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63 terms

Psych Rx jr85

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↑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)