Notes
What can be ordered along with SSRI to tx depression and anxiety especially with trauma?
Benzodiazepines, needs to be started with SSRI to prevent rebound.
Which SSRI has high CYP3450 and most interactions with drugs
Prozac most likely to push someone into bipolar within the week
Persistent depressive disorder...
2 years and 2 symptoms of depressed mood
The most common mental health disorder...
anxiety
Who can collaborate with NP
DO, MD, surgeon
Depression and anxiety has a higher prevalence in?
Female; 3:1 ratio
Remeron, what is it used to tx? Side effects, adverse effects?
depression and sleep but gain lots of weight, agranulocytosis which will be fixed once off med
Cyclothymic disorder
a little depression, with a little bipolar with hypomania
Anxiety with palpitation....
propranolol
How many symptoms must be present to dx panic disorder?
4
Discontinuation symptoms can be avoided with ________ as pt is easily taken off due to long half life
Discontinuation symptoms can be avoided with Prozac as pt is easily taken off due to long half life
Hypomania and mania can be...
increased irritability
Adjunct to depression once maxed out SSI
Wellbutrin, Abilify
What products should be avoided when using MAOIs?
Cold products. Can cause hypertensive crisis, serotonin syndrome. Also avoid foods high in Tyramine
How long should you tapper drugs?
over 2-4 weeks
Cyclothymic disorder...adults, children
1 year for children, 2 years for adults
Adjunct for anxiety
Buspar
To make a dx of GAD, symptoms must be present for how long?
6 months
When D/C TCA abruptly it can cause....
cholinergic rebound withdrawal (flu-like symptoms)
Which neurological condition have high incidence of depression
Dementia, Alzheimer,
PMHNP must collaborate with
psychiatrist