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Antianxiety and Mood Stabilizing Medications
A simple test of various antianxiety and mood stabilizing medications
14
Pharmacology
Graduate
11/21/2009

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Cards

Term
Lithium
Definition
Mood stabilizer, first line for bipolar/depression/mania, inhibits suicidal behavior, serious ADRs (GI, neuro, metabolic, derm), teratogen, serious end-organ effects
Term
Valproic Acid
Definition
Anticonvulsant mood stabilizer, boosts GABA, inhibits Glu (modulates Ca/Na channels), first line for rapid cycling/dysphoric mania, ADRs (GI, increased appetite, hair loss, tremor), serious ADRs (PSOS,pancreatitis)
Term
Carbamezapine
Definition
Anticonvulsant mood stabilizer, enhances GABA inhibition (modulates Na/K pump), used in mixed mania/rapid cycling BPD, ADRs: induces P450 (serious drug-drug interactions)
Term
Common serious problems with mood stabilizers
Definition
Teratogens, cognitive dulling, overdose, drug-drug interactions, thrombocytopenia, hepatotoxicity, GI, nausea, tremor, routine blood testing
Term
Oxcarbazepine
Definition
Anticonvulsant mood stabilizer, metabolite of carbamezapine=>further downstream, fewer drug-drug/toxicities, does NOT require blood monitoring, may not work?
Term
Lamotrigine
Definition
Anticonvulsant mood stabilizer, "Prozac of mood stabilizers", BPD spectrum conditions, depressive BPD, Serious ADR: rash(8%)=>Stevens-Johnson Syndrome(0.08%)
Term
Other BPD agents
Definition
Atypical antipsychotics, typical antipsychotics, omega-3 fatty acids, Calcium channel blockers, benzodiazepines
Term
Gabapentin
Definition
Anticonvulsant, GABA analogue, decrease Glu, not effective as monotherapy, anxiolytic, analgesic, well tolerated
Term
Topiramate
Definition
Anticonvulsant, inhibits Na/Ca channels, -Glu, +GABA, not effective as monotherapy, weight loss, sedation, cognitive dulling
Term
Medications for anxiety disorders
Definition
Antidepressants (SSRI, TCA, MAOI), atypical antipsychotics, beta-blockers, anticonvulsants, antihistamines
Term
Medications for insomnia
Definition
Antidepressants (TCA), atypical antipsychotics, antihistamines, anticonvulsants
Term
Barbituates
Definition
Anxiolytic, GABA channel allosteric activator, addictive, depress all levels of CNS=>narrow therapeutic index, increases DURATION of channel opening
Term
Benzodiazepines
Definition
Anxiolytic, GABA channel allosteric activator, safer, more efficacious, specific to anxiety, no respiratory or cardiac effects, less addictive, less lethal in overdose, 30 benzos available, increases FREQUENCY of channel opening
Term
Barbituate-like-agents
Definition
NOT chemically similar, meprobamate, chloral hydrate, methaqualone, more dangerous, more abuse potential (shorter duration of effects)
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