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Flashcards in Psych & Neuro Deck (17):
1

What needs to measured before commencing antipsychotic therapy?

FBC, U+E, LFT,
Lipids, weight
Fasting blood glucose
Prolactin
BP
ECG
Cardiovascular risk assessment

2

Which antipsychotic needs more close monitoring?

Clozapine

3

When do FBC, U&E, LFTs need monitoring

At the start of therapy and annually

4

When do lipids, weight, fasting blood glucose and prolactin need to be monitored?

At start of therapy
3 months lipids weight, 6months gluc and prolactin
Annually

5

SE of metoclopramide

Parkinsonism

6

What alzheimer's drug is licensed for someone who has parkinson's as well?

Rivastigmine (AChEi)

7

Which anti-nausea drug is safe in Parkinson's?

Domperidone
doesn't cross BBB

8

Which drug is useful if haloperidol isn't enough for sedation in palliative care?

Midazolam
Used in ICU & palliative care

9

When is sumatriptan containdicated?

Ischaemic heart disease

10

3 1st line treatments for meningitis

Cefotaxime
Aciclovir
Dexamethasone

11

Treatment of status epilepticus

Buccal midazolam or IV lorazepam
Repeat
Then IV phenytoin if not resolved

12

How long do you treat with SSRIs after a response has been seen?

Minimum 6months
Reduces risk of relapse

13

What can lithium in pregnancy cause?

Ebstein abnormality
Baby born with tricuspid valve regurg and stenosis

14

What 7 drugs (or classes) can cause idiopathic intracranial hypertension?

TCAs
Lithium
Contraceptives
Steroids
Levothyroxine
Cimetidine (H2 antagonist)
Isotetinoin

15

Name the drugs that worsen epilepsy control

alcohol, cocaine, amphetamines
ciprofloxacin, levofloxacin
aminophylline, theophylline
bupropion
methylphenidate (used in ADHD)
mefenamic acid

16

What needs to be monitored in sodium valproate therapy?

FBC
LFTs (during 1st 6 months)

17

What needs to monitored in lithium therapy?

Lithium levels
TFTs
U+Es (can accumulate of renal function drops)