Special Populations Flashcards Preview

Psychopharmacology > Special Populations > Flashcards

Flashcards in Special Populations Deck (11)
Loading flashcards...
1
Q

What are the risks to the mental health of the mother either during pregnancy or postpartum?

A

depression, mania, or psychosis

2
Q

T or F: The benefits usually outweigh the risks of treating the pregnant/nursing mother with meds

A

T, especially if severe sxs or postpartum

3
Q

When is the mother at the highest risk of developing postpartum depression?

A

4-6 weeks postpartum

4
Q

What is a major factor influencing postpartum depression?

A

Sleep deprivation

5
Q

What is the recommended treatment for MDD during pregnancy?

A

Psychotherapy without meds, especially during the 1st trimester, and 1-2 months before delivery

6
Q

What are the risks of using AD’s in 1st trimester?

A

Cardiac malformations,especially with paroxetine (Paxil)

7
Q

What are the risks of using AD’s anytime during pregnancy?

A
  • Prematurity, low birth weight
  • Long-termn neurodevelopmental abnormalities
  • Increased risk of maternal suicide in mother up to age 25
8
Q

What are the risks of using AD in the 3rd trimester?

A
  • Neonatal withdrawal syndrome
  • Newborn persistent pulmonary hypertension from SSRI’s
  • BREAST FEEDING IS NOT RECOMMENDED
9
Q

What are the risks of NOT treating MDD or continuing an AD in pregnancy?

A
  • Relapse or recurrence of MDD
  • Suicide, substance use
  • Poor prenatal care
  • Lack of bonding or care of infant
  • Harm to infant
  • Low birth weight, developmental delay
  • Stress to mother and baby
10
Q

What meds are used for bipolar or psychosis during pregnancy?

A

Atypical antipsychotics are safer than lithium or anticonvulsants, but caution must be used

11
Q

What must you watch for if pregnant mother is using atypical antipsychotics during pregnancy/breastfeeding?

A

Infant withdrawal syndrome