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pirotte Pharm
bipolar, ADHD, depression
74
Other
Not Applicable
09/24/2005

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Cards

Term
age onset of ADHD?
Definition
before 7
Term
dyregulated NTs in ADHD?
Definition
DA, NE
Term
smaller structures in ADHD?
Definition
prefront, BG, vermis
Term
SE of pemoline (biggie)
Definition
heptox
Term
SE of stimulants for ADHD?
Definition
HA, insomnia, anorexia, stomachache, jitters (duh)
Term
action of atomoxetine?
Definition
SNRI
Term
SE of Stratera?
Definition
HA, abd pain, N, emotions
Term
drugs for ADHD besides stims/stratera
Definition
MAOi, SSRI, venlafaxine, buproprion, modafinil, a2ags
Term
bipolar pneumonic D
Definition
distractability
Term
bipolar pneumonic I
Definition
insomnia
Term
bipolar pneumonic G
Definition
grandiosity
Term
bipolar pneumonic F
Definition
FOI
Term
bipolar pneumonic A
Definition
activities
Term
bipolar pneumonic S
Definition
speech
Term
bipolar pneumonic T
Definition
thoughtlessness
Term
where is the atrophy in bipolar
Definition
right frontal, hippo
Term
where is the overgrowth in bipolar?
Definition
amyg
Term
NTs in bipolar
Definition
NE, ser, DA
Term
what happens to monoamine neurons in BP?
Definition
overgrowth
Term
major comorbidity w/ bipolar?
Definition
substance abuse (25-50%)
Term
major risk w/ bipolar?
Definition
25-50% attempt suicide
Term
monozygotic twin concordance for bipolar?
Definition
70-100%
Term
neurochem of bipolar
Definition
blunted response to TSH, TRH, inc DA, dysregulation of 5HT and NE
Term
what is a mixed episode?
Definition
features of mania/depression
Term
BP1 aka?
Definition
BAD
Term
what is rapid cycling BAD?
Definition
more the 4 episodes of man/dep per year
Term
what is cyclothymia?
Definition
mild form of BAD
Term
what is the big difference between BAD and the schizo disorders
Definition
PSYCHOSIS
Term
drugs that can mimic BAD
Definition
prednisone, cimetidine, l-dopa/bromocriptine, baclofen
Term
pharm therapy for mood stabilization in BAD
Definition
Li, valproic acid, carbamazepine, gabapentin, oxcarbazapine, topiramate
Term
SSRIs used for BAD
Definition
setraline, fluoxetine, buproprion
Term
APs used for BAD
Definition
risperidone, olanzapine, haldol
Term
Benzos used for BAD
Definition
clonazepam
Term
"treatment of choice" for BAD
Definition
valproic acid
Term
NTs in depression
Definition
ser, NE, DA?
Term
prevalence of depression
Definition
m2-4 w8-10
Term
3 danger sx in mood disorder due to medical cause
Definition
anhedonia, worthlessness, suicidal ideation
Term
mech of Li
Definition
rapid influx (like Na) w/ very slow efflux, inc DA/NE turnover, dec DAR sensitivity, inc turnover of phosphoinositol
Term
SE of Li
Definition
N+D, tremor, thirst (duh), conc, leukocytosis, weight gain, Epsteins, hThyroid, renal insuff, acne
Term
mech of valproate
Definition
GABA reuptake inhibitor
Term
valproate and plasma proteins?
Definition
highly bound
Term
SE of valpro
Definition
drowsy, dizzy, diarrhea, tremor
Term
mech of carbemazepine
Definition
Na channel blocker
Term
carbemazepine metabolism key fact
Definition
it is an autoinducer
Term
lamotrigine mech
Definition
blocks Na channels, blocks Ca channels
Term
big SE of lamotrigine
Definition
Stevens-Johnson rash
Term
gen fxn of mesocortical path
Definition
affect, emotion, cognition
Term
gen fxn of mesolimbic path
Definition
emotion, cognition
Term
gen fxn of nigrostriatal path
Definition
vol move
Term
3 MOA of amphetamines
Definition
reversal of DA uptake, interference with DA into vesicle, MAOi
Term
mech of methylphenidate
Definition
DSRI
Term
big SE of adderall
Definition
anorexia
Term
3 atypical antidepressants
Definition
bup, mirtazapine, nefazadone
Term
what receptor mediates NE induced 5HT release?
Definition
a1
Term
in the limbic/cortex what does NE do to 5HT
Definition
inhibits it via a2R
Term
imipramine, amitriptyline
Definition
TCA
Term
tranylcypromine, phenelzine, moclobemide
Definition
MAOi
Term
SE of TCA
Definition
ortho hTN, cardiotox, confusion
Term
why do TCAs have such serious SEs?
Definition
they are not selective and also antagonize musc, hist, a1
Term
why can you try multiple SSRIs to get effectiveness?
Definition
they are not "look-alikes"
Term
what do SSRI do to P450 enzymes?
Definition
induce
Term
what can SSRI do to sexual fxn
Definition
reduce
Term
what is unique about fluoxetine among the SSRIs?
Definition
long hl, active metabolite w/ long hl
Term
two approved uses for Venlafaxine
Definition
GAD, depression
Term
SE of venlafaxine?
Definition
HTN, sexual dysfxn
Term
mech of Bupropion
Definition
weak DRI
Term
why does Bupropion have a "favorable" SE profile?
Definition
weight loss, no sex problems
Term
mech of mirtazipine?
Definition
a2 antag, 5HT2A,2C,3R antago
Term
SE of mirtazipine
Definition
weight gain, sedation
Term
mech of nefazadone
Definition
5HT2AR antag, SRI
Term
SE of nefazadone?
Definition
sedation, no problems with sex
Term
two cautions with MAOis
Definition
diet (tyramine), SSRI (serotonin syndrom)
Term
sx of serotonin syndrome
Definition
myoclonus, autonom, hyperreflexia, unstable BP, disorientation
Term
why do ADs have a delayed onset?
Definition
need to overcome "autoinhibitory receptors," neuroadaptive post-synaptic change
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