Flashcards in Somatic Therapies II Deck (61)
What are the four major general classes of anxiolytics?
What are the antidepressants that are used to treat anxiety disorders? (3)
For treating OCD using SSRIs or clomipramine, what are the changes compared to treating depression?
-SSRIs need higher doses
-Need longer response time
What is the drug of choice for an acute panic attack? What is the major issue with this?
Fast onset, but short acting, and highly addictive because of that.
What is the only benzo that is absorbed IM?
What are the side effects of benzos?
-Reduced motor coordination
-potential for tolerance
What are the withdrawal s/sx of benzos?
Like alcohol withdrawal
True or false: benzos have major adverse effects in pregnancy
False--generally safe PRN
True or false: benzos have adverse effects with breastfeeding
What is the MOA of buspirone? Use?
-Anxiolytic w/o sedation
-No risk of tolerance
True or false: buspirone is effective for treating OCD, but not panic attacks or phobias
False--not effective for any of them. Only GAD.
What is buspirone used for now?
Augment antidepressants for anxiety disorders
What is the general treatment regimen for anxiety?
-SNRIs if SSRIs fail
What is the role of benzos in the treatment of anxiety disorders?
Short term, acute episodes PRN
Is buspirone used PRN or long term?
What are the four major typical antipsychotics? Which is a weak one?
What are the atypical antipsychotics? (6)
What is the general MOA of antipsychotics?
Postsynaptic D2 receptor blockade in the mesolimbic and mesocortical pathway
What are the uses of FGAs?
What is the only antipsychotic that is not approved for use with schizophrenia? What is it used for?
What is the use for risperidone that is unlike the other FGAs?
How fast are antipsychotics in treating agitation?
What organ metabolizes antipsychotics?
What is the duration of an adequate trial of antipsychotics?
What percent of pts taken off of antipsychotics for schizophrenia will relapse?
True or false: prevention of relapse with schizophrenia is more important than side effects
What is the psychotic drug that causes agranulocytosis?
What is the psychotic drug that causes hyperprolactinemia? How?
What is neuroleptic malignant syndrome? S/sx?
Reaction to antipsychotics
-Vital sign instability