Extrapyramidal Symptoms (EPS)
A feeling of muscle quivering, restlessness, and inability to sit still
What is akathisia?
Diagnosis of manic episodes (major high) that last about 1 week and major depressive episodes (major low) that last about 2 weeks
What is bipolar 1?
First line treatment option for major depressive disorder
What are SSRIs?
Scoring system to assess alcohol withdrawal severity
What is CIWA-Ar?
Exaggeration of normal processes including hallucinations or delusions and disorganized speech
What are positive symptoms of schizophrenia?
Involuntary muscle contractions that cause slow repetitive movements or abnormal postures. May be extremely painful
What is dystonia?
Diagnosis of at least 1 hypomanic (minor high), at least one major depressive episode (major low), and the absence of manic episodes
What is bipolar 2?
Most common side effect of selective serotonin reuptake inhibitors
What is sexual dysfunction?
First line treatment for alcohol withdrawal
What are benzodiazepines?
Medication that requires weekly blood monitoring while on therapy
What is clozapine?
First line treatment for parkinsonism and dystonia
What are Anticholinergics (Cogentin and Benadryl)?
Toxicity of this first line bipolar treatment is associated with tremor, mild ataxia, poor concentration, tinnitus, N/V/D, slurred speech, confusion, nystagmus, seizure, or coma
Lithium
Potentially lethal condition caused by overstimulation of central and peripheral serotonin receptors. Symptoms include anxiety, agitation, delirium, diaphoresis, tachycardia. hypertension, hyperthermia, GI distress, tremor, and muscle rigidity
Common pharmacotherapy for alcohol withdrawal that only come in oral dosage form
What is librium (chlordiazepoxide)?
Drug with FDA safety alert for impulse control disorder (ex: gambling, binge eating)
What is Abilify (aripiprazole)?
Repetitive, involuntary movements, such as grimacing and eye blinking
What is tardive dyskinesia?
Lamictal (lamotrigine) is associated with increased risk of developing this SERIOUS skin related adverse event
What is Steven Johnson Syndrome?
Antidepressants used in low doses for insomnia and higher doses for depression
Scoring system used to evaluate risk for developing alcohol withdrawal
PETO medication with black box warning for QTc prolongation
What is Geodon (ziprasidone)?
Generation of antipsychotics that more commonly cause EPS
What are first-generation antipsychotics?
Class of drug that can induce manic/hypomanic switch
Antidepressants
Contraindicated in bulimia nervosa, anorexia, and seizure disorders
What is bupropion?
Rapid onset of fluctuating disturbances of attention, cognition, and agitation. Sometimes associated with hallucinations. Can present 72-96 hours after last drink.
What is delirium tremens (DT)?
Highly lethal syndrome occurring commonly with first generation antipsychotics that causes hyperthermia, fever, sweating, muscle rigidity (lead pipe), altered mental status, tachycardia, and tachypnea
What is Neuroleptic malignant syndrome (NMS)?