Drug Classification in Schedules 1, 2, and 3
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Questions and Answers

What is the main characteristic of Schedule 3 drugs?

  • They can be verbally ordered and refilled up to five times within 6 months (correct)
  • They require a written prescription within 72 hours
  • They are not available for regular use except for investigational purposes
  • They have a high potential for abuse

    • Which category for pregnancy indicates that controlled studies fail to demonstrate a risk to the fetus in the first trimester?

  • Category D
  • Category B
  • Category A (correct)
  • Category C

    • What is a defining attribute of Schedule 1 drugs?

  • They have a valid medical use but high potential for abuse
  • They can be refilled up to five times within 6 months
  • They include nonnarcotic analgesics and antianxiety agents
  • Not available for regular use except for investigational purposes (correct)

    • Which drugs have a low potential for abuse and limited physical dependence?

    <p>Lorazepam (Ativan)</p> Signup and view all the answers

    What differentiates Schedule 2 drugs from Schedule 3 drugs?

    <p>They require a written prescription within 72 hours</p> Signup and view all the answers

    What is the primary feature of Schedule 5 drugs?

    <p>Antitussives and antidiarrheals</p> Signup and view all the answers

    Under which category for pregnancy does the possibility of fetal harm appear remote?

    <p>Category B</p> Signup and view all the answers

    What is a distinguishing characteristic of Schedule 2 drugs?

    <p>Valid medical use but high potential for abuse</p> Signup and view all the answers

    Which drugs are included in Schedule 4?

    <p>Lorazepam (Ativan)</p> Signup and view all the answers

    What sets Schedule 3 drugs apart from Schedule 4 drugs?

    <p>Low potential for abuse and limited physical dependence</p> Signup and view all the answers

    Which group of individuals is mentioned to have a decreased risk of suicide when taking SSRIs?

    <p>Adults aged 25-64</p> Signup and view all the answers

    What somatic symptom is most commonly seen in children and teenagers with no identifiable physical cause?

    <p>Abdominal pain</p> Signup and view all the answers

    What is the boxed warning associated with the use of antidepressants in children, adolescents, and young adults?

    <p>Increased risk of suicidal thinking and behavior</p> Signup and view all the answers

    Which type of medication can cause QT interval prolongation and neuroleptic malignant syndrome?

    <p>Antipsychotics</p> Signup and view all the answers

    What is the first-line therapy recommended by the APA for Obsessive-Compulsive Disorder (OCD)?

    <p>Fluoxetine</p> Signup and view all the answers

    Which age group is mentioned to have an increased risk of suicidal ideation with the use of antidepressants?

    <p>Teenagers aged 19-25</p> Signup and view all the answers

    Which medication is considered 1st line for treating elderly depression?

    <p>Citalopram</p> Signup and view all the answers

    What is the main adverse event associated with Benzodiazepines (BZDs)?

    <p>Ataxia</p> Signup and view all the answers

    Apart from abdominal pain, what is another common somatic symptom seen in children and teenagers with no physiological cause?

    <p>Headaches</p> Signup and view all the answers

    Which medication can be an option for individuals with a history of substance abuse when treating anxiety?

    <p>Buspirone</p> Signup and view all the answers

    What is the primary consideration when prescribing drugs in pregnancy?

    <p>Minimizing the risk of fetal harm</p> Signup and view all the answers

    What is the primary purpose of Phase III Clinical Trials?

    <p>To compare the new drug with existing treatments in a large-scale trial</p> Signup and view all the answers

    What is the primary contributor to morbidity and mortality in elderly individuals?

    <p>Polypharmacy</p> Signup and view all the answers

    What is the primary cause of preventable medication problems in elderly individuals?

    <p>All of the above</p> Signup and view all the answers

    What is the primary source of polypharmacy in elderly individuals?

    <p>All of the above</p> Signup and view all the answers

    What is the primary consequence of polypharmacy in elderly individuals?

    <p>Increased risk of hospital admissions</p> Signup and view all the answers

    What is the primary role of Phase IV Clinical Trials?

    <p>To monitor the long-term safety and efficacy of the drug</p> Signup and view all the answers

    What is the primary consideration when evaluating the safety of a drug during pregnancy?

    <p>The drug's potential risk to the fetus</p> Signup and view all the answers

    What is the primary purpose of Preclinical Trials?

    <p>To evaluate the efficacy and toxic effects of the drug in animals</p> Signup and view all the answers

    What is the primary concern with NSAIDs in elderly individuals?

    <p>Gastrointestinal complications</p> Signup and view all the answers

    Which type of antidepressant is known to be metabolized by the liver and requires titration before discontinuation?

