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50 Cards in this Set
- Front
- Back
TCA used in obsessive compulsive disorder (OCD), most significant of TCA's for risk of seizure, weight gain, and neuropsychiatric signs and symptoms
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Clomipramine
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Secondary amines that have less sedation and more excitation effect
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Nortriptyline, Desipramine
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Side effects seen with tricyclic antidepressants (4)
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Muscarinic blockade (dry mouth, constipation);
weak alpha-1 block (orthostatic hypotension); weak histamine block (sedation) |
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Heterocyclics
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Antidepressant associated with neuroleptic malignant syndrome
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Amoxapine
A malignant antidepressant, a Mox on both your houses |
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Antidepressant associated with seizures and cardiotoxicity
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Maprotiline
seizing all over the map |
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Antidepressant having stimulant effects similar to SSRI's and can increase blood pressure
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Venlafaxine
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Antidepressant inhibiting norepinephrine, serotonin, and dopamine reuptake
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Venlafaxine
ven diagram - gets all three |
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Antidepressant also used for sleep that causes priapism
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trazodone
trazoBONE |
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Antidepressant which is inhibitor of CYP450 enzymes and may be associated with hepatic failure
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Nefazodone
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Heterocyclic antidepressants least likely to affect sexual performance, used for management of nicotine withdrawal, SE's include dizziness, dry mouth, aggravation of psychosis, and seizures
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Bupropion
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Antidepressant with MOA as alpha 2 antagonist, has effects on both 5-HT and NE, blocks histamine receptors, and is sedating
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Mirtazapine
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SE of mirtazapine
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Liver toxicity, increased serum cholesterol
Taz got a Fatty Liver |
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Selective serotonin reuptake inhibitors (SSRI)
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Except for these agents all SSRI have significant inhibition of CytP450 enzymes
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Citalopram and its metabolite escitalopram
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Side effects frequently seen with SSRIs
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CNS stimulation; GI upset
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Antidepressants with no effect on BP, no sedation
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SSRIs
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SSRI with long T1/2 and can be administered once weekly for maintenance, not acute tx
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Fluoxetine
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SSRI indicated for premenstrual dysphoric disorder
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Fluoxetine (Sarafem)
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Some of SSRIs' therapeutic effects beside depression (5)
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Panic attacks, social phobias, bulimia nervosa, and PMDD (premenstrual dysphoric disorder), OCD
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SSRI less likely to cause a withdrawal syndrome
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Fluoxetine
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Opioid Analgesics & Antagonists
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Inhibit synaptic activity of primary afferents and spinal cord pain transmission neurons
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Ascending pathways
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Activation of these receptors close Ca2+ ion channels to inhibit neurotransmitter release
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Presynaptic mu, delta, and kappa receptors
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Activation of these receptors open K+ ion channels to cause membrane hyperpolarization
(Targeted by opioids) |
Postsynaptic Mu receptors
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Tolerance to all effects of opioid agonists can develop except (2)
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Miosis and constipation
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All opioids except this agent (which has a muscarinic blocking action) cause pupillary constriction
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Meperidine
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SE of these drugs include dependence, withdrawal syndrome, sedation, euphoria, respiratory depression nausea and vomiting, constipation, biliary spasm, increased ureteral and bladder tone, and reduction in uterine tone
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Opioid Analgesics
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Strong opioid agonists
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Morphine, methadone, meperidine, and fentanyl
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Opioids used in anesthesia
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Morphine and fentanyl
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Opioid used in the management of withdrawal states
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Methadone
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Opioid available trans-dermally
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Fentanyl
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Opioid that can be given PO, by epidural, and IV, which helps to relieve the dyspnea of pulmonary edema
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Morphine
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Use of this opioid with MAOI can lead to hyperpyrexic coma, and with SSRI's can lead to serotonin syndrome
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meperidine (Demerol)
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Moderate opioid agonists
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Codeine, hydrocodone, and oxycodone
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Weak opioid agonist, poor analgesic, its overdose can cause severe toxicity including respiratory depression, circulatory collapse, pulmonary edema, and seizures
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Propoxyphene
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Partial agonist or mixed antagonists
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Partial opioid agonist, considered a strong analgesic, has a long duration of action and is resistant to naloxone reversal
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Buprenorphine
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Opioid antagonist that is given IV and had short DOA
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Naloxone
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Opioid antagonist that is given orally in alcohol dependency programs
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Naltrexone
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These opioid agents are used as antitussive
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Dextromethorphan, Codeine
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These agents are used as antidiarrheal
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Diphenoxylate, Loperamide
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Drugs of Abuse
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Abused Inhalant anesthetics (3)
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NO, chloroform, and diethyl ether
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Abused drugs: Toxic to the liver, kidney, lungs, bone marrow, peripheral nerves, and cause brain damage in animals, sudden death has occurred following inhalation (2)
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Fluorocarbons and Industrial solvents
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Abuse of theses cause dizziness, tachycardia, hypotension, and flushing
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Organic nitrites
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Causes acne, premature closure of epiphyses, masculinization in females, hepatic dysfunction, MI, and increases in libido and aggression
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Steroids
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Readily detected markers that may assist in diagnosis of the cause of a drug overdose include (7)
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Changes in heart rate, blood pressure, respiration, body temperature, sweating, bowel signs, and pupillary responses
Vitals(4) + pupils, sweating and bowels |
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Opioid Analgesics
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Opioids most commonly abused by health care professionals (5)
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Heroin, morphine, oxycodone, meperidine and fentanyl
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