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Details

Drugs
Psychiatric
45
Other
Not Applicable
03/15/2007

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Cards

Term
benzodiazepines
Definition
Work on GABA A channels (ionotropic); amplify effects of GABA (inactive alone); high therapeutic index; good for anxiety in the short term; also short term for insomnia; must be weaned off; withdrawals can mean seizure, death
Term
barbiturates
Definition
work on GABA system; have action even with no endogenous GABA (but more with GABA); higher risk of toxicity than benzos (resp and CV function); used as anesthesia inducer, anti-convulsant); can induce metabolism of other useful drugs too quickly
Term
alprazolam (xanax)
Definition
benzodiazepine; short half-life
Term
clonazepam (klonopin)
Definition
benzodiazepine, long half-life
Term
diazepam (valium)
Definition
benzodiazepine, long half life; IV use for status epilepticus
Term
lorazepam (ativan)
Definition
benzodiazepine for insomnia, very short half life for no hangover
Term
triazolam (halcion)
Definition
benzo for insomnia, shortest half life
Term
flumazenil
Definition
benzo antagonist for overdoses; causes severe withdrawal in dependent pts
Term
thiopental
Definition
barbiturate; inducer of anesthesia
Term
methohexital
Definition
barbiturate; induction of anesthesia
Term
buspirone
Definition
used for generalized anxiety disorder; partial serotonin receptor agonist; less sedation/interaction with depressants, more selective anxiolytic
Term
zaleplon (sonata)
Definition
ultrashort t1/2 for sleep induction
Term
zolpidem (ambien)
Definition
like triazolam for sleep
Term
baclofen
Definition
for spasticity; acts on GABA-B receptor
Term
fluphenazine
Definition
anti-psychotic, EP side effects
Term
haloperidol
Definition
anti-psychotic; best TI, EP side effects, good for cardiovascular pts.
Term
thioridazine
Definition
anti-psychotic; reduces EPS, may induce arrhythmias
Term
olanzapine
Definition
anti-psychotic; blocks 5HT and D2 receptor; no EPS, induces hunger (and diabetes)
Term
risperidone
Definition
anti-psychotic; atypical (blocks 5HT/D2/alpha adrenergic receptors); few EPS
Term
clozapine
Definition
anti-psychotic; atypical, few EPS, AGRANULOCYTOSIS
Term
chlorpromazine
Definition
thorazine, earliest anti-psychotic; dirty drug, bad TI
Term
desipramine, nortiptyline
Definition
has more potency for NE reuptake inihbition; tricyclic antidepressant
Term
reboxetine
Definition
blocks NE reuptake; antidepressant (no effect on 5HT, so it can be combined with an SSRI
Term
clomipramine, imipramine, amitryptyline
Definition
tricyclic antidepressants; more potent blockage of 5HT reuptake
Term
tricyclic antidepressants
Definition
all block reuptake of NE and 5-HT; also all block muscarinic receptos and alpha1 and 2 adrenergic receptors; side effects are weight gain, drowsiness, blurred vision, can cause cardiac arrythmias due to Na channel blockage; high risk of inducing mania when treating bipolar disorder
Term
MAO inhibitors
Definition
inhibit MAOA and B (A important for depression); tyramine and other amines are not metabolized in liver on MAOIs and hypertensive crisis can result; also drowsiness, orthostatic hypotension, blurred vision, dry mouth, disuria, constipation
Term
SSRIs
Definition
similar efficacy to other antidepressants; fewer side effects; less toxicity; therapeutic after2-6 weeks; desensitization of different 5HT receptors causes increased firing rate and more 5HT release into cleft; side effects: insomnia, GI, sex dysfunction, akathesia, discontinuation syndrome
Term
paroxetine (paxil)
Definition
SSRI; when used for bipolar has relatively low risk of producing mania
Term
fluoxetine (prozac)
Definition
SSRI, long acting; when used for bipolar has relatively low risk of producing mania
Term
sertraline (zoloft)
Definition
SSRI
Term
fluvoxamine (luvox)
Definition
SSRI
Term
citalopram (celexa)
Definition
SSRI
Term
escitalopram (lexapro)
Definition
SSRI
Term
venlafaxine (effexor)
Definition
SNRI
Term
mirtazapine (remeron)
Definition
SNRI
Term
duloxetine (cymbalta)
Definition
SNRI
Term
bupropion (wellbutrin)
Definition
Atypical antidepressant; blocks NE and DO reuptake; no sexual side effects; lowest risk of inducing mania when treating bipolars
Term
lithium
Definition
mood stabilizer, depletes intracellular messengers (PIP2, etc), also lowers cAMP, decreases activity of protein kinase C; augments serotonin effect (antidepressant effect) and stabilizes membranes (effects Na influx); used for episodes of mania and depression, not for rapid cycling
Term
valproate (depakote)
Definition
mood stabilizer; used for rapid cycling and mixed states; acts by increasing GABA transmission + release
Term
carbamazepine (tegretol)
Definition
mood stabilizer (also used for tonic clonic seizures and trigem. neuralgia); binds Na channels to decrease neuronal excitation; causes SJS
Term
oxacarbazepine (trileptal)
Definition
mood stabilizer; same as carbemazepine but without blood, liver symptoms
Term
lamotrigine (lamictal)
Definition
mood stabilizer; effective for prevention of depressive episodes rather than mania, also effective for rapid cycling bipolar and mixed states, doesn't increase risk of switching into mania; inhibits Na channels; severe allergic rxns possible (ex SJS)
Term
gabapentin (neurontin)
Definition
mood stabilizer
Term
topiramate (topamax)
Definition
mood stabilizer
Term
topiramate (topamax)
Definition
mood stabilizer; primarily for seizures, weight loss, migranes and neuropathic pain, also for bipolar, PTSD, eating disorders (binges); acts by inhibiting Na channels, increases GABA concentration
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