Treatment in psychiatry Flashcards

(39 cards)

1
Q

SSRI S/E

A
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2
Q

Serotonin syndrome S/E

A
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3
Q

Antidepressant

9 classes

A
  1. Selective serotonin reuptake inhibitor (SSRI)
  2. Serotonin noradrenergic reuptake inhibitor (SNRI), eg. venlafaxine, desvenlafaxine, duloxetine
  3. Noradrenaline and dopamine reuptake inhibitor (NDRI), eg. bupropion
  4. Selective noradrenergic reuptake inhibitor (NRI), eg. reboxetine
  5. Serotonin antagonist and reuptake inhibitor (SARI), eg. trazodone
  6. Noradrenaline antagonist and selective serotonergic antidepressant (NaSSA), eg. mirtazapine
  7. Melatonin receptor agonist, eg. Agomelatine
  8. Tricyclic antidepressants (TCAs) eg. amitriptylline, clomipramine
  9. Monoamine oxidase inhibitor (MAOI), eg. Moclobemide
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4
Q

Antipsychotics
Dopamine pathways

A
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5
Q

Dopaminergic side effects

A
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6
Q

EPSE types

A
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7
Q

Acute dystonia EPSE

Features
Treatment

A
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8
Q

Parkinsonism EPSE

Treatment

A
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9
Q

Akathisia EPSE

Feature
Treatment

A
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10
Q

Tardive dyskinesia

Feature
Treatment

A
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11
Q

Neuroleptic malignant syndrome

Features
Treatment

A
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12
Q

Non-dopaminergic side effects anti-psychotics

A
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13
Q

Mood stabilizer

Types

A
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14
Q

Lithium

Pre-treatment preparation
Monitoring timing
On treatment monitoring
Discontinuation method

A
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15
Q

Lithium C/I

A

DDI- Diuretics- NSAID- CCB- ACEi

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16
Q

Lithium S/E

17
Q

Lithium toxicity
Level
Management

18
Q

BZD types

19
Q

BZD side effects

20
Q

BZD

Tolerance and withdrawal and toxicity management

21
Q

Pregabalin

S/E

22
Q

Z drug
MoA

S/E

A

MOA
- Binds selective to BZ1 subtype GABA-receptors
- Facilitate GABA-mediated chloride influx and neuronal inhibition
- Antagonised by Flumazenil (competitive antagonist of binding site)

Special SE:
- Zolpidem: Sleepwalking
- Zopiclone: Methaemoglobinaemia

23
Q

Buspirone

MoA
ADR
DDI

24
Q

MAOI

MoA
ADR
Caution with which food and drugs

25
TCA MoA ADR
Tricyclic/ Tetracyclic Antidepressants (TCA) Psychiatry e.g. Amitriptyline, Clomipramine, Imipramine, Nortriptyline, Prothiaden
26
SSRI Types Which has least DDI
27
SSRI ADR DDI
28
NRI/ NDRI/ SNRI/ SARI examples
29
NASA example
30
MRA example Special SE
31
SSRI Specific receptor types SE
32
Specific ADR of TCA, SARI, NASA, SNRI, MRA
33
Valproate MoA ADR DDI
34
Lamotrigine Use ADR DDI
35
Carbamazepine ADR
36
Mood stabilisers in pregnancy
37
Compare FGA and SGA
38
Antipsychotic Specific receptors and SE
39
EPSE Types Mx