Term
|
Definition
Sleep
Interest/Mood
Guilt
Energy
Concentration
Appetite
Psychomotor Agitation
Suicidal Ideations |
|
|
Term
|
Definition
Distractibility
Insomnia
Grandiosity
Flight of Thoughts
Activities
Speech
Thoughtlessness |
|
|
Term
|
Definition
| 1-2 hours of bright light daily |
|
|
Term
| Tx for psychotic depression? |
|
Definition
|
|
Term
| What is the most common feature of psychotic depression? |
|
Definition
|
|
Term
| What is the best tx for atypical depression? |
|
Definition
|
|
Term
| How can you prevent hypertensive crisis with MAOIs? |
|
Definition
Tyramine free diet
Avoid SSRIs and TCAs |
|
|
Term
| Contraindications for TCAs? |
|
Definition
Glaucoma
Urinary d/o
Cardiac |
|
|
Term
|
Definition
Phenelzine(Nardil)
Tranylcypromine(Parnate) |
|
|
Term
|
Definition
Nortriptyline(Pamelor)
Amitriptyline(Elavil)
Clomipramine(Anafranil)
Imipramine(tofranil)
Doxepin |
|
|
Term
| Which TCA would you dose an elderly pt? |
|
Definition
| None if possible, but Nortriptyline - Start 25 qhs then titrate to 100 - 150 qhs |
|
|
Term
|
Definition
| Clomipramine(ANafranil) - 25-150qhs |
|
|
Term
| TCA that can also be used for Enurisis |
|
Definition
|
|
Term
| What is a major side effect of SSRIs? |
|
Definition
|
|
Term
| What is the first SSRI of choice? |
|
Definition
Lexapro(Escitalopram)
Celexa(Citalopram) |
|
|
Term
| Which SSRI is ok to use in Pregnant women? |
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
| What three meds can be used to replace SSRIs due to sexual dysfunction? |
|
Definition
| Bupropion, nefazadone, and mirtazipine |
|
|
Term
| What is the triad for Serotonin Syndrome? Tx? |
|
Definition
| Mental, autonomic, and neurologic. Dantrolene. |
|
|
Term
| What drug has a side effect of pripism? |
|
Definition
|
|
Term
| High seizure rate occurs with what med? |
|
Definition
| Bupropion doses above 450mg |
|
|
Term
| ECT is good for what dxs? |
|
Definition
| psychotic, refractory, or severe depression or refractory or life threatening mania. |
|
|
Term
| What do you not use within 10 days of lithium use? |
|
Definition
|
|
Term
| What are some objectives for antidepressant therapy? |
|
Definition
May take 4 wks for meds to show effect.
Reach max dose before switching meds.
Be aware of side effect profile.
Taper over 1-2 wks. |
|
|
Term
| What should you rule out if 2 or more AD trials fail? |
|
Definition
Hyperthyroidism
estrogen deficiency
sleep disorders |
|
|
Term
| 1st line therapy for for acute severe manic or mixed bipolar. |
|
Definition
-Lithium or Depakote and
-Antipsychotic |
|
|
Term
| For less sever bipolar what is a good tx? |
|
Definition
| Monotherapy-Lithium or antipsychotic (rispiradone) |
|
|
Term
| What should you monitor when on Lithium? |
|
Definition
|
|
Term
| What is special about the dosing of Venlafaxine? |
|
Definition
<150mg acts on serotonin
>150mg acts on NE |
|
|
Term
| What 3 meds used for mood disorders are known to cause liver problems? |
|
Definition
| Cymbalta, Serzone, and Depakote |
|
|
Term
| Major Lamictal side effect. |
|
Definition
|
|
Term
| Major side effect for tegretol? |
|
Definition
|
|
Term
| Two major side effects of Lithium? |
|
Definition
|
|
Term
| Side effect of Trazadone (desryl)? |
|
Definition
|
|
Term
| What is the advantage that Mirtazipine carries of other SNRIs and SSRIs? |
|
Definition
| Minimizes sexual dysfunction. |
|
|
Term
| All but what antipsychotic is FDA approved for tx of acute bipolar mania? |
|
Definition
|
|
Term
| What are the extrpyramidal sxs that can occur with antipsychotics? |
|
Definition
| acute dystonia, akathesia, and pseudoparkinsonism |
|
|
