PSYCH MED GAME 133

Lithium

100

Lithium MOA

Inhibit dopamine and glutamate and promotes GABA-mediated neurotransmision

200

Lithium USES

- mood swings

- mania

- antisuicidal 

- neuroprotective

300

What are the common side effects of Lithium?

nausea, fine tremors, increased thirst, polyuria, weight gain

400

Signs of lithium toxicity 

confusion, blurred vision, diarrhea, tinnitus, coma, convulsion 

500

Lithium therapeutic range + Toxicity levels

Therapeutic: 0.6 - 1.2

MILD: 1.5 - 2

MODERATE: 2-3

SEVERE: >3

OTHER mood stabilizers

100

Risperdal causes.....

Increased galactorrhea and amenorrhea 

200

Medication adverse effect includes: weight loss and mental dulling

topiramate (Topamax)

300

What medication causes Stevens Johnson syndrome?

lamotrigine (Lamictal)

400

Depakote therapeutic range and toxicity level 

Therapeutic range :50-125

Toxic: >150

500

What two things does Tegretol cause and at what level do you D/C?

1. Agranulocytosis

2. aplastic anemia 

3. ANC <1000

GENERICS and TRADES

100

lamotrigine

Lamictal

200

Trileptal 

oxcarbazepine

300

asenapine

Saphris

400

cariprazine

Vraylar

500

Caplyta

lumateperone

Antiparkinson

100

What three medications are used to treat EPS?

1. benztropine (Cogentin)

2. trihexyphenidyl (Artane)

3. diphenhydramine (Benadryl)

200

What three Extrapyramidal symptoms are relieved by antiparkinson medication?

Dystonia, Akathisia, Parkinsonism 

300

This medication is used to treat NMS by "Promoting dopamine"

bromocriptine (Parlodel)

400

These two medications help with eye blinking and grimacing, striking tongue out, jerking hand and leg movements manifestations of a condition known as Tardive Dyskinesia.

valbenazine (Ingrezza)

deutetrabenazine (Austedo)

500

This medication inhibits calcium release from the sarcoplasmic reticulum helping symptoms of neuroleptic malignant syndrome like muscle rigidity.

dantrolene / Dantrium

Alzheimer's

100

T/F - When a pt is on alzheimer medication c/o n/v/d you should discontinue the medicaiton.

FALSE. Titrate dose to reduce GI effects

200

Taking donepezil (Aricept) and rivastigmine (Exelon) with concurrent NSAIDs use puts the patient at risk for what?

GI BLEED

300

Which medication is approved for moderate to severe stages of alzheimer?

memantine (Namenda)

400

What past medical hx should you be aware of when administering Aricept and Exelon for the risk of causing bronchoconstriction?

Asthma and COPD

500

What three medication subgroups are contraindicated with Aricept and Elexon for the risk of reducing therapeutic effects?

TCAs, FGAs, antihistamines