-
Side effects of anti-psych meds
- Acute dystonia
- Akathisia
- Parkinsonism
- Tardive dyskinesia
- Neuroleptic malignant syn
- + Prolactin (dopamine blockade)
-
Time periods for diagnosing psychotic diseases
- 1 month = acute psychotic disorder
- 1 to 6 months = schizophreniform disorder
- > 6 months = schizophrenia
-
Flat affect
Alogia
Avolition
Anhedonia
Dx?
Schizophrenia Negative Symptoms
-
Rx for mania
- First line: Lithium and Valproic Acid
- Second line: Carbamazepine, Olanzapine, Gabapentin
-
Side effects of lithium
- Renal dysfunction
- Thyroid dysfunction
- Tremor
- CNS effects at high levels
-
Side effects of Valproic acid?
Liver dysfunction
-
Side effects of carbamazepine?
Bone marrow depression
-
Clozapine use and side effects
- Use: Schizophrenia
- SE: Agranulocytosis
-
What are the side effects of atypical antipsychotic medications?
- Weight gain
- Hyperglycemia
- Dyslipidemia
- HTN
-
First line medications for Schizophrenia?
- Atypicals:
- Risperidone
- Olanzapine
- Clozapine
-
What are the four categories for anti-depressants
- TCA
- SSRI
- MAOI (rarely used except with atypical depression)
- Trazadone
-
Name two TCA's with Side Effects.
- Nortryptiline, Amitriptyline
- SE: hypotension, dizziness, fall; sedation, lower seizure threshold
-
Name two SSRI and SE.
- Fluoxetine, Paroxetine
- SE: insomnia, anorexia, sexual dysfunction
-
Name two MAOI and SE.
- Phenelzine, Tranylcypromine
- SE: HTN with wine and cheese, other SE
-
Name SE of trazadone
Priapism
-
Rx for specific phobias?
Benzodiazepines (Alprazolam)
-
Rx for Agitation?
Lorazepam or Haloperidol
-
Rx for catatonic Schizo?
Benzodiazepines or ECT
-
First line Rx for Generalized Anxiety Disorder
- Buspirone
- 2nd line are Benzos
-
-
Rx for Delerium Tremens?
Benzodiazepines
-
Criteria for hospitalizing anorexic patient?
- Dehydration
- Starvation
- Lyte disturbances
- Cardiac arrhythmias
- Physiologic Instability
- Severe Malnutrition (75% of ideal body weight)
-
What is Buproprion used for? What is an added SE?
- Depression
- Helps stop smoking
-
Name three benzodiazapines.
- Alprazolam
- Chlordiazepoxide
- ..azepams (Clonazepam, Diazepam, Lorazepam, etc)
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