3 Antipsychotics Free Online FlashCards

What conditions may antipsychotics treat?

They treat psychotic disorders; some agents are also used for conditions such as bipolar disorder.

What movement-related risk is more associated with high-potency FGAs?

High-potency FGAs generally carry greater risk of extrapyramidal symptoms (EPS), though risks vary by medication.

Which generation includes haloperidol, and which includes risperidone?

Haloperidol is a first-generation antipsychotic (FGA); risperidone, olanzapine, and aripiprazole are second-generation antipsychotics (SGAs).

What adverse effect causes sudden painful neck spasms and upward eye deviation?

Acute dystonia: sudden, sustained muscle contractions can affect the neck, jaw, or eyes.

What is akathisia?

Akathisia is inner restlessness accompanied by difficulty sitting still.

What pattern is typical of tardive dyskinesia?

Tardive dyskinesia usually involves later-onset involuntary movements, often affecting the face or tongue.

What response is needed for suspected NMS?

Fever, severe rigidity, altered mental status, and autonomic instability suggest neuroleptic malignant syndrome (NMS), a potentially life-threatening emergency requiring urgent medical evaluation.

Which cardiometabolic measures should be monitored with antipsychotics?

Assess weight, waist circumference, blood pressure, glucose or HbA1c, and lipids at baseline, then repeat relevant measures during treatment.

What medication may be considered after two adequate antipsychotic trials fail?

Consider clozapine for treatment-resistant schizophrenia after adequate trials of two antipsychotics; check ANC before treatment and monitor it during treatment.

Which adverse effects are especially associated with olanzapine?

Olanzapine is associated with weight gain and metabolic changes, including hyperglycemia and dyslipidemia.

What principles should guide antipsychotic selection and follow-up?

Choose treatment collaboratively based on goals, prior response, health conditions, preferences, and expected benefits and risks; start cautiously, monitor, and avoid routine long-term combinations.

What adverse-effect pattern is common with many SGAs?

Many SGAs carry greater metabolic risk, including weight gain, dyslipidemia, or hyperglycemia; risks differ among agents.