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Are stimulants or non stimulants first line for tx of ADHD?
Stimulants
This drug is preferred for maintenance mono therapy of bipolar disorder
lithium
The BBW for all antidepressants include...
Increased risk of suicidal ideation in children, teenagers, or young adults
The antidote for benzodiazepines is
Flumazenil
A pt has a talent show coming up and inquires about the use of a med to help with anxiety. Which med will your prescribe?
Propanolol
3 warnings for SSRI's include
QT prolongation, SIADH/hyponatremia, and bleeding
Pts who smoke may require higher doses with this med, due to smoking reducing it's plasma levels
Clozapine
What must be monitored when a patient is taking clozapine?
ANC (absolute neutrophil count)
This antipsychotic has a low EPS risk
Quetiapine
It is important to advise your pt to refrain from consuming these when taking MAOIS
Tyramine containing foods which increase NE = HTN crisis or SS
You want to provide short-term immediate effect in relieving anxiety for a pt. What is your drug of choice?
Hydroxyzine or Bensodiazepines
Pt is being treated for depression and has a hx of MI. Which drug will you avoid?
Tricyclic antidepressants: amitriptyline, dose-in, and nortriptyline
A pt comes in and complains of neuropsychiatric effects (mood changes, hallucination, paranoia) and is currently trying to quit smoking. Which drug may be causing this?
Bupropion (Wellbutrin) but called Zyban when used for smoking cessation
A pt with depression is being treated and has a hx of hypertension. Which med will you avoid?
SNRI's - venlafaxine and Duloxetine
The antipsychotic, Haloperidol, has high potency. What does this mean?
Decreased sedation and increased EPS (dystonia, akathisia, Parkinsonism, tardive dyskinesia)
Too much salt intake can do what to lithium levels
Decrease lithium levels
Your patient is taking the SSRI paroxetine, when would you advise for them to take it?
in the PM due to it's SE of sedation
A patient taking codeine is being treated for anxiety. Which drug will you avoid due to it's BBW
Benzodiazepines: BBW of sedation, respiratory depression, coma, or death, when used concurrently with opioids
BBW for amphetamine (ADHD stimulant) is
sudden cardiac death and serious cardiac effects
Second line tx for anxiety include which meds
Buspirone, amitriptyline/nortriptyline, hydroxyzine
A pt has a manic episode and is taking an antidepressant. What do you believe caused this?
Antidepressants used as monotherapy can induce or exacerbate a manic episode. Need to be combined with a mood stabilizer
A pt with ADHD complains of a headache. Which drug is causing this major adverse effect?
Modafinil
Which drug can be used for both treatment of depression and insomnia?
Doxepin
The BBW for Zolpidem, Eszopiclone, and Zaleplon is
Complex sleep behaviors
A pt is taking ibuprofen for headaches and is starting lithium. What do you warn the patient?
NSAIDS can increase levels. Aspirin is a safer option