Part ONE Answer ALL questions. Write the correct answer CLEARLY in the answer grid provided.
|
|
- Hugo Rodgers
- 5 years ago
- Views:
Transcription
1 UNIVERSITY OF EAST ANGLIA School of Pharmacy Main Series UG Examination CLINICAL THERAPEUTICS 7: PSYCHIATRY PHA-MHBY Time allowed: 2 hours Part ONE Answer ALL questions. Write the correct answer CLEARLY in the answer grid provided. Part TWO Answer TWO (2) of the THREE (3) questions. Use a SEPARATE answer book for EACH question in Part TWO. All questions have equal weighting. Answer all parts of each of the individual questions you select. This paper consists of 11 pages in total Dictionaries are not permitted in this examination. Notes are not permitted in this examination. Do not turn over until you are told to do so by the Invigilator. Do not take this question paper out of the examinations room. (PHA-MHBY) Module Contact: Dr Anja Mueller, PHA Copyright of the University of East Anglia Version 1
2 2 PART ONE TYPE 1 MCQs For each of the following questions there is ONE (1) correct answer only. 1. Which ONE of the following is the most prevalent? A) Generalised anxiety disorder B) Depression C) Mixed anxiety and depression D) Obsessive compulsive disorder E) Phobia 2. Which ONE of the following is an agonist at GABA-B receptors? A) Diazepam B) Glycine C) Aspartate D) Glutamate E) NMDA 3. Which ONE of the following is the main stimulatory neurotransmitter in the CNS? A) Glutamate B) GABA C) Glycine D) Aspartate E) Glutamine 4. Which ONE of the following types of receptor are Xanthines antagonists at? A) Dopamine B) Adenosine C) Caffeine D) Noradrenaline E) Serotonin
3 3 5. A regular patient of yours says she is not sleeping well. On further questioning you establish that she fears losing control, and feels tense and has difficulty concentrating. She feels like this on most days and worries about everything. Which ONE of the following is the most likely cause? A) Panic disorder B) Obsessive compulsive disorder C) Generalised anxiety disorder D) Depression E) Agrophobia 6. Which ONE of the following is the only licensed antihistamine used for the short term treatment of anxiety? A) Cinnarazine B) Chlorpheniramine C) Cyclizine D) Hydroxyzine E) Cetrizine 7. Which ONE of the following drugs only acts at the 1 subunit of the GABA-A receptors and only has a hypnotic effect? A) Diazepam B) Nitrazepam C) Zolpidem D) Temazepam E) Lorazepam 8. Which ONE of the following is a NEGATIVE symptom of schizophrenia? A) Auditory hallucinations B) Delusions C) Anhedonia (loss of interest in pleasure) D) Catatonic behaviour E) Thought disorder TURN OVER
4 4 9. Which ONE of the following best describes when clozapine should be used for the treatment of schizophrenia? A) It is first line treatment B) It should never be used C) It should only be used in combination with a newer generation antipsychotic D) The patient should have not responded to at least two antipsychotic drugs on previous occasions E) It should be chosen according to patient preference and side effects 10. Which ONE of the following side effects will NOT occur as a result of the antagonism of dopamine D 2 receptors? A) Gynaecomastia B) Galactorrhoea C) Sexual dysfunction D) Nausea and vomiting E) Menstrual disturbances 11. Which ONE of the following would be the time period after which you would consider a switch of an antidepressant if no response was observed at a therapeutic dose? A) 1 week B) 2 weeks C) 4 weeks D) 6 weeks E) 8 weeks 12. Which ONE of the following antidepressants does not cause hyponatraemia? A) Paroxetine B) Sertraline C) Mirtazapine D) Amitriptyline E) Citalopram
5 5 13. Which ONE of the following drugs displays the highest risk of switching a patient with bipolar disorder into hypomania? A) Paroxetine B) Mirtazapine C) Bupropion D) Amitriptyline E) Citalopram 14. Which ONE of the following antiepileptic drugs is a hepatic enzyme inhibitor? A) Carbamazepine B) Phenobarbital C) Valproate D) Phenytoin E) Gabapentin 15. Which ONE of the following statements is INCORRECT with respect to ADHD? A) Giving children stimulants is more likely to make them abuse drugs later in life B) There is a possibility that some naughty children are being treated when it s just their personality C) Methylphenidate is first line treatment D) It commonly persists into adult life E) Adults will often abuse amphetamines to feel normal or concentrate, rather than feel high 16. Which ONE of the following is NOT true regarding cocaine? A) It blocks the neuronal uptake of monoamine neurotransmitters B) It blocks potassium channels and causes vasodilation C) It acts as a local anaesthetic D) It has a major effect in enhancing dopaminergic transmission E) In 1903 cocaine was removed from Coca-Cola 17. Which ONE of the following is the lowest that would be a potentially lethal blood level of alcohol, equivalent to over 6 times the drink drive limit? A) 0.05% v/v B) 0.1% v/v C) 0.5% v/v D) 1% v/v E) 5% v/v TURN OVER
