drowsiness