Med review psychology

What are Selective Serotonin Reuptake Inhibitors (SSRIs) primarily used for?

They are first-line therapy for depression.

Name three common SSRIs.

Prozac (Fluoxetine), Zoloft (Sertraline), Paxil (Paroxetine).

What is a potential serious side effect of SSRIs if combined with certain other medications?

Serotonin Syndrome.

What mnemonic helps remember the symptoms of Serotonin Syndrome?

FEVER + MAN.

What does the 'M' in the FEVER + MAN mnemonic stand for?

Mental status changes, hostility, agitation, confusion.

What are some side effects of Tricyclic Antidepressants (TCAs)?

Anticholinergic side effects like dry mouth, constipation, urinary retention.

What is the significance of the last-line status of MAO Inhibitors for depression treatment?

They are used only when all other medications have failed.

What dietary restrictions are associated with MAO Inhibitors?

Avoid tyramine-rich foods such as aged cheese, wine, and pickled products.

What is the main use of Lithium Carbonate in mental health treatment?

It primarily treats mania and stabilizes mood in Bipolar disorder.

What is a major concern with Lithium levels during treatment?

Maintaining therapeutic levels to prevent toxicity.

What are early indicators of Lithium toxicity?

Polyuria and muscle weakness.

Which anticonvulsant is specifically noted for requiring monitoring due to risk of Stevens-Johnson Syndrome?

Lamotrigine (Lamictal).

Why is it advised that patients on lithium should avoid dehydration?

Dehydration can cause Lithium blood levels to become toxic.

What do NDRIs stand for and one example?

Norepinephrine Dopamine Reuptake Inhibitors, e.g., Wellbutrin (Bupropion).

What is Neuroleptic Malignant Syndrome and its risk factors?

A rare but potentially deadly side effect of antipsychotics, characterized by high fever, rigidity, and confusion.

What is a key characteristic of Second Generation Antipsychotics?

They treat both positive and negative symptoms of schizophrenia with minimal extrapyramidal side effects.

What important monitoring should be done when a patient is started on Clozaril?

Frequent CBC with Diff to check for leukopenia or neutropenia.

What should patients understand about discontinuing SSRIs/SNRIs?

Discontinuation Syndromes may occur, and SSRIs should be withdrawn gradually.