How can we help?

You can also find more resources in our Help Center.

37 terms

Psych Clerkship Drugs

Psych drugs from First Aid for the Psychiatry Clerkship
STUDY
PLAY
Widened QRS
This is a sign of TCA toxicity
High potency antipsychotics
Haloperidol, Fluphenazine
Lorazepam
Intermediate acting benzodiazepine, brand name Ativan
Traditional
This class of antipsychotics block dopamine receptors
Atypical
This class of antipsychotics block dopamine and serotonin receptors
Low potency antipsychotics
Chlorpromazine, Thioridazine
Low potency
This class of antipsychotic has a higher incidence of anticholinergic and antihistaminic side effects, but less EPS and NMS
Atypical
This class of antipsychotic has been shown to be more effective in treating the negative symptoms of schizophrenia
Parkinsonism, akathisia, dystonia
EPS from traditional antipsychotics
Fever, autonomic instability, leukocytosis, tremor, elevated CPK, lead pipe Rigidity
FALTER, the symptoms of NMS
Olanzapine
This antipsychotic can cause hyperlipidemia, glucose intolerance, weight gain, and hepatotoxicity
Quetiapine
This antipsychotic causes less weight gain, but has been shown to cause cataracts in dogs
Atypical
This class of antipsychotic has the lowest incidence of Parkinsonian side effects
TCAs
This class of drugs must be used carefully because they can be lethal in overdose
IV sodium bicarbonate
This is given to treat TCA overdose
Convulsions, coma, cardiotoxicity
The 3 Cs of complications from TCA treatment
Antidopaminergic, Anti-HAM, weight gain, elevated liver enzymes, ophthalmologic problems, rash, seizures, TD, NMS
Side effects of the traditional antipsychotics
Nortriptyline
This TCA is the least likely to cause orthostatic hypotension
Desipramine
This TCA is the least sedating and has the least anti-cholinergic side effects of the TCAs
Clomipramine
This TCA is the most serotonin specific, and is useful in treating OCD
Fluoxetine
This SSRI has the longest half-life, and does not need to be tapered
Sertraline
This SSRI has the highest risk for GI disturbance
Paroxetine
This SSRI is the most serotonin specific and most activating
Fluvoxamine
This SSRI is currently only approved for OCD
Citalopram
This SSRI was used in Europe for 12 years before being approved in the US
Escitalopram
Similar to citalopram, but fewer side effects and much more expensive
Anorexia, sexual dysfunction, insomnia, GI disturbance, headache
SSRIs cause these side effects
Venlafaxine
This SNRI is used for refractory depression, and should be avoided in patients with untreated hypertension
Bupropion
This NDRI is used for ADHD, has a lack of sexual side effects, and should not be used in patients with anxiety or epilepsy
Trazodone
This SARI is used for refractory depression and insomnia, and side effects include nausea, dizziness, orthostatic hypotension, sedation, and priapism
Mirtazapine
This NASA is used for refractory major depression and causes weight gain
Lithium
This mood stabilizer has side effects including hypothyroidism, tremor, sedation, weight gain, and others
Carbamazepine
Anticonvulsant also used as a mood stabilizer, useful for mixed episodes and rapid-cycling bipolar disorder
Carbamazepine
Side effects of this mood stabilizer include leukopenia, hyponatremia, aplastic anemia, and agranulocytosis
Valproic acid
Side effects of this mood stabilizer include hepatotoxicity, pancreatitis, thrombocytopenia, and weight gain
Buspirone
This anxiolytic can be used for GAD as an alternative to benzos or venlafaxine
Buspirone
This anxiolytic is a partial agonist at the 5HT-1A receptor