Wolverton Chapter 24: Psychotropic Agents

Front 1

Define primary psychiatric skin disorders.

Back 1

Patient has no real skin disease, but presents with serious psychopathology where all the skin manifestations are self-induced.

Front 2

What are secondary psychiatric skin disorders?

Back 2

Patients who develop emotional problems as a result of having a disfiguring skin disease.

Front 3

Name 3 examples of skin diseases that may lead to a secondary psychiatric problem.

Back 3

1) Vitiligo
2) Acne
3) Alopecia

Front 4

This antidepressant is a more powerful antipruritic agent than Benadryl and Atarax

Back 4

Doxepin

Front 5

Doxepin is a TCA antidepressant ideal to treat depressed patients with what skin disorder?

Back 5

Neurotic Excoriations

Front 6

Doxepin is a powerful antipruritic due to its strong antihistamine block of which receptor?

Back 6

H1 antihistamine

Front 7

What is the starting does for Doxepin?

Back 7

Start at 25mg qhs

Front 8

What is a potentially life threatening adverse affect of TCA antidepressants, specifically Doxepin?

Back 8

QT prolongation

Front 9

What are the 2 most commonly used psychotropic medications for purely dermatologic conditions?

Back 9

Doxepin and Amitripyline

Front 10

For a crazy patient complaining of manifestations of pain, such as burning, stinging or chafing which psychotropic drug is best?

Back 10

Amitriptyline

Front 11

Which psychotropic drug is helpful in chronic urticaria?

Back 11

Doxepin