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26 Cards in this Set
- Front
- Back
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Anti-psychotics
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Treat psychosis
- hearing voices, having delusions, seeing things - 2 Classes: Typical & Atypical (new) - Tx schizo, mania/depression w/ psychotic features |
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Typical Antipsychotics (Old)
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- Chlorpromazine
- Thioridazine - Perphenazine - Thiothixene - Flupenazine (Prolixin - Injection) - Haloperidol (Haldol - Injection) |
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Anti-psychotics - Action
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- Reduces dopamine by blocking receptors
- Blocs at post-synaptic cleft - "Musical Chairs" - Dopamine vs Antipsychotic to occupy receptors |
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Side Effets of Typical Anti-psychotics
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- Drowsiness
- Orthostatic hypotension - Weight gain - Photosensitivity - Parkinsonism - shuffled gait, pill rolling tremors - Dystonias - cog wheeling (feel tick when move its) - Akathisias - feel like crawling out of skin/move constantly - Neuroleptic malignant syndrome - Tardive dyskinesia - like chewing gum, stick out tongue - Anticholinergic symptoms - dry mouth blurred vision |
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Atypical Anti-psychotics (New)
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- Clozapine, Olanzapine, Risperidone, Aripiprazole**
- Quetiapine, Paliperidone, Ziprasidone, Iloperidone - Asenapine ** Dissolves under tongue |
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Atypical Anti-psychotics available in long-acting injectable
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Risperidone (Risperdal)
Paliperidone (Invega) |
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Anti-psychotics MOA
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Typical - Block dopamine receptors
Atypical - Block dopamine & serotonin receptors |
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Anti-deressants Classes
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SSRI
TCA MAOI Atypical anti-depressants |
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SSRIs
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Celexa
Lexapro Prozac - 1st SSRI Luvox (used for OCD) Paxil Zoloft |
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SSRI Abrupt Discontinuation (FINISH)
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F - Flu like symptoms
I - Insomnia N - Nausea I - Imbalance S - Sensory Disturbances H - Hyper-arousal |
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TCAs
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Elavil
Anafrani Norpramin Sinequan Tofrani Pamelor Vivactil Trimipramine |
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MAOIs
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Irreversible - Marplan, Nardil, Parnate
Reversible - Aurorix, Eldepryl (transdermal) |
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MAOIs (Avoid taking with)
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Stimulants
Decongestants Anesthetics Saint John's Wort |
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SNRI
Serotonin-Norepinephrine Reuptake Inhibitors |
Effexor
Pristiq Cymbalta |
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SNRI - Side Effects
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Nausea
Headache Sexual side effects Rapid pulse Urinary retention |
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Anti-anxiety Meds
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Benzodiazepines (fast)
Non-benzo (slow) |
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Benzodiazepines (fast)
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Lorazepam (ativan)
Clonazepam (klonopin) Chlordiazepoxide (librium) Diazepam (valium) Oxazepam (serax) Alprazolam (xanax) |
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Non-benzodiazepine (slow)
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Buspirone (buspar)
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ADHD Meds - Stimulants
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Methylphenidate (ritalin, concerta, daytrana patch)
Dexmethylphenidate (Focalin) Pemoline (Cylert) Amphetamine sulfate (adderall) Vyvanze |
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ADHD Meds - Non-Stimulants
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SNRI - Atomoxetine (Strattera)
Alpha 2 Adrenergic - clonidine, guanfacine (BP meds) - anti-hypertensive rxns (monitor kid vitals) |
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Mood Stabilizers
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Lithium
Anticonvulsants Used - Tegretol, Lamictal, Topomax, Neurontin - Valproic acid, sodium valproate |
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Herbals impact psychiatric tx
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Kava-Kava
Saint John's Wort Valerian Root Citrus aurantium |
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Kava-Kava
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Interacts w/ benadryl & benzos
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Saint John's Wort
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Serotonin syndrome when taken w/ SSRI's
Plant - increases serotonin - Effective for depression |
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Valerian Root
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Great sleep med
Potentiates sedatives Risk of being too sedated when combined w/ other sedatives |
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Citrus aurantium
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GI complaints
Increase levels of TCAs, SSRIs, Benzos |