6 6 18. Which ONE of the following age groups are most at risk of developing an eating disorder? A) 5-14 years B) years C) years D) years E) Over 55 years 19. Which ONE of the following symptoms of Behavioural and Psychological Symptoms of Dementia (BPSD) may respond to drug treatment? A) Wandering B) Hiding C) Inappropriate undressing D) Physical or verbal aggression E) Vocalisation 20. Which ONE of the following is a symptom of mania and hypomania? A) Hypersomnia B) Loss of interest or pleasure (anhedonia) C) Loss of libido D) Flight of ideas E) Low appetite 21. Which ONE of the following is CORRECT regarding the use of an atypical (2 nd generation), rather than a typical (1 st generation), antipsychotic to treat schizophrenia? A) Atypicals produce a lower incidence of extrapyramidal side effects B) Atypicals raise prolactin levels C) Atypicals are effective in treating positive symptoms D) Atypicals cause less sedation E) Atypicals are cheaper 22. Which ONE of the following statements about anti-seizure drugs is FALSE? A) Ureide is a common motif for many anti-seizure drugs B) Phenytoin is a hydantoin C) Phenytoin binds to and stabilises the active state of sodium channels D) Phenytoin is metabolised via hydroxylation and glucuronidation E) Fosphenytoin is a phosphate pro-drug of phenytoin
7 7 23. Which ONE of the following statements is FALSE? A) Chlorpromazine is a gamma aminobutyric acid mimic B) Chlorpromazine is a phenothiazine antipsychotic C) Chlorpromazine is a dopamine mimic D) Chlorpromazine is not an acetylcholinesterase inhibitor E) Chlorpromazine was accidently discovered during the search for novel antihistamine drugs 24. Which ONE of the following statements about the antipsychotic drug haloperidol and its analogues is FALSE? A) The decanoate derivative is a pro-drug that can be injected every 4 to 6 weeks B) Haloperidol is a butyrophenone derivative C) The hydrochloride salts of these compounds are inactive D) For an active analogue, the aromatic ring is usually substituted with fluorine but may also carry a methoxy group E) The starting point in the development of haloperidol was the analgesic pethidine END OF TYPE 1 MCQs TURN OVER
8 8 TYPE 2 MCQs Decide which of the responses to the following questions is (are) correct: Then choose: Answer: A) If i, ii and iii are correct B) If i and ii only are correct C) If ii and iii only are correct D) If i only is correct E) If iii only is correct 25. Miss Partridge suffers from epilepsy, and says that the doctor has agreed to change her medication from valproate to lamotrigine because she has put on a lot of weight and her hair seems to be falling out. He wants to initiate her immediately on 200 mg BD. What is your advice to the doctor? i) Start with a lower dose of lamotrigine ii) Gradually reduce the dose of valproate iii) Stop the valproate immediately the lamotrigine is started 26. Miss Partridge now has a boy friend and proudly presents you with a prescription for the combined oral contraceptive pill (COC). i) Lamotrigine reduces the efficacy of the COC ii) She will need to tricycle and take at least 50 micrograms of oestrogen iii) The COC can decrease blood levels of lamotrigine so its dose may have to be adjusted 27. Miss Partridge is now married and is now Mrs Pear-Tree. She now wants to become pregnant, and has stopped her COC. She is worried about the effects of her medication and condition on the fetous. i) You advise her to start taking folic acid 5mg OD ii) You advise her to stop her lamotrigine immediately iii) You advise her most women have an increased rate of seizures during pregnancy and she will need additional AED s 28. Mrs Pear-Tree gives birth to a healthy baby boy, she is now worried about breast feeding. i) She can breast feed ii) She must not breast feed iii) She should stop her lamotrigine until the baby is weaned. END OF TYPE 2 MCQs
