Psych Rx jr85

Created by robbinsj85 

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63 terms

↑γGlutamyltransferase

Alcohol

2:1 AST:ALT

Alcohol

Pinpoint pupils (miosis), constipation, seizures

Opioid overdose

Respiratory depression

Barbituates
(could be benzos, alcohol)

Benzos Reversal

Flumazenil- competitive GABA antagonist

Amphetamines Withdrawal

cramps, hungry, sleepy

Cocaine Withdrawal

Suicidal
Sleepy
Sick (malaise)
Seeking

Caffeine Overdose Sx

Restleness,
Diuresis
Muscle twitching

Cocaine Overdose Sx

Mydriasis
Hallucinations
Paranoid
Angina
Sudden Cardiac Death

Cocaine Reversal

Benzos

Amphetamines Overdose Sx

Pupillary Dilation
Judgement Impaired
Hallucinations
Fever

Pupillary Dilation

Amphetamines
Cocaine
LSD

Pupillary Constriction

Opioids

LSD Overdose Sx

Delusions
Visual Hallucinations, Flashbacks

Depressants

Alcohol, Opioids, Barbs, Benzos

Stimulants

Amphetamines, Cocaine, Caffeine, Nicotine

Hallucinogens

PCP, LSD, Marijuana

Disulfiram MOA

inhibits acetaldehydes
(produces hangover symptoms earlier)

Delirium Tremens

ANS (tachycardia, tremors, seizures)
Psychotic (hallucinations, delusions)
Confusion

Tx: Delirium Tremens

Benzos

Tx: Bulimia

SSRIs

Tx: Anxiety

SSRIs
Benzos
Buspirone

Tx: Atypical Depression

SSRIs
MAOis

Tx: Bipolar

Lithium
Valproic Acid
Carbamazepine
Antipsychotics

Tx: Depression

SSRIs

SNRIs, TCAs

Tx: Depression with Insomnia

Mirtα2zapiNE
(trazodone also can work)

Tx: OCD

SSRIs
Clomipramine (TCA)

Tx: PTSD

SSRIs

Tx: Tourette's

Antipsychotics (Haloperidol, Resperidone)

Tx: Social Phobias

SSRIs

Antipsychotics Names

"AZINES"
Haloperidol, Trifluorperazine, Fluphenazine, Thioridazine, chlorpromazine

Haloperidol/Azines MOA

Block D2rec-> ↑cAMP

Atypicals Antipsychotics MOA

blocks 5HT2, α, D, H1 Receptors

sfx: prolonged QT

Ziprasidone

sfx: seizures, agranulocytosis

Clozapine

sfx: weight gain

Olanzapine, Clozapine

Neuroleptic Malignant Syndrome

Antipsychotics (Halo/Azines)
Fever
Encephalopathy
Vitals unstable
Elevated CPK, Leukocytosis
Rigged muscle

EPS sfx

4hr Acute dystonia
4days Akinesia
4 wk akathisia
4 mo tardive dyskinesia

Haloperidol/Azines sfx

EPS
NMS
Endocrine (HyperPRL, galactorrhea)

Lithium MOA

Alters Na Transport
Alters Inositol Triphosphate (IP3) (2nd messenger)

Lithium sfx

LITT↓HEEum= Insipidus (diabetes), Tremors, Teratogenic, Hypothyroidism, Edema, Ebstein's anamoly

Buspirone MOA

Stimulates 5HT1Arec

Tx: General Anxiety Disorder

Buspirone

Bupropion MOA

↑NE and D

sfx: seizures in bulimics

Buproprion

Antidepressant with no sexual sfx

Bupropion

Maprolitine MOA

blocks NE Reuptake

Trazodone MOA

blocks serotonin reuptake

takes 4-8 weeks to work

SSRIs

Venlafaxine

SNRI- Generalized Anxiety Disorder

SNRIs sfx

↑ BP

MAOi Names

MAO is TIPSy= Tranylcypromine, Isocarboxazid, Phenelzine, Selegiline

MAOb inhibitor

Selegiline

Tx: Hypochondriasis

MAOi

MAOi sfx

HTN Crisis w/ tyramine (alcohol, cheese) or β Agonist
SSRIs or Meperidine are contraindicated (Serotonin Syndrome)

Tx: Serotonin Syndrome

Cyproheptadine

Serontonin Syndrome Cx

St. SELl Drugs That Make Me Tryp= St. John Worts, SSRIs, Dextra, TCAs, Meperdine, MAOi, Tryptophans

Causes Sexual Dysfunction

SSRIs, TrazoBONE (male priapism)

Suboxone

Naloxone + Buprenorphine (partial agonist)
few withdrawal Sx than Methadone

TCAs Names

Amitrypline, Nortriptyline, Imipramine, Desipramine, Clomipramine, Doxepin, Amoxapine

SSRIs Name

Fluoxetine, Paroxetine, Sertraline, Citalopram

Tx: Bedwetting

Imipramine (TCA)

Tx: Fibromyalgia

TCAs

(Amitrypline, Nortriptyline, Imipramine, Desipramine, Clomipramine, Doxepin, Amoxapine)

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