psych: drugs

  1. Name 4 TCA meds
    • Doxepin
    • Imipramine
    • Nortriptyline 
    • Amitriptyline
  2. TCA
     - for
    -what to be aware of
    • 1st line for depression
    • 2-6 wks to work
    • LETHAL IN OD ( 10 day supply)
    • Blocks Ach,histamine--> sedation, dry mouth
  3. Name 3 MAOI
    • Phenelzine sulfate
    • Isocarboxazid
    • Trancypromine
  4. MAOI what to know
    Anti depressant

    NO Tyramine/ginseng --> HTN crisis ( occip headach, sweat, n/v, tachy) 

    No aged cheese, processed meat, ferm fish, beer/wine, avocado, pickled food, fig, raisin, bananas, chocolate, liver, soy
  5. Name SSRI (6)
    • Fluoxetine, Paroxetine 
    • Sertraline
    • Citalopram
    • Fluvoxamine
  6. SSRI what to know
    anti depressant

    Less side effects but sexual ones 

    takes a while to work

    No grapefruit juice

    Dont stop abruptly 

    Serotonin synd ( tachy, HTN, muscle spasm, hyperreflex)
  7. SNRI endings
    • -faxine 
    • Duloxetine
  8. SNRI are for , and what to know
    Depression 

    • Side effects go away after 1-2 wks 
    • energy goes up
    • Dont stop abruptly = withdrawl ( vision, dizzy)
  9. Whats bupropion for
    side effects to know
    • depression
    • no sexual side effects
    • contraindications: sizures, eating disorders
  10. Trazadone is for
    anti depressant

    • sedative properties
    • priaprism
  11. Name 5 mood stabilizers
    • Lithium
    • Valproic Acid 
    • Carbamazepine
    • Lamotrigine
    • Oxcarbazepine
  12. Lithium level 
    what to be aware of
    • Lithium 0.6-1.2
    • consistent salt level
    • no caffeine
    • monitor kid and liver
  13. Valproic acid levels 
    what to be aware of
    • valproic acid ( 50-100)
    • if lithium doesnt work , for bipolar/mania 
    • check liver
  14. Cabamazepine level
    what to be aware of
    • 5-12 
    • anticonvulsant, mania 
    • good for aggression
    • monitor anemia
  15. Lamotrigine
    mood stabilizer

    • anticonvulsant
    • Steven Johnsons
  16. Oxcarbazepine 
    whats it for 
    what to be aware of
    mood stabilizer/ anti convulsant

    monitor CMP for hypoatremia
  17. 2 Types of anxiolytics
    Benzos ( end in -pam) 

    Buspirone
  18. What to know about benzos
    - pam 

    • addictive 
    • GABA
    • Short term only 
    • withdrawl=seizure 
    • NO narcatics/alcohol
  19. Buspirone what to know
    • no sedative, or addictive properties 
    • dizzy
    • bad for kidney, liver, breastfeeding
  20. 2 types of antipsychotics 
    endings 
    what they work best on
    traditional/atypical 

    • - end in -zine
    • -haloperidol 

    Works best on positive symptoms ( shouldnt be there ex. hallucinations, delusions, bizarre) 

    • Atypical 
    • -pines
    • -dones

    • Positive and negative symptoms ( need more of ex. blunt, 0 motiv, no speech)
    • agranulocytosis
  21. Neroleptic Malignant Syndrome ( NMS)
    symptoms
    • lead pipe rigidity 
    • high fever
Author
skuper4
ID
342499
Card Set
psych: drugs
Description
psych drugs
Updated