9 9 TYPE 3 MCQs Directions: The following questions consist of a statement in the left-hand column followed by a second statement in the right-hand column. Decide whether the first statement is TRUE or FALSE. Decide whether the second statement is TRUE or FALSE. Then choose: A) If both statements are TRUE and the second statement is a correct explanation of the first statement B) If both statements are TRUE but the second statement is NOT a correct explanation of the first statement C) If the first statement is TRUE but the second statement is FALSE D) If the first statement is FALSE but the second statement is TRUE E) If both statements are FALSE 29. First Statement Second Statement Some patients starting Wait at least ONE week before to take SSRIs may considering a change of therapy experience benefits after a few days treatment 30. First Statement Second Statement Giving children stimulants for ADHD is less likely to make them abuse drugs later in life There is a strong statistically significant association between stimulant treatment use between 6 and 17 years, and decreased alcohol, drug or nicotine use in adult life END OF PART ONE TURN OVER
10 10 PART TWO 31. Professor David Nutt was forced to resign from his role as chairman of the Advisory Council on the Misuse of Drugs in He produced a league table of drugs on which prescribed benzodiazepines were ranked as the United Kingdom's 7th most dangerous drug above such drugs as tobacco, cannabis, LSD and ecstasy. Critically discuss the benefits and hazards associated with the use of benzodiazepines to treat named psychiatric conditions. Make reference to their mechanism of action, safety profile, therapeutic uses, efficacy and published guidelines. [100%] 32. Answer ALL parts (a), (b), (c) and (d). Lithium is often called the Gold Standard with regard to the treatment of Bipolar Affective Disorder (BAD). a) Discuss the diagnosis of BAD, and why it is important to treat this condition. [20%] b) Discuss the specific indications and the benefits of treatment with lithium. [30%] c) What are the main side effects, cautions and contra-indications of lithium and what monitoring is required? [30%] d) Discuss, with reference to other drugs used to treat BAD, whether lithium is indeed the Gold Standard? [20%]
11 Answer ALL parts (a), (b), and (c). "Roses are red, violets are blue, I am a schizophrenic and so am I." a) Outline the signs and symptoms of schizophrenia, and discuss if the sentiments in the rhyme have any justification. [20%] b) With reference to the dopamine hypothesis discuss the pathophysiology of the disease and how this relates to the pharmacology of anti-psychotic drugs. [40%] c) Discuss the side effects commonly associated with the first (typical) and second (atypical) generation of antipsychotic drugs, and how these would influence patient choice. [40%] END OF PAPER
Answer ALL questions. For each question, there is ONE correct answer. Use the answer grid provided for ALL your answers.
CLINICAL THERAPEUTICS 7: PSYCHIATRY PHA-MHBY Time allowed: 2 hours UNIVERSITY OF EAST ANGLIA School of Pharmacy Main Series UG Examination 2013-2014 Part ONE Answer ALL questions. For each question, there
More informationPregnancy. General Principles of Prescribing in Pregnancy (The Maudsley, 12 th Edition)
Pregnancy General Principles of Prescribing in Pregnancy (The Maudsley, 12 th Edition) In all women of child bearing potential Always discuss the possibility of pregnancy; half of all pregnancies are unplanned
More informationTreatment Options for Bipolar Disorder Contents
Keeping Your Balance Treatment Options for Bipolar Disorder Contents Medication Treatment for Bipolar Disorder 2 Page Medication Record 5 Psychosocial Treatments for Bipolar Disorder 6 Module Summary 8
More informationIntroduction to Drug Treatment
Introduction to Drug Treatment LPT Gondar Mental Health Group www.le.ac.uk Introduction to Psychiatric Drugs Drugs and Neurotransmitters 5 Classes of Psychotropic medications Mechanism of action Clinical
More informationThe Maudsley Prescribing Guidelines in
The Maudsley Prescribing Guidelines in 11th Edition David Taylor Director of Pharmacy and Pathology South London and Maudsley NHS Foundation Trust; Professor King's College London, London, UK Paton Chief
More informationPsychopharmacology. Psychopharmacology. Hamish McAllister-Williams Reader in Clinical. Department of Psychiatry, RVI
Regional Affective Disorders Service Psychopharmacology Northumberland, Tyne and Wear NHS Trust Hamish McAllister-Williams Reader in Clinical Psychopharmacology Department of Psychiatry, RVI Intro NOT
More informationProfessor Tony Holland, Department of Psychiatry, University of Cambridge
INFORMATION SHEET The Use of Medication for Challenging Behaviour Professor Tony Holland, Department of Psychiatry, University of Cambridge Introduction Challenging behaviours displayed by people with
More informationSmoking Cessation Pharmacotherapy Guidelines
Smoking Cessation Pharmacotherapy Guidelines INTRODUCTION This guideline is based on public health guidance 10 Smoking Cessation Services issued by the National Institute for Health and Clinical Excellence
