Tx for Pych Conditions and Drug intox/withdrawals

Question 1

ADHD

Answer 1

Methylphenidate (stimulants)

Question 2

Alcohol withdrawal/Delirium Tremens

Answer 2

Chlordizepoxide, Lorazepam, Diazepam (Long-acting Benzodiazepines)

Question 3

Bipolar

Answer 3

Lithium, Valproic acid, carbamazepine, atypical antipsychotics

Question 4

Bulimia

Answer 4

SSRIs

Question 5

Depression

Answer 5

SSRIs

Question 6

Generalized Anxiety Disorder

Answer 6

SSRIs, SNRIs, Buspirone (does not cause sedation, addiction, or tolerance)

Question 7

OCD

Answer 7

SSRIs, Clomipramine (TCA)

Question 8

Panic disorder

Answer 8

SSRIs, Venlafaxine (SNRI), Benzodiazepines

Question 9

PTSD

Answer 9

SSRIs, Venlafaxine

Question 10

Schizophrenia

Answer 10

Atypical antipsychotics

Question 11

Social phobias

Answer 11

SSRIs, Beta-blockers

Question 12

Tourette syndrome

Answer 12

Fluphenazine, Pimozide (Antipsychotics), Tetrabenazine, Clonidine

Question 13

Peripheral Neuropathy

Answer 13

TCA

Question 14

Chronic Pain

Answer 14

TCA

Question 15

Migraine Prophylaxis

Answer 15

TCA

Question 16

Major Depression

Answer 16

TCA

Question 17

Atypical Depression

Answer 17

MAOI

Question 18

Smoking cessation

Answer 18

Bupropion

Question 19

Insomnia

Answer 19

Trazodone

Question 20

Heroin (opioid) addiction

Answer 20

1. Methadone: long-acting opiate for heroin detox or long-term maintenance
2. Naloxone + Buprenorphine = Suboxone: partial agonist, long acting w/ fewer withdrawal sx than methadone; Naloxone is not active orally so withdrawal sx occur only if injected
3. Naltrexone: long-acting opioid antagonist for relapse prevention

Question 21

Alcoholism

Answer 21

1. Disulfiram (to condition pt to abstain from alcohol abuse)
2. Naltrexone
3. AA (supportive care)

Question 22

Benzodiazepine intoxication

Answer 22

Flumazenil

Question 23

Cocaine intoxication

Answer 23

Benzodiazepines

Question 24

Nicotine withdrawal

Answer 24

nicotine patch, gum, lozenge

Bupropion/Varenicline/Bromocriptine