RIC PSYCHOPHARMACOLOGY

Anti-Depressants

100

List 1 of the 6 antidepressant classifications

Selective Serotonin Reuptake Inhibitors (SSRI)
- Norepinephrine and Serotonin Specific antidepressants
- Norepinephrine and Dopamine Reuptake Inhibitor
- Serotonin Norepinephrine Reuptake Inhibitors (SNRI)
- Tricyclic Antidepressants
- Monoamine Oxidase Inhibitors

200

Most activating SSRI

Fluoxetine (Prozac)

300

This antidepressant causes sedation and increased appetite

Mirtazapine (Remeron)

400

This anti-depressant is contraindicated in those with a history of seizures or active seizure disorder 

Bupropion (Wellbutrin)

500

MAOIs requires a strict DIET. List foods to avoid

• *Foods high in tyramine
• Aged and Hard Cheeses: Cheddar, Swiss, Parmesan, blue cheese, Brie, Camembert, and feta.
• Cured, Smoked, or Processed Meats: Salami, pepperoni, bacon, hot dogs, smoked fish, and liver.
• Fermented and Pickled Foods: Sauerkraut, kimchi, pickles, and fermented tofu.
• Soy Products and Condiments: Soy sauce, miso, teriyaki sauce, and tempeh.
• Certain Beans and Produce: Fava beans, broad bean pods, overripe fruit, and large amounts of avocado.
• Yeast and Protein Extracts: Marmite, Vegemite, homemade yeast breads, and brewer’s yeast.
• Alcohol and Caffeine: Tap beer, home-brewed beer, red wine, and excessive caffeine.

Anxiolytics/Sleep Medications

100

List 3 Benzodiazepines

Diazepam, Clonazepam, Alprazolam, Lorazepam

200

Benzodiazepines carry a high risk of...

Abuse potential

300

Common side effect of Eszopiclone (Lunesta) 

Eszopiclone often has side effect of
bitter taste in mouth upon awakening

400

List indications for benzodiazepines

-Anxiety Management
-Seizure Prophylaxis
-Smooth Muscle Relaxation

500

List three considerations for someone taking a benzodiazepine

-High abuse potential
-Risk of overdose with fatality
-Need to caution not to drive on
medication due to oversedation
risk

Mood Stabilizers

100

True or False: A pregnant woman can continue her lithium prescription

False, may cause harm to fetus

200

Lithium therapeutic levels

0.6 to 1.2 (or 0.8-1.2 per your slides).

300

This medication runs a risk of a severe rash (SJS)

Lamotrigine (Lamictal)

400

Valproate (Depakote) Black Box Warning

Black box warning: hepatotoxicity, thrombocytopenia, pancreatitis, teratogenicity (pregnancy)

500

Routine labs for carbamazepine are to assess for...

 leukopenia and aplastic anemia

Antipsychotics

100

1st generation (Typical) antipsychotics work on the neurotransmitter: _____

Dopamine

200

List 1 second generation (Atypical) antipsychotic and which neurotransmitter(s) it works on

Clozapine (Clozaril)
Risperidone (Risperdal)
Quetiapine (Seroquel)
Olanzapine (Zyprexa)
Aripiprazole (Abilify)
Ziprasidone (Geodon)
Paliperidone (Invega)
Iloperidone (Fanapt)
Lurasidone (Latuda)
Asenapine (Saphris) 

*Works on dopamine and serotonin*

300

Clozapine (Clozaril) requires monitoring of which labs?

Absolute neutrophil count (ANC)

400

List symptoms of EPS

Acute dystonia: sudden contraction of one or several muscle groups (head/neck)
Akathisia: motor restlessness (pacing, inability to stay still)
Pseudoparkinsonism: arms swinging when walking, reduced facial expressiveness,
gait impairment

500

List the symptoms of Neuroleptic Malignant Syndrome

Reduced consciousness and responsiveness, increased muscle tone, and autonomic dysfunction.

Neurobiology

100

List 1 of 3 neurotransmitters responsible for depression if decreased

Serotonin, Norepinephrine, Dopamine

200

A decrease in this neurotransmitter causes weight gain and depression

Histamine

300

Neurotransmitter affecting schizophrenia

Dopamine

400

Primitive area of the brain where the limbic system is found

Brainstem

500

List 3 of the 6 responsibilities of the cerebrum

Mental activities
Conscious sense of being
Emotional status
Memory
Control of skeletal muscles
Language and communication ability