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52 Cards in this Set
- Front
- Back
these are the typical antipsychotics
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haloperidol, thioridazine, fluphenazine, chlorpromazine
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these drugs block D2 receptors
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typical antispychotics
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these are the low potency neuroelptics and therefore have non-neurologic side effects
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thioridazine, chlorpromazine
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these are the high potency neuroleptics and have neurologic sides effects
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haloperidol, trifluoperazine
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neuroleptics are used to treat these conditions
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schizophrenia, psychosis, acute mania, Tourrette's
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these are the side effets of neuroleptics
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EPS side effects, endocrine side effects (hyperprolactinemia); side effects arise from blocking muscarinic (constipation), alpha adrenergic (hypotension) and histamine (sedation) receptors as well
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these are the EPS side effects
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4 h: acute dystonia, 4d: akinesia, 4 wk: akathisia, 4 mo: tardive dyskinesia
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akathisia
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restlessness
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akinesia
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parkinsonian sx
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tardive dyskinesia
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sterotypic oral-facial movements due to DA receptor sensitization, seen in long-term antipsychotic use
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these are the atypical antipsychotics
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clozapine, olanzapine, risperidone, quetapine, aripiprazole, ziprasidone (it is not aTYPICAL for an OLd CLOset to RISPER)
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these drugs block 5HT2 and DA receptors
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atypical antipsychotics
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this drug is used for schizophrenia, OCD, anxiety disorder, depression, mania and Tourette's
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olanzapine
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this drug may cause agranulocytosis
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clozapine (atypical antipsychotic)
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these are the side effects of lithium
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tremor, polyuria, hypothryoidism, teratogenesis (LMNOP: Lithium, Movement, Nephrogenic diabetes insipidis, hypOthyroidism, Pregnancy problems)
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uses of lithium
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mood stabilizer in BPAD, blocks manic attacks
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this drug stimulates 5HT1A receptors
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buspirone
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buspirone is this type of drug
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anxiolytic
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buspirone is used to treat this disorder
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GAD
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this anxiolytic is advantageous bc it does not cause sedation or addiction, and does not interact w EtOH
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buspirone
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these are the SSRI's
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fluoxetine, sertraline, paroxetine, citalopram
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these are the two main disorders that SSRI's are used to treat
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depression, OCD
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these are the side effects of SSRI's
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fewer than TCA's, includes GI upset, sex dysfunction (anorgasmia)
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these two classes of anti-depressants should not be combined bc of risk of serotonin syndrome
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SSRI's and MAOI's
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serotonin syndrome
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hyperthermia, muscle rigidity, CV collapse
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TCA's are used to treat these disorders
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MDD, bedwetting (imipramine), OCD (clomipramine, but SSRI's are better for OCD)
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these are the side effects of TCA's
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sedation, alpha blocking effects (hypotension), atropine-like side effects (tach, urinary retention)
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these TCA's have more anticholinergic side effects than others
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tertiary TCA's, amitriptyline
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this TCA is the least sedating of TCA's
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desipramine
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TCA overdose results in…
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Tri-C's: convulsions, coma, cardiotoxicity (arrhtyhmia); resp depression, hyperpyrexia; confusion and hallucinations in the elderly (use nortriptyline)
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this TCA has less anticholinergic side effects
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nortriptyline
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these are the non-SSRI, non-TCA, non-MAOI antidepressants
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bupropion, venlafaxine, mirtazapine, maprotiline, trazodone ("you need BUtane in your VEINs to MURder for a MAP of alcaTRAZ")
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this antidepressant is used in smoking cessation
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bupropion
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these are the toxicities of buproprion
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stimulant effects (tach, insomnia), HA, sz in bulimic pts
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this antidepressant is notable bc it does not cause sexual side effects
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bupropion
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these drugs are used to treat atypical depression
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MAOI's
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this SNRI is used to treat GAD as well as depression, and may be useful for analgesia as well
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venlafaxine
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these are the toxicities of venlafaxine
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stimulant effects (tach, insomnia, incr BP), sedation, nausea, constipation
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this antidepressant is an alpha-2-adrenergic antagonist (increasing NE and 5HT release), and a potent 5HT2 and 5HT3 receptor antagonist
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mirtazapine
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this antidepressant is a non-TCA that blocks NE reuptake
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maprotiline
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mechanism of TCA's
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block NE and 5HT reuptake
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most of the side effects of TCA's probably are due to this action, and that is why SSRI's have less side effects
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blocking of NE reuptake
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these are the toxicities of maprotiline
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sedation, orthostatic hypotension
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trazodone works by this mechanism
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block 5HT reuptake
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this drug has as a toxic side effect priapism
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trazodone
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these are the MAOI's
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phenelzine, tranylcypromine
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this class of antidepressant is a also used to treat axiety and hypochondriasis
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MAOI's
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these are the toxicities of MAOI's
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hypertensive crisis with tyramine ingestion and beta agonists, and CNS stimulation
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these drugs are used to treat ADHD
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amphetamine, methylphenidate
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this drug increases NE release
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methylphenidate
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this drug is used to treat narcolepsy, obesity, and ADHD
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amphetamine
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mechanism of action of amphetamine
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releases stored catecholamines
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