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61 Cards in this Set
- Front
- Back
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Antianxiety Meds are used for?
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anxiety and sleep dx
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Are antianxiety meds long/ short term use?
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Use short term to avoid dependence or w/d sympt
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2 Categories of Antianxiety Meds?
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Benzodiazepines
Nonbenzodiazepines |
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Benzodiazepines & Nonbenzodiazepines are used for
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ETOH w/d
Anxiety Seizure Panic attacks isomnia and other mental health prob |
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Ex of Benzodiazepines
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-zepam
Alprazolam (Xanax) Chlordiazepoxide (Librium) Clonazepam (Klonopin) Diazepam (Valium) Lorazepam (Ativan) Midazolam (Versed) Temazepam (Restoril) |
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Ex of nonbenzodiazepines
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Buspirone (Buspar)
Zolpidem (Ambien) |
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Benzodiazepine antagonist
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Flumazenil (Romazicon)
doesn't block adrnergic or cholinergic receptors, so it can reverse sedative effects of BZs, but may not reverse BZ resp derpession Works w/i 30-60 sec |
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SE of Benzodiazepines & Nonbenzodiazepines?
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drowsiness
confusion orthostatic hypotension can cause resp depression |
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Categories of Antipsychotics?
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Typical and atypical
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Antipsychotics are used to tx?
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Schizophrenia
Psychosis Manic phase of disorders |
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Atypical antipsychotics tx? and has less SE such as ?
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1 neg sympt of schiz and psychosis
2 It has less SE such as sedation, wt gain with minimal anticholinergic SE |
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Anticholinergic Effects
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dry mouth
blurred vision urinary retention photophobia constipation tachycardia |
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Akathisia
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An uncontrollable need to move
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NMS
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Neuroleptic malignant syndrome is characterized by catatonia, rigidity, stupor unstable BP, hyperthermia, profuse sweating, dyspnea in incontinence
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How is NMS treated?
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Bromocriptine (Parlodel) and
Dantrolene (Dantrium) |
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Parlodel
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(Parlodel, Cycloset), an ergoline derivative, is a dopamine agonist that is used in the treatment of pituitary tumors, Parkinson's disease (PD), hyperprolactinaemia, neuroleptic malignant syndrome, and type 2 diabetes.
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Suffix for atypical antipsychotics
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pine
done |
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Suffix for typical antipsychotics
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zine
thene |
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Clozaril Clozapine
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one of the first atypical antipsychotics
Monitor WBC wekly (agranulocytosis) anticholinergic effects akathisia parkinsonism ESPE |
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Atypical antipsychotics tx? and has less SE such as ?
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1 neg sympt of schiz and psychosis
2 It has less SE such as sedation, wt gain with minimal anticholinergic SE |
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Anticholinergic Effects
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dry mouth
blurred vision urinary retention photophobia constipation tachycardia |
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Akathisia
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An uncontrollable need to move
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NMS
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Neuroleptic malignant syndrome is characterized by catatonia, rigidity, stupor unstable BP, hyperthermia, profuse sweating, dyspnea in incontinence
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How is NMS treated?
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Bromocriptine (Parlodel) and
Dantrolene (Dantrium) |
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Parlodel
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(Parlodel, Cycloset), an ergoline derivative, is a dopamine agonist that is used in the treatment of pituitary tumors, Parkinson's disease (PD), hyperprolactinaemia, neuroleptic malignant syndrome, and type 2 diabetes.
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Suffix for atypical antipsychotics
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pine
done |
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Suffix for typical antipsychotics
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zine
thene |
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Clozaril Clozapine
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one of the first atypical antipsychotics
Monitor WBC wekly (agranulocytosis) anticholinergic effects akathisia parkinsonism ESPE |
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Drugs used to tx espe?
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Benztropine (Cogentin)
Trihexyphenidyl (Artane) Diphenhydramine (Benadryl) Amantadine (Symmetrel) dopamine agonist |
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NMS possible with which meds?
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Risperdal, zyprexaPhenothiazines
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4 Categories of antidepressants
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1 Tricyclics
2 MAOI 3 SSRI 4 Nontricyclics |
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Mood Stabilizers
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Antimania
Can take antipsychotic until mood stabilizer reaches therapeutic levels |
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SSRIs?
