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Miscellaneous Psych Meds
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List common psychostimulants used to tx ADHD (4). What is their MOA? SE? (5)
dextroamphetamine
methylphenidate
adderall
pemoline
Facilitate endogenous NT (monoamine) release
Wt loss, tachycardia, insomnia, anxiety, HTN
What is atomoxetine? Uses? SE? (1)
selective norepinephrine re-uptake inhibitor
ADHD
Increase risk of suicide in children
What drug class is useful in treating neuroleptic-induced parkinsonism? (2)
Anti-cholinergics (main tx)
Anti-histamine
What is first line-tx for akathisia? (2)
beta-blockers
lorazepam
What are SE of anti-cholinergics? (5)
blurry vision
constipation
urinary retention
sedation
delierium**
List psychiatric uses of beta-blockers (4)
Impulsivity
Performance anxiety
Akathisia
Lithium-induced tremor
List SE of beta-blockers (6)
bradycardia
hypotension
asthma exacerbation
masked hypoglycemia with DM
fatigue
depressed mood
What is the MOA of Naltrexone? Use?
Mu opiod antagnoist
Prevent EtOH replase
When do you initiate Naltrexone treatment in regards to EtOH? In regards to co-abuse of opiates?
After pt has been detoxified
at least 1 week after last opiate exposure
What is Acamprosate used for?
Maintaining abstinence in previously EtOH-dependent individuals - decreases relapse
What is the MOA of Disulfiram (Antabuse)?
Blocks oxidation of acetaldehyde --> increase in acetaldehyde (toxic reaction occurs w/in 5-10 mins)
What occurs when pt drinks EtOH while on Disulfiram? (6)
Flushing
Headache
N/V
Dizziness
CP
Dyspnea
What is MOA of Buprenorphine? Use?
Partial opioid agonist
Opioid detox
What is Subutex?
Oral buprenorphine
What is Suboxone? Why is it useful?
Buprenorphine and naloxone
Prevents tablets from being used recreational IV injection
What is Buprenex?
Oral buprenorphine
What is the MOA of Clonidine?
CNS alpha2 adrenoreceptor agonist --> inhibits release of CNS norepinephrine
Uses of Clonidine? (4)
Decrease S/S of opiate w/drawal
ADD
Tourette's syndrome
Impulsive control
What are SE of Clonidine? (3)
Sedation
Dizziness
Hypotension
List cognitive enhancers that function by blocking Achesterase (4)
Donepezil (Aricept)
Rivastigmine (Exelon)
Galantamine (Reminyl)
Tacrine (Cognex)
What are SE of tacrine? (2)
Increase in serum transaminases
Severe hepatotoxicity
Reserved for 2nd-line tx
What is MOA of Memantine? Uses?
NMDA antagonist
Tx moderate-to-sever Alzheimer's
What are psychiatric uses of T4?
Adjunct to lithium for rapid cycling bipolar disorder
Author
sini
ID
230017
Card Set
Miscellaneous Psych Meds
Description
Miscellaneous Psych Meds
Updated
2013-08-14T21:42:13Z
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