Psychopharmacology: Medications for Psychiatric Disorders

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Questions and Answers

A patient is prescribed an antidepressant as an initial treatment. Which class of medications is typically favored in this scenario?

  • Tricyclic antidepressants
  • Monoamine oxidase inhibitors (MAOIs)
  • Selective serotonin reuptake inhibitors (SSRIs) (correct)
  • Serotonin-norepinephrine reuptake inhibitors (SNRIs)

Which medication is used to manage initial opioid withdrawal?

  • Methadone (correct)
  • Disulfiram
  • Lorazepam
  • Bupropion

A patient with anxiety also has a history of alcohol abuse. Which medication should be used with caution due to its potential for cross-tolerance and respiratory depression?

  • Trazodone
  • Sertraline
  • Buspirone
  • Alprazolam (correct)

Which medication is commonly used to prevent seizures associated with alcohol withdrawal?

<p>Benzodiazepines (A)</p> Signup and view all the answers

A patient is prescribed Tranylcypromine. The patient should be educated about dietary restrictions due to the risk of hypertensive crisis with which medication class?

<p>MAOI (B)</p> Signup and view all the answers

Which medication is indicated to help prevent alcohol use?

<p>Disulfiram (C)</p> Signup and view all the answers

A patient is diagnosed with ADHD and is prescribed medication to help manage their symptoms. Which of the following medications is commonly used for ADHD?

<p>Methylphenidate (C)</p> Signup and view all the answers

Which of the following is an atypical antipsychotic?

<p>Risperidone (A)</p> Signup and view all the answers

Which mood stabilizer requires monitoring of blood levels due to its narrow therapeutic index and potential for toxicity?

<p>Lithium (B)</p> Signup and view all the answers

Which of the following medications is classified as a selective serotonin reuptake inhibitor (SSRI)?

<p>Fluoxetine (A)</p> Signup and view all the answers

Flashcards

Antianxiety Drugs

Medications used to reduce anxiety. Examples include benzodiazepines and buspirone.

Benzodiazepines

A class of antianxiety drugs that include Lorazepam, Clonazepam and Diazepam.

Antidepressants

Medications used to treat depression, such as SSRIs and SNRIs.

SSRIs

Antidepressants that selectively increase serotonin levels in the brain. Fluoxetine and Sertraline are examples.

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SNRIs

Antidepressants that increase both serotonin and norepinephrine levels in the brain. Venlafaxine and Duloxetine are examples.

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Atypical Antidepressants

Atypical antidepressants like Nefazodone, Trazodone, Bupropion, and Mirtazapine.

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Tricyclic Antidepressants

A class of antidepressants including Amitriptyline and Nortriptyline.

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MAOIs

Antidepressants like Phenelzine and Tranylcypromine.

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Mood Stabilizers

Medications used to stabilize mood swings, often used in bipolar disorder.

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Anti-Seizure Meds

Drugs such as Valproic Acid and Carbamazepine, prescribed as mood stabilizers.

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Study Notes

  • The study notes cover antianxiety medications, antidepressants, mood stabilizers, antipsychotics, substances for misuse, sleepers, and ADHD medications

Antianxiety Medications

  • Benzodiazepines like Lorazepam/Ativan, Clonazepam/Klonopin, Alprazolam/Xanax, Diazepam/Valium, and Chlordiazepoxide/Librium are used
  • Buspirone/Buspar is also useful for antianxiety

Antidepressants

  • Selective Serotonin Reuptake Inhibitors (SSRIs) are often the initial treatment
  • SSRIs: Fluoxetine/Prozac, Paroxetine/Paxil, Citalopram/Celexa, Escitalopram/Lexapro, Sertraline/Zoloft
  • Serotonin-Norepinephrine Reuptake Inhibitors (SNRIs) include Venlafaxine/Effexor, Desvenlafaxine/Pristiq, and Duloxetine/Cymbalta
  • Atypical antidepressants include Nefazodone/Serazone, Trazodone/Desyrel, Bupropion/Wellbutrin, and Mirtazapine/Remeron
  • Tricyclic antidepressants: Amitriptyline/Elavil, Nortriptyline/Pamelor, Desipramine/Norpramin, and Imipramine/Tofranil
  • Monoamine Oxidase Inhibitors (MAOIs): Phenelzine/Nardil, Tranylcypromine/Parnate, Isocarboxazid/Marplan, Selegeline/Eldepryl

Mood Stabilizers

  • Commonly used anti-seizure medications: Valproic Acid/Depakote, Divalproex/Valproate, Carbamazepine/Tegretol, Oxcarbazepine/Trilleptal, Lamotrigine/Lamictal, Gabapentin/Neurontin, Topiramate/Topamax
  • Lithium also serves as a mood stabilizer

Antipsychotics (Neuroleptics)

  • Older, typical antipsychotics: Chlorpromazine/Thorazine, Haloperidol/Haldol, Fluphenazine/Prolixin, Trifluoperazine/Stelazine
  • Newer, atypical antipsychotics: Risperidone/Risperdal, Ziprazodone/Geodon, Olanzapine/Zyprexa, Quetiapine/Seroquel, Clozapine/Clozaril, Aripiprazole/Abilify

Management of Substance Misuse

  • Methadone is used for initial opioid withdrawal
  • Benzodiazepines manage opioid withdrawal symptoms and prevent seizures during alcohol withdrawal
  • Buprenorphine helps with opioid withdrawal symptoms
  • Disulfiram assists in preventing alcohol use

Medications for Sleep

  • Benzodiazepines like Diazepam/Valium, Flunitrazepam/Rohypnol, and Lorazepan/Ativan
  • Barbiturates such as Phenobarbitol
  • Other options include Zolpidem/Ambien, Rozarem/Remelteon, and Alcohol

ADHD Medications

  • ADHD medications stimulants Methylphenidate/Ritalin/Concerta, Dextroamphetamine/Adderall, and Lisdexamfetamine/Vyvanse are effective
  • Guanfacine/Intuniv is another option to treat ADHD

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