Regis NU641 ADV Clinical Pharmacology: Mental Health Exam Questions with correct Answers

the frontal cortex, diencephalons, brainstem and cerebellum, and the limbic system - Answer- Which structures are involved with anxiety and mood sx? neurotransmitters - Answer- Psychiatric drugs change what in the brain Alertness, concentration, energy - Answer- Norepinephrine regulates memory, compulsions, and obsessions - Answer- Serotonin affects what in the brain motivation and pleasure - Answer- Dopamine affects this in the brain amitriptyline(elevil) phelenzine(Nardil) nortryptyline - Answer- tricyclic antidepressants phelenzine (nardil) isocarboxazid - Answer- MAOI examples fluoxetine( prozac) sertraline (zoloft) citalopram (celexa) - Answer- SSRIs uloxetine(cymbalta) venlafaxine (effexor) desvenlafaaxine (pristig) - Answer- SNRIs drowsiness orthostatic hypotension weight gain - Answer- Adverse reactions from TCAs pMAOI use/p glaucoma BPH - Answer- Contraindications for TCA use panic disorder neuropathic pain depression OCD - Answer- TCAs are used for MAOIS(MONOAMINE OXIDASE INHIBITORS) - Answer- Not used often s/t significant food & drug interactions Newer agents - Answer- typically have a low toxicity index With SSRI use - Answer- more serotonin is available to bind to postsynaptic receptors sexual dysfunction GI upset increased SI - Answer- Some side effects associated with SSRIs QT prolongation - Answer- Citalopram has this potential risk in higher doses 5-7 - Answer- Wait time for increasing SSRIs dose may require an increased dose taper slowly - Answer- Patient is taking paroxetine(paxil) for OCD precautions excessive dose of med titrating and changing too quickly using combo serotonin agents - Answer- Serotonin syndrome may be caused by rash - Answer- S/S of serotonin syndrome Quinolones - Answer- potential drug interaction with SNRIs Give 50mg QOD - Answer- Patient is on Pristiq an SNRI, I understand that her CrCl is 27, I should do what? Bupropion - Answer- antidepressant medication for seasonal affective disorder (SAD) nicotine dependency