Final medications

Question 0

Prozac

Answer 0

Peaks 2-8 weeks

Don’t take within 2 weeks of maoi

Question 1

Depression med classes

Answer 1

Ssri
Snri (atypical)
Tricyclics
MAOI

Question 2

Ssri s/e

Answer 2

Decreased libido and orgasm
Weight change
Insomnia

Question 3

SES

Answer 3

Serotonin syndrome
Occurs when taken with maoi, tca
Elevated vitals
Restless, irrational, seizures
Fever shock death

Question 4

SES tx

Answer 4

Dc
Ht5 blocker (cyrproheptadine propanol)
Cooling blankets
Muscle relaxants, anticonvulsants

Question 5

Snri meds

Answer 5

Wellbutrin
Serzone
Effexor
Zyban

Question 6

Snri interactions

Answer 6

Maoi (not within 14 days)
Virals
Fungals

Question 7

Tca

Answer 7

ETOH/cocaine withdraw
2-12 weeks peak
Class D

Question 8

Tca s/e

Answer 8

Orthostatic
Sedation
Retention constipation
Htn/tachy

Question 9

Tca meds

Answer 9

Mine Line Pin

Question 10

Maoi indications/NTK

Answer 10

3rd choice

Diet restrictions

Question 11

Maoi s/e

Answer 11

Orthostatic
HTN crisis
Insomnia

Question 12

HTN crisis maoi symptoms

Answer 12

Neck stiffness, occipital headache
Flushing
Palpitations

Question 13

Maoi meds

Answer 13

Nardil and marplab

Question 14

Maoi diet restrictions (not vegetables)

Answer 14

Fermented, pickled, processed
Chocolate
Cultured dairy
Livers

Question 15

Maoi diet restrictions (fruits and veggies)

Answer 15

Avocados
Bananas
Dried

Question 16

Maoi interactions

Answer 16

Barbs
Antihistamines
Cms Depressants
Anti htn
Otc cold

Question 17

Lithium ntk

Answer 17

First choice
No abrupt DC
Watch rebound

Question 18

Lithium lab values to be monitored

Answer 18

Hydration 1.5-3L daily
Troughs bi, weekly, monthly
<1.5 level
Hypothyroid and renal

Question 19

Anticonvulsants antiepileptics meds

Answer 19

Lamictal
Carbmazepine
Depakote

Question 20

Anticonvulsant indications

Answer 20

Rapid cycling bipolar

ETOH/benzo withdrawal

Question 21

Carbmazepine indications

Answer 21

Aggressive PTs

Question 22

Depakote ntk

Answer 22

Liver values before and during

Question 23

Lithium early toxicity

Answer 23

Weak
Nvd
Thirst/polyuria
Slurred

Question 24

Moderate Lithium toxicity

Answer 24

``` 1.5-2 levels Tremors Severe GI Hyper irritable muscles Ecg change Loss of coordination ```

Question 25

Acute lithium toxicity

Answer 25

``` >2 levels Ataxia Blurred vision Diluted polyuria Seizures Hypotension Coma death ```

Question 26

Alzheimer's meds

Answer 26

``` Ach inhibitors: NT inhibitors Antidepressants Atypical antipsychotics Agression ```

Question 27

Nicotinic acid

Answer 27

Niaspan Lowers ldl and raises hdl Start low and check Livers

Question 28

Lovaza

Answer 28

Omega 3 esters TG > 500mg Decreases plaque, inflammation, and clots