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50 Cards in this Set

  • Front
  • Back
Agents used in Tourette's dx
Haloperidol or pimozide
Chelating agent used in Wilson's disease
Penicillamine
Antipsychotics
Extrapyramidal dysfunction is more common with these agents, which block this subtype of dopamine receptor
Older antipsychotic agents, D2 receptors
MOA of neuroleptics
Dopamine blockade
Side effects occuring in antipsychotics that block dopamine (7)
Hyperprolactinemia, amenorrhea, galactorrhea,
confusion, mood changes,
decreased sexual interest, and weight gain
Antipsychotics that reduce positive symptoms only
Older antipsychotics
Newer atypical antipsychotics that also improve some of the negative symptoms and help acute agitation
Olanzapine, aripiprazole, and sertindole

Ol Ari is sertinly negative
Antipsychotic used in the treatment of psychiatric symptoms in patients with dementia
Risperidone
Atypical antipsychotic causing high prolactin levels
Risperidone
Newer atypical antipsychotic used for bipolar disorder, known to cause weight gain, and adversely affect diabetes
Olanzapine
Antipsychotic agent more frequently associated with extrapyramidal side effects that can be treated with benzodiazepine, diphenhydramine or muscarinic blocker
Haloperidol
Drug used in neuroleptic malignant syndrome
Dantrolene
Agents may exacerbate tardive dyskinesias (may be irreversible and there is no treatment)
Muscarinic blockers
Antipsychotic having the strongest autonomic effects
Thioridazine
Antipsychotic having the weakest autonomic effects
Haloperidol
Only phenothiazine not exerting antiemetic effects, can cause visual impairment due to retinal deposits, and high doses have been associated with ventricular arrhythmias
Thioridazine
Agent having no effect on D2 receptors, blocks D4, reserved for resistant schizophrenia, and can cause fatal agranulocytosis
Clozapine
Anti-psychotic not shown to cause tardive dyskinesia
Clozapine
Anti-psychotics available in depot preparation
Fluphenazine and haloperidol
Antipsychotics with reduced seizure threshold
Low-potency typical antipsychotics and clozapine
Antipsychotics that cause orthostatic hypotension and QT prolongation
Low potency APs and risperidone
Antipsychotic with Increased risk of developing cataracts
Quetiapine

Qatar-acts
Lithium
Major route of elimination for Lithium
Kidneys
Patients being treated with lithium, who are dehydrated, or taking diuretics concurrently, could develop
Lithium toxicity
Drug increases the renal clearance hence decreases levels of lithium
Theophylline
Lithium is associated with this congenital defect
and is contraindicated in
Cardiac anomalies and is contraindicated in pregnancy or lactation
DOC for bipolar affective disorder
Lithium
Concern using lithium
Low therapeutic index
SE of lithium (6)
Tremor, sedation, ataxia, aphasia, thyroid enlargement, and reversible diabetes insipidus
Antidepressants
Example of three antidepressants that are indicated for obsessive compulsive disorder
Clomipramine, fluoxetine and fluvoxamine
Neurotransmitters affected by the action of antidepressants
Norepinephrine and serotonin
Usual time needed for full effect of antidepressant therapy
2 to 3 weeks
Population group especially sensitive to side effects of antidepressants
Elderly patients
All antidepressants have roughly the same efficacy in treating depression, agents are chosen based on these criterion
Side-effect profile and prior pt response
Well-tolerated and are first-line antidepressants (3)
SSRI's, bupropion, and venlafaxine
Monoamine oxidase inhibitors (MAOI)
Most useful in patients with significant anxiety, phobic features, hypochondriasis, and resistant depression
Monamine oxidase inhibitors
Condition will result from in combination of MAOI with tyramine containing foods (ex. wine, cheese, and pickled meats)
Hypertensive crisis
MAOI should not be administered with SSRI's or potent TCA's due to development of this condition
Serotonin syndrome
Tricyclic antidepressants (TCA)
Sedation is a common side effect of these drugs, they lower seizure threshold, uses include BAD, acute panic attacks, phobias, enuresis, and chronic pain and their overdose can be deadly
Tricyclic antidepressants (TCA)
Three C's associated with TCA toxicity
Coma, Convulsions, Cardiac problems (arrhythmias and wide QRS)
Agents having higher sedation and antimuscarinic effects than other TCA's
Tertiary amines
TCA used in chronic pain, a hypnotic, and has marked antimuscarinic effects
Amitriptyline
TCA used in chronic pain, enuresis, and ADD
Imipramine
TCA with greatest sedation of this group, and marked antimuscarinic effects, used for sleep
Doxepin