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39 Cards in this Set
- Front
- Back
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Most lipid soluble benzo
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Diazepam (Vailium)
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The active metabolite of Diazepam is
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Oxazepam (Serax)
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Class side effects of benzos
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Irritability
hostility vivid bad dreams Rash sexual function impairment |
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Indication of Chlordiazepoxide (Also give brand name)
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Brand name - Librium
Used for alcohol withdrawal and anxiety |
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Tranxene
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Clorazepate Dispotassium
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Halezepam
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Paxipam
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Lorazepam
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Ativan
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What is the antidote for benzo overdose?
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Flumazenil (Romazicon)
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Alprazolam
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Xanax
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Prezepam
(What is special about this drug) |
Centrax
It's a prodrug |
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Clonazepam
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Klonopin
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Which 2 benzos have the longest half-life? (Up to 100 hours)?
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Flurazepam (Dalmane)
Tranxene (Chloraxepate) |
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What are 4 nonbenzos that are also used for anxiety?
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Propanolol
Buspirone Antihistamines Antidepressants |
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Hydroxyzine
(Give indication and brand name) |
Atarax, Vistaril
An Antihistamine that is used for anxiety |
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Buspirone as a medication lacks what?
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It lacks anticonvulsant, muscle relaxant, and hypnotic effects
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When should you start Lithium if being treated for Bipolar psychosis?
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You should treat it in the manic phase
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What other medication besides Lithium is approved for the treatment of bipolar disorder?
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Valproic Acid
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What are some things to be cautious of when administering Lithium
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Lithium has similar properties of potassium. Be cautious when using with diuretics.
Increase your salt intake (alters salt metabolism) Thyroid activity should be monitored while on Lithium |
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What are some other foods that have tyramine in them?
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Chianti wine
chocolate aged cheese soy sauce raisins chicken livers |
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What are 2 MAOIs that are not used as antidepressants? What are they used for?
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Paragyline (Eutonyl) - An Antihypertensive
Furazolidone (Furoxone) - An Antibiotic |
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Name 3 MAOIs (Brand and Generic)
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Tranycyclopromie (Parnate)
Isocarboxazid (Marplan) Phenelzine (Nardil) |
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What are contraindications of TCAs in general?
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Pregnancy
CHF cardiovascular disease |
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Brand name and Indication of Imipramine
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Tofranil
Used for depression and for enuresis in children |
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What are the TCA tertiary amines?
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imipramine (Tofranil)
Amitriptyline (Elavil) Clomipramine (Anafranil) Doxepin (Sinequan) |
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What are the TCA secondary amines?
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Nortriptyline (Aventyl)
Desipramine (Norpramin) Amoxapine (Asendin) Protriptyline (Vivactil) |
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Indication for Clomipramine?
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OCD
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Which TCA has a mixed antianxiety and antidepressant effect?
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Doxepin (Sinequan)
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Which TCA has the strongest anticholinergic effect?
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Amitriptyline (Elavil)
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1. The metabolite of Imipramine is ____
2. The metabolite of Amitriptyline is ____ |
1. Desipramine (Norpramin)
2. Nortriptyline (Aventyl) |
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Why is Vivactil more appropriate to use for withdrawn patients?
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Because it has no sedative or tranquilizing properties
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What are the 2 tetracyclic antidepressants?
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Mirtazipine (Remeron)
Maprotiline (Ludiomil) |
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Which SSRI has the shortest half-life?
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Fluvoxamine (Luvox)
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Why are SSRIs used for Bulimia and not Anorexia?
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Because patients that are Anorexic have very low levels of Serotonin and therefore SSRIs can't re-uptake it until they gain weight and increase their levels.
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Which SSRI is the most activating?
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Fluoxetine (Prozac)
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Which is the most selective SSRI?
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Citalopram (Celexa)
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Side effects of Trazodone?
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Priapism
Drowsiness dizziness |
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Indications for Citalopram?
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Diabetic neuropathy
Post stroke crying Alcohol abuse |
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Venlafaxine
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Effexor
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What major side effects are seen in Amoxapine? (Give brand name as well)
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Tardive dyskinesia
Neuroleptic Malignant Syndrome |
