Medications for Depression and Anxiety
Opioid-Specific
Naltrexone
Alcohol-Specific
Miscellaneous
100

 Some common medications for depression


Common SSRIs: Fluoxetine (Prozac), Sertraline (Zoloft), Escitalopram (Lexapro), Citalopram (Celexa), Paroxetine (Paxil)

Common SNRIs: Venlafaxine (Effexor XR), duloxetine (Cymbalta), Desvenlafaxine (Pristiq)

Tricyclic Antidepressants (TCAs): 

  • Amitriptyline

  • Nortriptyline (Pamelor)

  • Imipramine (Tofranil)

Common Atypical Antidepressants:

  • Bupropion (Wellbutrin)

  • Mirtazapine (Remeron)

  • Trazodone


100

What is Naloxone?

Naloxone is a medicine that rapidly reverses an opioid overdose. It is an opioid antagonist. This means that it attaches to opioid receptors and reverses and blocks the effects of other opioids. Naloxone can quickly restore normal breathing to a person if their breathing has slowed or stopped because of an opioid overdose.

Naloxone is less effective in saving people who have overdosed on fentanyl because fentanyl binds more tightly than heroin to opioid receptors in the brain, so it is more difficult for naloxone to displace it. Multiple doses are frequently needed, prompting researchers to look for alternatives to naloxone.

100

Naltrexone is?

Naltrexone is an agent that blocks opioid receptors, particularly the μ-opioid receptor. Use of this agent has shown a reduction in alcohol intake.

100

Key Points for MAT:

  • Medication Adherence: Consistently take medications as prescribed. Skipping doses or not following the plan can lead to relapse or increased cravings.

  • Integration with Therapy: MAT works best when combined with counseling and behavioral therapy. Both medication and therapy are essential components of a successful recovery plan.

  • Monitor for Side Effects: Regular follow-up appointments are necessary to monitor for side effects or complications.

  • Lifestyle Modifications: Engaging in healthy activities, such as exercise, proper nutrition, and building a support system (e.g., 12-step groups, support networks), can help strengthen recovery.

  • Emergency Support: Always have emergency contacts or a crisis plan in case of a relapse or overdose, and know how to use naloxone (Narcan) if applicable, especially for opioid users.

100

What is a baby lion called?

(A. kid)    (B. cub)   (C. pup)    (D. chick)

B. Cub

Fun fact: 

LIONS ARE THE ONLY CATS WHO ROAR TOGETHER

Lions are the only known cat species where individuals roar together - with even young cubs joining in with their mews. The calling sequence usually lasts about 40 seconds. 

Prides often roar together to mark their territory - a roar can be heard from 5 miles away.

200

What is a common medication we use a lot here to help treat anxiety and what else is it used for?

  • Vistaril

  • Generic Name: Hydroxyzine

  • Class: Antihistamine

    • Acute anxiety or short-term anxiety relief

    • Tension and stress management

    • Sleep disturbances related to anxiety

    • Allergic reactions (though not typically used for this purpose in anxiety treatment)

200

Name three common side effects of buprenorphine/naloxone. (Suboxone)

chills, cough, feeling faint, dizzy, or lightheaded feeling of warmth or heat fever flushing or redness of the skin, especially on the face and neck headache hoarseness difficult urination sweating.

200

Common side effects of Naltrexone

nausea, headache

200

What are types of medications to help with Alcohol use disorder?

Antabuse

Acamprosate

Naltrexone

200

Which mammal lives in the ocean and holds the hands of its family to avoid floating apart while sleeping?

(A. dolphin)   (B. Walrus)   (C. Sea Otter)   (D. Whale)

C. Sea Otter!

Fun fact: They also entangle themselves in kelp 

300

What is a common medication used here for sleep and what else is it used for?

not an over-the-counter sleep aid. 

Desyrel (common brand name for trazodone)

Generic Name: Trazodone

Class: Antidepressant (Serotonin Antagonist and Reuptake Inhibitor, or SARI)

  • Primary Uses:

    • Depression

    • Anxiety (off-label)

    • Insomnia (off-label)

300

What is the purpose of MAT programs?

