P2.pdf

- benzodiazepines alprazola lorzepa...

- benzodiazepines alprazola lorzepa chlordiazepoxid oxazepa 2am clorazepat prazepa Anxiety: diazepa Clonazepam halazepam SSRIs (1st line) Buspirone (2nd line) # NOT use with MAO-I TCA (2nd line) Propranolol (Beta-blocker) # to decrease symptoms, take it before 1 hour of event Benzodiazepine (BZDs) www.nnnmym lastchoice # Bupropion à depression # Buspirone à Anxiety chlorpromazine Antiemeticforcancerpatient -------- Antipsychotic: child Ll st ofFirst Typical Antipsychotic (1 generation): # Extrapyramidal side effect (EPS), and worse -ve symptoms line Haloperidol, chlorpromazine em m on retina and corneal vain # chlorpromazine causes Pigmentary seem secimb Atypical Antipsychotic (2nd generation): schizophrenia ‫مثالً يعني‬ # Metabolic side effect Metabolicdisease 6,681A Clozapine, Aripiprazole, olanzapine, Quetiapine excDiabetes melletus soiree # Clozapine cause agranulocytosis like PTU, monitor ANC, WBC 🪢 low number of granulocyte damn (a type of white blood cell) Propyitniouracid fornypertngrodism Antipsychotic for Parkinson patient: Quetiapine, Primavanserin my Patient with Tardive Dyskinesia (TD): Valbenazin I # 1st FDA medication approved for TD main Medication for Extrapyramidal effect: Benztropine, Diphenhydramine, BZDs is at onanist Most effective in treating +ve symptoms in schizophrenia: 2nd generation E Worsening -ve symptoms and developed EPS : 1st generation Psychotic patient take olanzapine with high glucose what is alternative: Haloperidol (1st G, less metabolic changes) Toi DME g I DOST Smoking with Clozapine and Olanzapine ': Increase metabolism decrease med. Conc. Increase CL of Med. # Need higher dose of Olanzapine with smoking pt. in --------