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44 Cards in this Set
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SSRI side effects
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early: GI upset, headache
later: sexual dysfunction ** used as TX for premature ejaculation |
takes 6-8 weeks to get full effect
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Generic Prozac
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Fluoxetine
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Generic Zoloft
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Sertraline
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Serotonin Syndrome
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Cognitive: mental confusion, hallucination, agitation, headache
Autonomic: sweating, shivering, hypertension, hyperthermia, tachycardia Somatic: myoclunus (muscle twicthing), hyper-reflexia, tremor |
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Extra-pyramidal symptoms
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Akinesia: inability to initiate movement
Akathesia: inability to remain still tardive dyskinesia: cant NOT move. rapid, involuntary facial movements. |
d/t dopamine-antagonist Anti-psychotics
TX: anti-cholinergics |
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side effect of Thiordazine anti-psychotic
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Retinopathy
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Side effect of Trazodone
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Priapism
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side effects of Tricyclic antidepressants
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Anticholinergic: dry mouth, constipation, urinary retention, blurry vision
Orthostatic hypotension d/t alpha-adrenergic blockade Cardiac: prolonged QT - dysrhythmias |
Amitriptyline (use for fibromyalgia)
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Name MAOIs
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Phenelzine
Tranylcypromine Selegiline (newest) |
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MAOI side effects
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Hypertensive crisis
Dont mix with cheese, fermeted foods/wine, and liver |
I ate his liver with some fava beans and a nice Chianti.
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Side effects of Bupropion, used for smoking cessation
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GI: nausea, anorexia
Risk of seizures at high doses |
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Lithium side effects
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Nausea
Tremor: Propanolol Hypothyroid: TFTs every 6-12 months Renal function tests: cleared through kidneys: yearly Cardiac dysrhythmias Diabetes insipidus: thirst, urination, weight gain |
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TX for bipolar disoder
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Mood stabilizers
Lithium Valproate |
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TX for Lithium toxicity
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Severe: Dialysis
Compounded by sodium depletion: watch for diuretic use |
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TX for benzodiazepine OD
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Flumazenil
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Citalopram
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SSRI anti-depressant
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Benztropine
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Anti-cholinergic for extra-pyramidal signs of anti-psychotics
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Carbamazapine side effect
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Rash
Anti-convulsant and mood-stabilizer |
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Chlorpromazine
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Dopamine-receptor antagonist used to TX severe psychosis
Oldest typical anti-psychotic |
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Donepezil
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Cholinesterase inhibitors used to treat Alzheimers
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First-line TX for bipolar
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Lithium
Valproic acid |
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TX of avoidant personality disorder
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B-blocker for the symptoms, but no TX exists for the actual disorder
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TX for Tourette's?
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Haloperidol
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Diphenhydramine
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Anti-cholinergic for TX in anti-dopaminergic caused dystonias.
decline in dopamine offset by also reducing cholinergics. |
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Which anti-depressants cause orthostatic hypotension?
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MAOIs: Phenelzine, Tranylcypromine
TCAs |
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Which Psych drugs prolong QT interval?
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All tricyclics: Amitriptyline, Doxepin, Imipramine
1 atypical anti-psychotic: Ziprasidone |
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TX for Alzheimer's
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Acetylcholinesterase inhibitors
Donepezil Galantamine Rivastigmine Tacrine NMDA receptor antagnoist Memantine |
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TX for Hypertensive Crisis
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IV Labetalol
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Key abnormal lab value in Neuroleptic Malignant Syndrome
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Elevated CPK
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Muscle rigidity --> elevated CPK
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TX for Neuroleptic Malignant Syndrome
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Dantrolene (muscle relaxer)
Bromocriptine or Amantadine (dopamine agonists) |
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TX for OCD?
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SSRIs: Fluoxetine/Fluvoxamine
TCAs: Clomipramine |
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Lab monitoring for Lithium?
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6 months: TFTs because Lithium deceases Thyroid hormone
1 year: BUN/Cr |
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Which drug helps pts fall asleep?
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Rameleton
Mimics melatonin |
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TX for OCD?
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SSRIs: Fluoxetine/Fluvoxamine
TCAs: Clomipramine |
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Lab monitoring for Lithium?
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6 months: TFTs because Lithium deceases Thyroid hormone
1 year: BUN/Cr |
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Which drug helps pts fall asleep?
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Rameleton
Mimics melatonin |
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TX for dystonia - muscle contractions?
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Anti-cholinergics
Benztropine/Diphenhydramine |
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Which drugs associated with glucose abnormalities?
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Clozapine
Olanzapine "COG" |
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Which barbituate given prior to ECT?
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Methohexital
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TX for panic disorder
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SSRI
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TX for specifiic phobia
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Exposure/flooding therapy
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TX for PTSD
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Clonidine
Beta-blockers |
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TX for social phobia?
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CBT
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TX for Delirium
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Quetiapine
Haloperidol |
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