Antidepressants
Name 4 Common Side Effects of SSRI's
GI, headache, insomnia, sexual dysfunction
What is the BBW for antipsychotics?
Increased risk of mortality in patients with dementia and the elderly
Which drug (not antipsychotic) would be good for an individual with bipolar disorder and suicidality?
Lithium
What is the function of CYP450? Where is it located? What happens if you take two drugs that both act on CYP450?
Bupropion BBW?
Eating Disorders, Seizures
Which antidepressant class is most sedating? And, seperately, which SSRI is most sedating?
TCA, Paroxetine
Which antipsychotic has a different mechanism of action? What makes it different?
***brand, generic, max dose
Abilify (partial D2 agonist)
Aripiprazole, Abilify, 30 mg. Aristada, 1064 mg
Name [4] non-psychiatric conditions that can mimic mania
- Encephalitis
- Delirium
- Post Concussion/Chronic Traumatic Encephalopathy (CTE)
- Stimulant Abuse
Which antidepressants cause seizures?
Bupropion
Amoxepine
Maprotiline
Chlomipramine
Which drugs have BBW for Steven Johnson Syndrome?
Carbamazipine, Lamotrigine/Lamictal
Which class of antidepressants are contraindicated for a patient with cardiac comorbidities?
***bonus: name all drugs in this class
TCA's
Doxepin, Imipramine, Despiramine, Nortriptyline, Trimipramine, Amitriptyline, Maprotiline, Protriptyline, Amoxipine
Which is the best antipsychotic medication for suicidal patients?
Clozapine
What are the symptoms of lithium toxicity? How do we reverse it and why might it take multiple rounds?
Which two drugs are indicated for OCD?
Fluvoxamine, Chlomipramine
Which drug has a black box warning for hepatotoxicity? Which type of drug is this? What is brand, generic, and max dose of this drug?
Nefazodone, Atypical antidepressant, Serzone, 600 mg
Which atypical antidepressant has a unique mechanism of action, and what is that mechanism of action?
**bonus: brand, generic, max dose
Mirtazapine (Remeron)
Which [3] antipsychotics are used as adjunct in treatment resistant depression?
***bonus: brand, generic, max dose
Aripiprazole (Abilify) - 30 mg
Brexpiprizole (Rexulti) - 4 mg
Quetiapine (Seroquel) - 800 mg
How do you determine the dose of mood stabilizing medications? Which mood stabilizer is indicated for liver problems? Which organ does this mood stabilizer have a problem with?
Serum Concentrations, Lithium, Kidneys
What is special about carbamazepine? Why would someone be put on this drug?
Auto-inducer. If on diazepam long term to induce metabolism of the drug so there would be a lower concentration of drug in the body
Valproic Acid [3] BBW
Which class of antidepressant medication has a dietary restriction? What is this restriction, and what could consuming this food lead to?
MAOI, Tyramine (Pizza, Wine), Hypertensive Crisis
Which antipsychotics have a unique side effect that impairs vision? What is this side effect, and what could it lead to?
Which mood stabilizer is best for pregnancy? Does it work for both acute and continuous episodes? Which mood stabilizer is best if not pregnant? Does it work for both acute and continuous episodes?
Lamictal - Continuous
Lithium - Acute/Continuous
If a patient has a liver problem or is over the age of 65, which benzodiazepine drugs should be prescribed?
Lorazepam
Oxazepam
Temazepam
Clozapine BBW (5)