Bisexual Pharm
What is the medication of choice for bipolar in pregnancy?
Lamotrigine
Which two medications increase prolactin? What is the difference between the two?
Risperidone and Paliperidone; paliperidone is a metabolite of risperidone
What are the single salt amphetamines?
dextroamphetamine (dexedrine) and amphetamine sulfate (Evekeo)
What is the primary differentiator between schizophreniform disorder and schizophrenia?
time- schizophreniform disorder lasts at least one month but less than 6 months, schizophrenia lasts at least 6 months
At what age should most children be able to say almost all speech sounds correctly? What is it called if they can't?
4 years old- speech sound disorder
What four medication classes are used for treatment of acute mania and hypomania?
Lithium, anticonvulsants, antipsychotics, and benzodiazepines
Which two medications are least likely to cause weight gain?
Abilify (aripiprazole) and Geodon (Ziprasidone)
Still ABle to ZIP your pants
What is the MOA of Atomoxetine (Strattera) and Viloxazine (Qelbree)?
selective norepinephrine reuptake inhibitor, does not increase dopamine
What are the six types of delusional disorder?
erotomanic, grandiose, jealous, persecutory, somatic, mixed
What is the difference between apraxia and dysarthria?
Apraxia- brain has trouble sending messages to the speech muscles
Dysarthria- Muscles needed to make speech sounds are weak
What is the mechanism of action of Divalproex?
blocks voltage gated sodium channels and increases GABA availability in the brain
Which atypical antipsychotic must be taken at night?
Asenapine (Saphris)
Why is lisdexamphetamine (Vyvanse) used to prevent drug misuse?
It is the prodrug of dextroamphetamine so less abuse potential
Paranoid- distrust and suspicion of others, holds grudges
Schizoid: detachment from social relationships, solitary activities, emotional coldness
Schizotypal- reduced capacities for close relationships, magical thinking, odd behavior
Which disorder is characterized by a pattern of angry/irritable mood, argumentative/defiant behavior, and vindictiveness in children ages 6-18? What are treatment options?
Oppositional Defiant Disorder
Behavioral therapy, IEP or 504 plan, ADHD medication, SSRIs, Mood Stabilizers, antipsychotics
First line treatment for hypomania includes atypical antipsychotics and what two other medications?
lithium and valproate (divalproex)
What are the symptoms of neuroleptic malignant syndrome?
tremor, catatonia, hyperthermia, labile pulse and BP, increased CPK, confusion
What are the two alpha-2 agonists that are used for hyperactivity?
Guanfacine XR (Intuniv) and Clonidine XR (Kapvay)
Your patient presents with repetitive unstable and intense interpersonal relationships, impulsive behaviors, and recurrent suicidal gestures. What do you suspect they have? What is the treatment?
Borderline personality disorder; dialectical behavioral therapy
Which two assessment scales are used to diagnose ADHD?
Vanderbilt and Conners
What is the MoA and black box warning for Equetro (carbamazepine)?
sodium channel blockade
black box warning for aplastic anemia, agranulocytosis, and skin reactions
Under what circumstances would you prescribe someone clozapine? What are the black box warnings? What labs should be checked prior to starting?
refractory patients who have failed at least two other antipsychotics
hypotension, seizure, agranulocytosis, myocarditis, increased risk of death in elderly demented patients with psychosis
Check WBC and ANC
What are the four formulations of methylphenidate and the differences between them?
Ritalin- short acting
Concerta- long acting
Daytrana- long acting once daily patch
Focalin- d enantiomer and more active component of recemic methylphenidate
If your patient is paranoid, anxious, and not sleeping what are the first and second line treatments?
mild anxiety medication- buspar, clonidine, tenet, possible benzo
What are the three tic disorders and how are they different?
Tourette's- vocal and motor tics for 1 year
Persistent tic disorder- either vocal or motor tics for one year
Provisional tic disorder- either vocal or motor tics or both, but for less than one year