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Therapeutics Exam 3
Exam 3
44
Other
Not Applicable
02/05/2012

Additional Other Flashcards

 


 

Cards

Term

GAD

  • First Line
  • Second
Definition
  • SSRI/SNRI
  • Buspirone

 

Term

Panic Disorder

  • First Line
  • Second Line
Definition
  • SSRI/SNRI
  • Benzodiazepines
Term

OCD

  • First Line
  • Second Line
Definition
  • SSRI
  • Clomipramine

(High Doses)

Term

PTSD

  • First Line
  • Second Line
Definition
  • non pharmacologic
  • pharmacologic.  Prazosin (Nightmares)
Term

Social Anxiety

  • Frequent
  • Ocasional
Definition
  • SSRI/SNRI: Generalized or frequent
  • BZD (Lorazepam)/β blockers (Propranalol): non-generalized PRN. 
Term
Drugs for Sleep Apnea
Definition
  • Modafinil
  • Armodafinil

(treat daytime sleepyness)

Term
Restless Leg
Definition
  • Iron
  • DA agonists.  Ropinerole, pramipexole, Gabapentin
Term
Narcolepsy
Definition
  • Sodium Oxibate (GHB) Xyreme
  • Modafinil, Armodafinil
  • Amphetamine
Term

Clozapine

(SE)

Definition
  • Seizures
  • Myocarditis
  • Orthostatic/Respiratory depressison
Term

Clozapine

(Monitoring)

Definition

CBC

First 6 months: QW

Next 6 months: Q2W

Afterwards: Q4W

Term
Which SSRI has the longest t1/2? how long?
Definition

Fluoxetine

4-6 days

Term
Which sleep aid is ideal for abusers?
Definition
Ramelteon
Term
Which sleep aid is ideal for patients with comorbid psychosis?
Definition
Quetiapine
Term
Which Antipsychotic is ok for children?
Definition
Risperidone
Term
Which NT promote sleep?
Definition
  • 5HT
  • GABA
Term
What are the Low potency FGAs?
Definition
  • Chlorpromazine
  • Thioridazine
Term
Which symptoms do FGAs treat?
Definition
+ symptoms
Term
How is fluphenazine decanoate calculated?
Definition
Oral dose X 1.2
Term
Acute dystonia
Definition

(Muscle spasm)

  • Benztropine (IM)/Diphenhydramine (IM)
Term
Akathisis
Definition

(restlessness)

  • Propranalol/Lorazepam
Term
Pseudoparkinsons
Definition
  • Benztropine/Diphenhydramine/Amantadine
Term
Tardive dyskinesia
Definition

(mouth movement)

  • Decrease dose
  • Switch to SGA
  • Vitamin E
  • Benzodiazepine/Botox/Clozapine
Term
Neuroleptic malignant syndrome
Definition

(Fever, extreme regidity, elevated labs)

  • Discontinue
  • Bromocryptine/Dantroline

 

Term
Which FGA is available as a suppository?
Definition
Chlorpromazine
Term
Which Antipsychotics are available as Depos?
Definition
  • Fluphenazine
  • Haloperidol
  • Risperidone
  • Olanzapine
Term
Bipolar 1
Definition

History of Manic or Mixed episodes

 

Term
Bipolar II
Definition
  • One or more episodes of hypomania (4 days)
  • History of depresive episodes
Term
Cyclothymic disorder
Definition
  • 2 years with no symptom free periods over 2 months
  • Numerous periods of hypomania and depresive symptoms
Term
Bipolar Disorder NOS
Definition
Not otherwise specified
Term

Duration of

  • Depession
  • Mania
  • Hypomania
Definition
  • Depression: 2 Weeks
  • Mania: 1 week
  • Hypomania: 4 days
Term

Criteria for

  • Mixed episode
  • Rapid cycling
Definition
  • Mixed: Mania + Depression QD 7D
  • Rapid Cycling: >4 depression or mania episodes in 12 months.
Term

Lithium Doses

  • Acute
  • Maintenance
  • Elderly
Definition
  • Acute: 0.6-1.2
  • Maintenance: 0.8-1
  • Elderly: 0.6-0.8
Term

Lithium Monitoring

(Baseline)

Definition
  •  CBC
  • LFT
  • EKG
  • renal
  • pregnancy
  • weight
  • thyroid
  • electrolytes
Term

Lithium monitoring

(follow up)

Definition
  • Thyroid
  • Weight
  • Renal
  • CBC

Every month for first 3 months

Then Q6-12M

Term
Recomended drug for rapid cycling and mixed episodes
Definition
Valproate
Term

Valproate

(baseline)

Definition
  • LFT
  • CBC
  • Weight
  • Pregnancy
Term

Valproate

(follow up)

Definition
  • Serum drug levels
  • LFT
  • Weight
  • CBC
  • amylase/lipase (pancreatitis)

QM X 3M

then Q6-12M

Term
Lamictal dosing
Definition
  1. 25mg/day x2W
  2. 50mg/day x2W
  3. 100mg/day x1W

If lamictal + VPA, cut in half to prevent SJS

Term
Which schizophrenia medication is safe for pregnancy?
Definition
Lurasidone
Term
Which Antidepressants are activating?
Definition
  • Fluoxetine
  • Sertraline
  • Venlafaxine
  • Desvenlafaxine
  • Bupropion
  • Duloxetine
Term
Which antidepressants won't cause sexual dysfunction?
Definition
  • Dones
  • Bupropion
  • Vilazodone
  • Mirtazepine
Term
Which antipsychotics are known to cause prolonged QT?
Definition
  • Thioridazine*
  • Iloperidone
  • Ziprasidone
Term
Lamictal for bipolar
Definition
Maintenance only
Term
Carbamazepine for bipolar
Definition
Acute manic for bipolar 1
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