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Exam (elaborations)

Mh 701 Exam 1 Questions And Correct Answers

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MH 701 EXAM 1 QUESTIONS AND CORRECT ANSWERS

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Cytochrome P450


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The general name for a large class of enzymes that play a significant role in
drug metabolism and drug interactions.
Found in the liver




drug/drug interactions with P450 enzymes (for SSRIs)


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Fluoxetine (Prozac), Paraoxetine (Paxil), Fluvoxamine (Luvox)- raise plasma
concentration levels of TCAs and cause toxicity

,Alparazolam (Xanax)


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Benzo




Celexa (citalopram)


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SSRI
use: generalized anxiety and MDD
-least D2D reactions




Buspirone (Buspar) (other)


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5HT1A- serotonin partial agonist reuptake inhibitor
-anxiolytic drug
-similar to benzo, but not addictive
-dose BID/TID
-lack of interaction with alcohol
-slow onset (1-2 weeks)




Bupropion (Wellbutrin)


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, *NDRI
-safe for pregnancy, ↓likely to cause mania, safer choice for bipolar with
depression




nucleus accumbens


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structure located in the brainstem and part of the dopaminergic reward
pathway; releases dopamine in response to many drugs contributing to
addictive behavior




PTSD- drugs


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-SSRIs- Zoloft and Paxil
-Buspirone (BuSpar) is serotonergic and may be of use
-use benzos with caution
-nightmares-Prazosin (alpha agonist)
-atypical antipsychotics may be useful
-antileptic meds (gabapentin and lamotrigin) may be beneficial




Benzo use


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, anxiety, panic disorders, alcohol withdrawal, seizures, insomnia, muscle
spasms, pre-anesthesia sedation, IBS, Restless leg syndrome, and
chemotherapy induced N+V




Benzos: withdrawal SE


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anxiety, irritability, insomnia, unpleasant taste of ETOH, decreased
concentration, tremor, delirium, seizure




Hypothalymus


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communication between the nervous system and endocrine system,
releases hormones from pituitary gland
controls basic fxn: eating, drinking, sleeping, temperature regulation




Clonidine (other)


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Antihypertensive- Alpha2 antagonist
-Off label use for anxiety disorders

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