11 Psychiatric Medications and Treatment Free Online FlashCards

What factors guide the choice of a psychiatric medication?

The choice depends on diagnosis, symptoms, medical history, other medicines, patient preferences, and response over time.

What conditions are commonly treated with SSRIs and SNRIs?

Antidepressants, including SSRIs and SNRIs, are used for depression and many anxiety disorders.

What should be monitored for safety during early antidepressant treatment?

Monitor mood, functioning, adherence, and emerging suicidal thoughts, especially early in treatment and after dose changes.

Which warning signs may indicate serotonin syndrome?

Serotonin syndrome can involve agitation or confusion, fever, sweating, diarrhea, tremor, muscle jerks, or overactive reflexes. Suspected cases need urgent medical evaluation.

Which metabolic measures may need monitoring with antipsychotics?

With many antipsychotics, monitor weight, blood pressure, glucose or HbA1c, and lipids as appropriate.

What symptoms may signal neuroleptic malignant syndrome?

New muscle rigidity, fever, confusion, and unstable vital signs may signal neuroleptic malignant syndrome, a medical emergency.

What blood monitoring remains important with clozapine?

Clozapine requires a baseline absolute neutrophil count (ANC) and continued ANC monitoring per current prescribing information. FDA removal of the Clozapine REMS did not eliminate the importance of ANC monitoring.

What routine measures are monitored during lithium treatment?

Monitor serum lithium, kidney function, thyroid function, and electrolytes.

Why is worsening tremor after dehydration concerning in someone taking lithium?

Dehydration can raise lithium levels. Worsening tremor, vomiting or diarrhea, unsteady gait, slurred speech, or confusion may indicate toxicity and require urgent assessment.

What important risks and monitoring apply to valproate?

Valproate can cause liver injury and low platelets, so liver tests and blood counts or platelets should be monitored. It can also cause serious fetal harm, requiring careful discussion of pregnancy potential and reproductive plans.

Why is combining benzodiazepines with alcohol or opioids dangerous?

Combining benzodiazepines with alcohol, opioids, or other central nervous system depressants can dangerously slow breathing.

What should be monitored during stimulant treatment for ADHD?

For stimulants, monitor symptoms, pulse, blood pressure, sleep, and appetite; monitor growth especially in children. Also assess for misuse, diversion, and new manic or psychotic symptoms.