I'm weird but I (might) work!
SSR-Why?
Drugs?! Me?!
Unipolar?...Bipolar?...Why not both?
Did somebody say sue!-icide?
100

Solriamfetol, a medication in this class, like its cousin Wellbutrin, may be helpful for depression but is only FDA-approved for the treatment of certain sleep and wakefulness disorders.  

What is norephinephrine and dopamine re-uptake inhibitor?  

100

Celexa should not be used at doses >20 mg po qday for these reasons

What are concurrent use of CYP2C19 inhibitors, age >60, hepatic impairment

Daily Double!: this is a potential dangerous effect of use of celexa >20 mg po qday in patients on CYP2C19 inhibitors

100
This commonly prescribed anti-depressant medication can also be used for for smoking cessation but can cause a false positive result for amphetamine on utox.  
What is Wellbutrin?  
100

This side-effect is particular common in patents taking Abilify.  

What is akathisia?  

100
These two medications have been demonstrated to decrease the risk of suicide, the most common reason for lawsuits filed against psychiatrists.  

What are lithium and clozapine?   

200

Pitolisant, the only non-scheduled medication approved by FDA for treatment of narcolepsy may also reduce daytime sleepiness in patients with this disorder.  

What is obstructive sleep apnoea?  

200

When treating PTSD in a patient with bipolar disorder, especially one who has declined mood stabiliser therapy, it may be helpful to treat with an SSRI rather than an SNRI due to lower risk of this side-effect.    

Treatment Emergent Affective Switch

200

A patient with chronic headaches, seasonal allergies, and depression, and a penchant for google searching medical information is positive for THC on utox. but tells you it must be a false because he uses this common class of medication.  

What are NSAID's?

200

This is the dose range of abilify recommended for augmentation of anti-depressant therapy for patients with MDD

What is 2-5 mg po qday?

200

Suicide rates are highest among this age group

What are older persons?  

300

Blonanserin, an atypical anti-psychotic, has demonstrated greater antagonistic activity at the D3 receptor, which may be helpful for these types of symptoms.  

What are negative, cognitive, and affective symptoms?

300

Lower doses of SSRI's may be preferable in elderly as they are at higher risk of this fluid-imbalance disorder secondary to SSRI therapy

What is SIADH?  

300

Diazepam, temazepam, Clorazepate, Chlordiazepoxide, and Halazepam will all cause a positive result for this benzodiazepine on utox.  

Oxazepam

300
This is the dose of lithium usually recommended for augmentation of anti-depressant therapy.  

What is 900 mg po per day?  

300

These are the four actions which must be proven for a malpractice claim to succeed.  

What are Duty, Dereliction, Damages, Direct Causation?  

400

This SNRI has greater potency for norepinephrine reuptake blockade compared to serotonin reuptake blockade (than other SRNI's) and may therefore be more effective in treating fibromyalgia and chronic pain.  

What is levomilnacipran?  
400
Sertraline may be an especially good choice for these types of patients.  

What are patients with "atypical depression" with sx including hypersomnia, hyperphagia, low energy, mood reactivity) and those with recent myocardial infarction (lowest cardiac risk)

400

This metabolite indicates concurrent use of alcohol and cocaine and is responsible for the increased cardiac toxicity of cocaine when used in combination with alcohol.  

What is cocaethylene?  

400
Patients with history of depression and possible symptoms of mania, for whom PTSD and bipolar disorder seem equally likely, may benefit from medication therapy?
Zyprexa-Fluoxetine (symbyax)
400

Approximately this percentage of people with borderline personality disorder will attempt suicide over the life-course.  

What is 70%?  

500
For this reason, loflazepate may be associated with less interdose anxiety than other medications in this same class of medications.  

What is its "ultra-long half-life" (much longer than 24 hours) compared to any other benzodiazepine.  

Daily Double!: The long-half life may also decrease the likelihood of these risks of benzodiazepine therapy.  

500
Desvenlafaxine may be a good choice for depression in perimenopausal women for this reason.  
It may also be helpful for treating hot flushes.  
500
Venlafaxine can cause a false-positive result for PCP, which belongs to this class of illicit substances

What is a hallucinogen?  

500

The dosage range for second-generation anti-psychotic is quite broad, from __ to ___.  

What is seroquel at 50mg po qday to 300 mg po qday

500

A study on the effects of Connecticut's red flag law on suicide rates did not reveal a clear benefit of the law for this reason.  

The reduction in firearm-associated suicides was smaller than the concurrent increase in non-firearm-related suicides.  

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