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SGU NB 3 Treatments + Drugs

Terms in this set (73)

Anxiety Treatment
CBT, antidepressants (paroxetine, sertraline), benzodiazepines (diazepam, alprazolam)
Paroxetine (Paxil)
SSRI
Sertraline (Zoloft)
SSRI
Diazepam (Valium)
Benzodiazepine
Alprazolam (Xanax)
Benzodiazepine
Fluoxitine (Prozac)
SSRI
OCD Treatment
exposure and response prevention, SSRIs (fluoxetine), psychosurgery (anterior cingulate gyrus, anterior limb of internal capsule), deep brain stimulation
Somatic Symptom & Related Disorders Treatment
CBT
PTSD/ASD Treatment
psychotherapy, antidepressants, benzodiazepines
Dissociative Disorder Treatment
CBT, hypnosis
MDD Treatment
CBT, SSRIs, SNRIs, TCAs, MAOIs, Esketamine nasal spray (NMDA blocker), phototherapy, brain stimulation (ECT, rTMS, VNS)
First line drugs:
SSRIs (fluoxetine, citalopram, sertraline), SNRIs (venlafaxine, duloxetine)
Second line drugs:
TCAs (imipramine, amitriptyline), MAOIs (phenelzine, selegiline)
Citolopram (Celexa)
SSRI
venlafaxine
SNRI
Duloxetine (Cymbalta)
SNRI
Imipramine
TCA
Amitriptyline
TCA
phenelzine
MAOI
selegiline
MAOI
electroconvulsive therapy (ECT)
induction of a generalized seizure, pt is pretreated w/ muscle relaxant

CONTRAINDICATION: vascular disease
repetitive transcranial magnetic stimulation (rTMS)
magnetic pulses stimulate prefrontal cortex, pt must have failed at least 1 medication trial
vagus nerve stimulation (VNS)
electrical stimulation through the vagus nerve to the brain through surgically implanted device, effect takes several months
Bipolar Treatment
Mood stabilizers (lithium, anticonvulsants, antipsychotics)
Valproate (Depakote)
Anticonvulsant
Olanzapine (Zyprexa)
Antipsychotic (Atypical)
Lurasidone
antipsychotic specifically approved for bipolar depression
Insomnia Treatment
improve sleep hygiene, sedatives (benzodiazepines), nonbenzodiazepine hypnotics (zolpidem)
Zolpidem (Ambien)
nonbenzodiazepine hypnotic
Hypersomnolence Treatment
stimulants (methylphenidate), stimulant-like drugs (modafinil)
Methylphenidate (Ritalin)
stimulant - increases DA and NE
Modafinil
stimulant-like drug
Narcolepsy Treatment
-stimulants (dextroamphetamine)/stimulant-like drugs (modafinil) AND antidepressants (for cataplexy)
-sodium oxybate (GHB, Xyrem)
Dextroamphetamine
stimulant
Benzodiazepine (Sedative)
Treatment for non-REM sleep arousal disorder, insomnia, PTSD/ASD, anxiety, restless leg syndrome, alcohol withdrawal, PCP intoxication
Non-REM Sleep Arousal Disorder Treatment
benzodiazepines
REM Sleep Behavior Disorder Treatment
Clonazepam (specific benzodiazepine)
Restless Leg Syndrome/Periodic Limb Movements Treatment
drugs for Parkinson's disease, benzodiazepine, anticonvulsants
Binge Eating Disorder Treatment
CBT, antidepressants, lisdexamfetamine (stimulant)
Paraphilia Treatment
aversion therapy, covert sensitization, antidepressants, antiandrogens
Sexual Desire Treatment
Dual Sex Therapy - non sex homework activities, gradually progressing to sexual activites
Premature Ejaculation Treatment
squeeze, start and stop, SSRI
Schizophrenia Prognostic Indicators
better prognosis - older age of onset, rapid onset, positive sx, absent CNS changes, mood symptoms present, female patient
Schizophrenia Treatment
antipsychotics (D2 receptor antagonists for positive sx -chlorpromazine, haloperidol & atypical D2,3,4 antagonists and 5-HT2a antagonists for negative and positive sx - clozaril, risperidone, olanzapine), ECT augmentation

psychosurgery NO LONGER PERFORMED
chlorpromazine
antipsychotic
Haloperidal (Haldol)
antipsychotic
Clozaril
atypical antipsychotic
Risperidone
atypical antipsychotic
Borderline Personality Treatment
CBT, mindfulness, distress tolerance, emotion regulation, interpersonal efectiveness
Impulse Control Treatment
CBT, aversion therapy, exposure & response prevention, SSRIs w/ variable success
ADHD Treatment
stimulant (amphetamine, methylphenidate), nonstimulants (atomoxetine)
Amphetamine (Adderall)
stimulant - increased both DA and NE
Atomoxetine (Strattera)
nonstimulant - decreases NE reuptake
Delirium Treatment
antipsychotics (risperidone)

benzodiazepines specifically for delirium caused by alcohol withdrawal (diazepam)
Alzheimer's Dementia Treatment
cholinesterase inhibitors (rivastigmine, galantamine, donepezil), NDMA receptor blocker (memantine), multisensory rooms, antipsychotics (off-label), anticonvulsants, antidepressants
rivastigmine
cholinesterase inhibitor
Galantamine
cholinesterase inhibitor
Donepezil
cholinesterase inhibitor
Memantine
NDMA receptor blocker
Alcohol Withdrawal Treatment
benzodiazepines - relieves DT and seizures (chlordiazepoxide, lorazepam, diazepam)

Naltrexone - reduces rewarding effects of alcohol

Acamprosate - decreased anhedonia (NMDA antagonist)

Disulfiram - inhibits aldehyde dehydrogenase
Naltrexone
opioid antagonist
Acomprosate
reduces anhedonia (NMDA antagonist)
chlordiazepoxide
Benzodiazepine
Lorazepam (Ativan)
Benzodiazepine
Disulfiram
Inhibits aldehyde dehydrogenase, alcohol abuse treatment
Benzodiazepine Overdose Treatment
Flumazenil - GABA competitive antagonist
Nicotine Addiction Treatment
Varenicline (Chantix), Buproprion - increased dopamine
PCP Intoxication Treatment
benzodiazepines, antipsychotics, reduce environmental stimulation
Opioid Overdose Treatment
naloxone (Narcan) - short acting opioid receptor antagonist
Opioid Use Treatment
Naltrexone, methadone, buprenorphine, suboxone
naltrexone
long acting opioid receptor antagonist
methadone
full opioid agonist, schedule II, can only be administered/dispensed, NOT prescribed
buprenorphine
partial opioid receptor agonist, schedule III drug
Suboxone
buprenorphine + naloxone (only released if abused)
Gambling Disorder Treatment
CBT, SSRIs, opioid antagonists
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