The purpose of MAT programs is to provide a comprehensive and holistic approach to treating substance use disorders. By combining medications with therapy and support services, MAT aims to address both the physical and mental aspects of addiction. This approach helps individuals manage withdrawal symptoms, reduce cravings, and normalize brain chemistry, ultimately improving treatment outcomes and reducing the risk of relapse. MAT programs are designed to be tailored to each individual's specific needs, ensuring a personalized and effective treatment plan.

300

How often is extended-release naltrexone typically administered?

Once a month

300

What is Antabuse and what reaction does it cause?

A medication for Alcohol use disorder. Antabuse blocks an enzyme that is involved in processing alcohol and produces very unpleasant side effects (such as fast heartbeat, chest pain, nausea, dizziness, flushing, and thirst) when combined with alcohol in the body.

300

What is the one letter not used in any U.S. State?

Q

400

Name a medication that is prescribed to take two or three times a day on a schedule and is for anxiety?

 Buspirone (BuSpar)

Buspirone is an anxiolytic medication that is often used as a long-term treatment for generalized anxiety disorder (GAD). It does not have the sedative effects of benzodiazepines, making it a good option for those needing chronic anxiety management.

How it works:

  • Buspirone affects serotonin and dopamine receptors in the brain, which may help to reduce anxiety. It has a slower onset of action compared to benzodiazepines (it may take several weeks to feel the full effects).

Indications:

  • Generalized Anxiety Disorder (GAD)

400

What is Sublocade®?

  • An extended-release form of buprenorphine injected monthly. Part of a program usually.

400

How does naltrexone help with opioid addiction?

Naltrexone is an opioid antagonist that blocks the effects of opioids and reduces cravings for both opioids and alcohol. It is typically used after detoxification to help maintain sobriety.

400

What is Acamprosate? How often is acamprosate typically taken?

Three times daily.

400

Visiting which American fast-food joint has become a Christmas tradition in Japan?

What is KFC?

Fun Facts:Kentucky Fried Chicken is so popular in Japan during Christmas time that wiser customers actually order their holiday meals in advance to avoid spending hours standing in line. 

500

Key neurotransmitters involved in anxiety:

  • Serotonin: Often referred to as the "feel-good" neurotransmitter, serotonin is involved in mood regulation. Low serotonin levels are associated with anxiety, depression, and other mood disorders. SSRIs and SNRIs increase serotonin availability.

  • Norepinephrine: This neurotransmitter is involved in the body’s "fight or flight" response. It is thought to play a significant role in the physiological symptoms of anxiety (e.g., rapid heart rate, elevated blood pressure). SNRIs work by increasing both serotonin and norepinephrine levels.

  • Gamma-Aminobutyric Acid (GABA): GABA is the brain's primary inhibitory neurotransmitter. It has a calming effect and reduces neural excitability. Benzodiazepines enhance the effect of GABA to provide quick relief from acute anxiety symptoms.

  • Dopamine: While dopamine is mostly associated with pleasure and reward, dysregulation of dopamine is also implicated in mood disorders and anxiety. Some medications, such as buspirone, modulate dopamine pathways to reduce anxiety.

500

How long does opioid withdrawal last?

Opioid withdrawal symptoms generally last between three and five days, according to the American Society of Addiction Medicine. However, depending on level and length of dependency, dosage, individual physiology, and more, withdrawal symptoms can last up to 10 days. Some symptoms include anxiety and irritability, insomnia, abdominal pain, vomiting, diarrhea, and tremors. There are some medications, such as methadone and buprenorphine, that may be used in the treatment of opioid use disorder. Medications like clonidine or anti-inflammatories may reduce anxiety, agitation, and muscle aches. 

500

Difference between Naloxone and Naltrexone?

Naloxone and Naltrexone: Virtually Identical but Very Different:

both opioid antagonists. The differences between the two are the rate of onset and half-life/metabolism.

Despite the similarity of the names (and chemical structures), both drugs have a different function in the body because of how quickly they take to work and how long they last.

500

How long should a patient avoid alcohol before starting disulfiram?

At least 12 hours.

500

This popular 90's movie is known for having the bestselling soundtrack of all time.

What is the Bodyguard?