    <p>SNRIs</p> Signup and view all the answers

    Which class of antidepressants is associated with adverse effects such as nausea, insomnia, and decreased libido, especially in serotonin storm and bipolar patients?

    <p>SNRIs</p> Signup and view all the answers

    Which antidepressant class is known to increase the relative concentrations of both serotonin and norepinephrine, with a varying degree of serotonergic or noradrenergic activity depending on the dose?

    <p>SNRIs</p> Signup and view all the answers

    Which class of antidepressants is considered 3rd line and is primarily used as potent inhibitors of norepinephrine reuptake with fewer effects on serotonin?

    <p>TCAs</p> Signup and view all the answers

    Which antidepressant category is known for causing cholinergic side effects and being useful for pain control?

    <p>TCAs</p> Signup and view all the answers

    Which type of antidepressants is similar to TCAs in its effects but causes sedation, increased appetite, and reduced insomnia?

    <p>α2-Noradrenergic antagonists/mixed serotonin blockers</p> Signup and view all the answers

    Which antidepressant acts as a weak serotonin receptor antagonist and is highly sedating at therapeutic doses, commonly used to treat insomnia?

    <p>Serotonin 2A antagonists</p> Signup and view all the answers

    Which antidepressant class leads to decreased degradation of norepinephrine, serotonin, and dopamine in the synaptic cleft, but is associated with severe hypertensive crisis?

    <p>MAOIs</p> Signup and view all the answers

    Which class of antidepressants is known for being broad-spectrum but requires the strict avoidance of tyramine-containing foods due to the risk of hypertensive crisis?

    <p>MAOIs</p> Signup and view all the answers

    Which antidepressant category is highly sedating at therapeutic doses and often used to treat insomnia?

    <p>Serotonin 2A antagonists</p> Signup and view all the answers

    Which medication can be considered first-line for preventively treating migraines?

    <p>Metoprolol</p> Signup and view all the answers

    What is a common adverse reaction to triptans indicated in the text?

    <p>Chest pain</p> Signup and view all the answers

    If a patient experiences heartburn as a side effect, which medication could they potentially be using?

    <p>Propranolol</p> Signup and view all the answers

    What symptom should raise concern about a possible severe headache based on the text?

    <p>Stiff neck</p> Signup and view all the answers

    Which class of medications is recommended as a second-line abortive treatment for migraines in the text?

    <p>Ubrogepant</p> Signup and view all the answers

    What adverse reaction might justify the avoidance of triptans in a patient with coronary artery disease?

    <p>Increased blood pressure</p> Signup and view all the answers

    Which medication is a drug of choice in status migrainosus and for triptan resistance or failure?

    <p>Dihydroergotamine</p> Signup and view all the answers

    If a patient reports weakness and numbness, which red flag headache symptom should be considered based on the text?

    <p>Headache associated with neurological symptoms</p> Signup and view all the answers

    Which non-pharmacological intervention is recommended as a first-line preventive treatment in the text?

    <p>CBT</p> Signup and view all the answers

    If a patient experiences insomnia following medication use, which drug may be the culprit according to the text?

    <p>Venlafaxine</p> Signup and view all the answers

    What is the primary reason for closely monitoring serum lithium levels?

    <p>To prevent lithium toxicity</p> Signup and view all the answers

    What is the recommended range for serum lithium concentrations in most patients for a therapeutic response?

    <p>0.8-1.2 mEq/L</p> Signup and view all the answers

    What condition contraindicates the use of lithium?

    <p>Renal disease</p> Signup and view all the answers

    Which age group needs dose adjustments when prescribing lithium?

    <p>Pediatric and older adult patients</p> Signup and view all the answers

    In the treatment of acute severe mania, lithium is typically administered in combination with which type of drug?

    <p>Antipsychotics</p> Signup and view all the answers

    What is a significant interaction to be mindful of when prescribing lithium?

    <p>Interactions with calcium channel blockers</p> Signup and view all the answers

    What is a common side effect of lithium therapy related to its serum levels?

    <p>Lithium toxicity</p> Signup and view all the answers

    Why is it essential to adjust doses of drugs interacting with lithium?

    <p>To prevent drug interactions</p> Signup and view all the answers

    For which purpose is lithium primarily used in treating bipolar disorder?

    <p>Managing manic episodes</p> Signup and view all the answers

    In which patients might a therapeutic response be observed at lower serum lithium levels like 0.6 mEq/L?

    <p>Elderly individuals</p> Signup and view all the answers

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