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Psych- Agents
| Question | Answer |
|---|---|
| Psychotherapeutic Agents | Neurotransmitter dysfunction involved |
| Neurotransmitters | Dopamine, Serotonin, Norephinephrine, GABA, Acetylcholine |
| Psychosis | more than one symptom |
| Symptoms of psychosis | Delusions, hallucinations, incoherence, catatonia, aggressive/violent behavior, loss contact w/reality |
| Thought Disorders | Schizophrenia, Delirium, Dementia(moved to psychological), Antipsychotics |
| Antipsychotic Agents | dopamine |
| Drug Interactions: Antipsychotic | Antacids block absorption, CNS depressants |
| Adverse side effects: Antipsychotic | Orthostatic hypotension, |
| Extrapyramidal Syndrome (EPS) | Parkinson like symptoms |
| Neuroleptic Malignant Syndrome | high fever |
| Affective(emotional) | Depression, Bipolar, Antidepressants, mood stabilizers |
| Antidepressants | different classifications aren’t related; but can influence |
| Selective Serotonin Reuptake Inhibitors | Culture, Don’t stop abruptly, wash out periods |
| Coumadin | blood thinner; SSRI |
| Drug Interactions: Antidepressants | St. John’s wort + SSRI = Serotonin Syndrome |
| Different Antidepressants | Novel (Other), Tricyclic (TCA), (MAOIs) |
| Antimanic Agents | Bipolar |
| Contraindications: Antimanic | Take with food, good hydration, monitor therapeutic level |
| Drug Interactions; Antimanic | many (NSAIDS, diuretics, anticonvulsants) |
| Adverse Effects | S/S toxic: fine tremors, anorexia, nausea, Vomiting, diarrhea |
| Anxiety | Antianxiety agents; Benzodiazepines |
| Benzodiazepines (BZDs) | Diazapam |
| Routes: (BZDs) | PO, IM, IV |
| Contraindications/Precautions: (BZDs) | Children/Elderly, unpredictable, paradoxical reactions |
| Indications: (BZDs) | Treatment acute alcohol withdrawl to other classifications |
| Drug Interactions: (BZDs) | Cimetidine (Tagament |
| BZD Antagonist | antidote |
| Hypnotic drugs | Zolpidem (Ambien); Eszopiclone (Lunesta) |