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Selective Serotonin Reuptake Inhibitors tx for Depression, OCD
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Examples of SSRIs?
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Prozac Paxil Zoloft Luvox Celexa Lexapro
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Prozac
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Fluoxetine SSRI bulimia nervosa, Depression, OCD
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Paxil
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Paroxetine SSRI panic dx, Compulsive dx, Depression
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Zoloft
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Sertraline SSRI panic dx, Depression, OCD
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Luvox
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Fluvoxamine SSRI OCD
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Celexa
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Citalopram
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Lexapro
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Escitalopram SSRI Depression
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SNRIs?
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Selective Norepinephrine Reuptake Inhibitors
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SNRIs?
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Serzone Effexor Cymbalta is also used to treat a chronic pain disorder called fibromyalgia, treat pain caused by nerve damage in people with diabetes (diabetic neuropathy) and to treat chronic musculoskeletal pain, including discomfort from osteoarthritis and chronic lower back pain.
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Serzone
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Nefazodone SNRI Its sale was discontinued in 2003 in some countries due to the rare incidence of hepatotoxicity (liver damage), which could lead to the need for a liver transplant, or even death
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Effexor
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Venlafaxine SNRI used to treat major depressive disorder, anxiety, and panic disorder.
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Cymbalta
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Duloxetine selective serotonin and norepinephrine reuptake inhibitors (SSNRIs) depression and generalized anxiety disorder
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(MAOIs)
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Monoamine oxidase inhibitors Parnate Nardil
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Parnate
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Tranylcypromine, MAOI is used to treat depression in people who have not been helped by other medications. inhibitors (MAOIs).
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Nardil
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Phenelzine (MAOIs), a non-selective and irreversible monoamine oxidase inhibitor (MAOI) of the hydrazine class which is used as an antidepressant and anxiolytic
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Atypical Antidepressants?
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Wellbutrin Remeron
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Wellbutrin
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Atypical Antidepressant treat major depressive disorder and seasonal affective disorder. At least one brand of bupropion (Zyban) is used to help people stop smoking by reducing cravings and other withdrawal effects.
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Remeron
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Atypical Antidepressant Mirtazapine is used to treat depression. Mirtazapine is in a class of medications called antidepressants.
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Tricyclic antidepressants?
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amitryptyline
nortriptyline imipramine |
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Sedatives/Hypnotics
Most commonly used? |
Ambien
Sonata trazodone |
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Benzodiazepines
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Benzodiazepines
Restoril Prosom Halcion Dalmane |
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Mood Stabilizers
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Mood Stabilizers
lithium carbonate(Lithobid) Tegretol Topamax Neurontin Depakote Trileptal Lamactil Gabatril |
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Minor Tranquilizers (Anxiolytics)
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Minor Tranquilizers (Anxiolytics)
Benzodiazepines Ativan Librium Valium Klonopin Serax Tranxene Xanax |
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Major Tranquilizers
(Antipsychotics) |
Major Tranquilizers
(Antipsychotics) Typical Agents Haldol Thorazine Stelazine Mellaril Prolixin Moban Trilafon Navane Serentil Atypical Agents clozapine (Clozaril) Zyprexa Geodon Seroquel Risperdal Abilify 3 |
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Attention Deficit
Psychostimulants |
Attention Deficit
Stimulants Ritalin Concerta Adderall |
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Straterra
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Non-stimulants
Atomoxetine is used as part of a total treatment program to increase the ability to pay attention and decrease impulsiveness and hyperactivity in children and adults with ADHD. Atomoxetine is in a class of medications called selective norepinephrine reuptake inhibitors. |
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What should be avoided with MAOI?
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Dietary tyramine and indirect acting sympathomimetics should be avoided (HTN crisis)
Meperidine (hyperthermia) SSRI (can cause Serotonin syndrome) |
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Serotonin Syndrome?
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Agitation
Sweating Confusion Fever Hyperreflexia Tachycardia Hypotension Muscle Rigidity Ataxia |
