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問題一覧
1
Originally developed as antipsychotics (1949), but were found to have no effect in this indication
TCA
2
Inc. NE, Dec. GABA means
Mania
3
Used in depression with significant anxiety and sleep disturbances
5HT2A ANTAGONISTS
4
MAOIs + BZD/ Alcohol/ Antihistamine can lead to
prolong and profound the effect, increase sedation
5
- reserved for use in bipolar patients with partial or no response to lithium.
Carbamazepine (Tegretol)
6
diazepam also used as?
anticonvulsant
7
Noradrenergic Specific Serotonergic antidepressant ⏤Also inhibits presynaptic α2-adrenergic receptors, which leads to increased central concentrations of norepinephrine and 5-HT.
Mirtazapine
8
Cycle between elation and dysthymia
Cyclothymia
9
Bipolar formerly known as
Manic depressive.
10
CYP3A4
Fluvoxamine
11
manic or mixed episodes May have other mood episodes
Bipolar 1
12
Abnormally elevated arousal energy level
Mania
13
long lasting inhibition (up to 1-2 weeks) despite of the elimination rate of a drug
Hydrazine
14
in TCA it inactive metabolites excreted in the urine
Glucuronidation
15
expected to have comparable efficacy in the management of bipolar disorder, with fewer side effects and better tolerability.
Oxcarbazepine (Trileptal)
16
An antiepileptic drug used also in bipolar disorder
Carbamazepine (Tegretol)
17
Block sodium meditate and GABA
Lamotrigine (Lamictal)
18
Short and intermediate acting drugs used as
Anxiolytic
19
Major depressive disorder/ clinical depression
Depression.
20
An antiseizure with mood stabilizing activity- adjunctive mood stabilizer.
Gabapentin (Neurontin)
21
ultrashort acting drugs used as
pre anesthetic
22
CYP2D6
Fluoxetine, Paroxetine
23
If 5HT2A ANTAGONISTS has a side effects of hepatotoxicity what is the possible drug of choice should be given
Nefazodone
24
when given to normal non-depressed subjects they increase a motor activity and cause euphoria + excitements ⇒ risk of abuse!
MAO inhibitors
25
Milder form of mania. Mood state or energy level that is elevated above normal, but not so extreme as to cause impairment
Hypomania
26
In pregnancy what can possibly cause birth defect
Lithium , VPA , CBZ
27
acute agitation associated with mania can prescribe what drug
Benzodizepam, Lorazepam
28
lithium + antipsychotics or BZD will lead to
increase the risk of neurotoxicity
29
Reversible inhibitors of MAO-B (e.g. selegiline) are used in the treatment of Parkinson's disease
MAO-B selective.
30
Sedation, drowsiness, difficulty in concentration - H1-blockade
Amitriptyline
31
plant chemical obtained from St. John’s Wort ((Hypericum perforatum)
Hyperforin
32
The first compounds (iproniazide derivatives) - originally developed as antimycobacterial drugs by chemical modification of isoniazid molecule (1950s).
MAO inhibitors
33
Maintains the normal balance of calcium and sodium= abnormal level will cause mood fluctuation.
Phospoinositides
34
Used for Pain disorders (neuropathies, fibromyalgia
Milnacipran
35
Drug for bulimia nervosa
Fluoxetine
36
What isbthe treatment for seizure
Diazepam
37
Noradrenaline and Dopamine Reuptake Inhibitors (NDRI)
Bupropion
38
lithium + medications that increase 5-HT
Serotonin syndrome
39
First line agents for bipolar
Lithium , Lamotrigine
40
Increase in cortisol level (Cushing’s disease), Thyroid desregulation and Sex steroids (estrogen and testosterone deficiency)
Abnormalities in Hormone
41
the neurotransmitter levels fluctuate and may be similar or reversed, depending on the patient’s current clinical presentation.
Bipolar disorder
42
Mao-b is used in?
Parkinsonism
43
It can be used as monotherapy in bipolar disorder or as an adjunctive therapy with lithium or another mood stabilizer.
Valproic acid (Depakene)
44
severe depression + smoking cessation treatment
Bupropion
45
1 + major depressive episodes and 1 + hypomanic episodes Never manic or mixed episode
Bipolar 2
46
A mixed episode is the coexistence of manic and depressive symptoms for at least 1 week. This is often referred to as mood incongruent.
Mixed episode
47
What is the treatment for hypertensive crisis
Sodium nitroprusside.
48
ideations or expansive self-esteem
Grandiose
49
1st drug available in 1988
Fluoxetine
50
Irreversible non-selective (MAOA and MAOB) inhibitors
Hydrazines
51
blockade of H1-receptor, α-receptors, Mreceptors
TCA
52
Prolonged and painful penile erection
Trazodone
53
It is also used in the management of trigeminal neuralgia
Carbamazepine (Tegretol)
54
Cycle between elation and dysthymia diagnosed when the depressive and hypomanic symptoms persist for 2 years.
Cyclothymia
55
with hepatic toxicity in patients with a history of liver damage.
Duloxetine
56
It is also used in the management of trigeminal neuralgia
Carbamazepine (Tegretol)
57
is mostly found in blood platelets. ⏤ mainly metabolizes dopamine (DA)
MAO-B
58
blockade of re-uptake of noradrenaline (NA) and serotonin (5-HT)
TCA
59
Depression is associated with the loss of neurotrophic support from nerve growth factors such as BDN
Neurotropic hypothesis
60
5HT2A antagonist what receptors
Histamine 1, Alpha 1, Alpha 2
61
Mao inhibitors are drig reserve for?
atypical depression , refractory to other antidepressants
62
What is the Drug of choice in serotonin syndrome
Cyproheptadine
63
Patients w/ hematologic diseases- CBZ and VPA comb. is not recommended (T/F)
True
64
Suggests that depression is related to a deficiency in the amount or function of cortical and limbic 5-HT, NE and dopamine
Mao hypothesis
65
N -methylated metabolite of loxapine, an older antipsychotic drug.
Amoxapine
66
high excess involvement in pleasurable activities
Hendonism
67
What is drug of choice in benzodiazepine poisoning
flumazenil
68
Im case such as Severed depression or suicidal ideation what drug of choice should be given
bupropion , paroxetine (Paxil)
69
MAOIs + SSRI/ TCA/ opioids can lead to what disease
Serotonin syndrome
70
is found in the liver, gastrointestinal tract, and placenta. generally metabolizes tyramine, norepinephrine (NE), serotonin (5-HT), and dopamine (DA)
MAO-A
71
persistent depressive disorder
Dysthymia
72
The most common antidepressant in clinical use. More modern and safe antidepressant
SSRI
73
Depression also know as Also known as?
Major Depressive Disorder
74
Reversible Inhibitors of MAO-A (RIMA)
Non-hydrazines
75
Drug for Premenstrual Dysphoric disorder-
Sertraline (Zoloft) , Fluoxetine (Fluoxentine)
76
A. MAOIs + Tyramine rich food can lead to what Disease
Hypertensive crisis
77
Binds and inhibits both the SERT and NET
SNRI
78
Dec. NE
Depression
79
associated with a parkinsonian syndrome due to its D2 -blocking action
Amoxapine
80
An antiseizure that is also used for bipolar- approved for prevention of recurrence
Lamptrigine (lamictal)
81
Research suggests that depression is caused by a combination of
genetic, biological, environmental, psychological factors.
82
may be used if parenteral administration is necessary to manage acute agitation.
Haloperidol
83
Moods which cycle between mania and depression known
Bipolar disorder
84
Dopamine metabolis what inhibitor
MAO-B