More informationFaculty of dentistry Second year CND Course CNS Drugs Dr. Ali Awadallah
Faculty of dentistry Second year CND Course CNS Drugs Dr. Ali Awadallah 0912320825 Drugs that act upon the central nervous system (CNS) influence the lives of everyone, everyday. Drugs that affect the
More informationMental illness A Broad Overview. Dr H Pathmanandam March 2017
Mental illness A Broad Overview Dr H Pathmanandam March 2017 Introduction Mental disorders are common in primary and secondary care Many are not recognised and not treated Some receive unnecessary or inappropriate
More informationPsychobiology Handout
Nsg 85A / Psychiatric Page 1 of 7 Psychobiology Handout STRUCTURE AND FUNCTION OF THE BRAIN Psychiatric illness and the treatment of psychiatric illness alter brain functioning. Some examples of this are
More informationPsychotropic Drugs 0, 4-
0, 4- } -v Psychotropic Drugs NORMAN L. KELTNER, Ed D, RN Associate Professor, Graduate Program, University of Alabama School of Nursing, University of Alabama at Birmingham, Birmingham, Alabama DAVID
More informationManual of Clinical Psychopharmacology
Manual of Clinical Psychopharmacology Fourth Edition Alan F. Schatzberg, M.D. Kenneth T. Norris, Jr., Professor and Chairman, Department of Psychiatry and Behavioral Sciences, Stanford University School
More informationPRESCRIBING GUIDELINES
The Maudsley The South London and Maudsley NHS Foundation Trust & Oxleas NHS Foundation Trust PRESCRIBING GUIDELINES 10th Edition David Taylor Carol Paton Shitij Kapur informa healthcare Contents Authors
More informationPRESCRIBING PRACTICE IN DELIRIUM. John Warburton Critical Care Pharmacist
PRESCRIBING PRACTICE IN DELIRIUM John Warburton Critical Care Pharmacist Learning outcomes Modifiable medication risk factors for delirium An appreciation of contributing factors modifiable with medicines
More informationUnderstanding Psychiatry & Mental Illness
Understanding Psychiatry & Steve Ellen Mental Illness MB, BS. M.Med. MD. FRANZCP Head, Consultation, Liaison & Emergency Psychiatry, Alfred Health. Associate Professor, Monash Alfred Psychiatry Research
More informationPSYCHIATRY INTAKE FORM
Please complete all information on this form. PSYCHIATRY INTAKE FORM Name Date Date of Birth Primary Care Physician Current Therapist/Counselor What are the problem(s) for which you are seeking help? 1.
More informationStudy Guide Unit 3 Psych 2022, Fall 2003
Psychological Disorders: General Study Guide Unit 3 Psych 2022, Fall 2003 1. What are psychological disorders? 2. What was the main treatment for some psychological disorders prior to the 1950 s? 3. What
More informationThe treatment of bipolar disorder in adults, children and adolescents
DRAFT FOR CONSULTATION The treatment of bipolar disorder in adults, children and adolescents The paragraphs in the draft are numbered for the purposes of consultation. The final version will not contain
More informationCHILD & ADOLESCENT PSYCHIATRY ALERTS, VOLUME XIV, 2012 INDEX
A Adderall Counterfeit, 31 addiction, internet CBT, 55 ADHD Adjunctive Guanfacine, 11 Counterfeit Adderall, 31 Developmental Trajectory and Risk Factors, 5 Dopamine Transporter Alterations, 14 Extended-Release
More informationPsychotropic Medication Use in Dementia
Psychotropic Medication Use in Dementia Marie A DeWitt, MD Diplomate of the American Board of Psychiatry and Neurology, Specialization in Psychiatry & Subspecialization in Geriatric Psychiatry Staff Physician,
More informationFinal Exam PSYC2022. Fall (1 point) True or False. The DSM-IV describes the symptoms of acute intoxication with cannabis.
Final Exam PSYC2022 Fall 1998 (2 points) Give 2 reasons why it is important for psychological disorders to be accurately diagnosed. (1 point) True or False. The DSM-IV describes the symptoms of acute intoxication
More informationDISEASES AND DISORDERS
DISEASES AND DISORDERS 13. The mood (affective) disorders 99 14. The psychotic disorders: schizophrenia 105 15. The anxiety and somatoform disorders 111 16. Dementia and delirium 117 17. Alcohol and substance-related
More informationPerinatal Mental Health: Prescribing Guidance for Trust Prescribers and GPs
Perinatal Mental Health: Prescribing Guidance for Trust Prescribers and GPs (Version 3 January 2015) Principal Author: Dr Jenny Cooke Consultant Psychiatrist, Brighton & Hove Perinatal Mental Health Service
More informationTreat mood, cognition, and behavioral disturbances associated with psychological disorders. Most are not used recreationally or abused
Psychiatric Drugs Psychiatric Drugs Treat mood, cognition, and behavioral disturbances associated with psychological disorders Psychotropic in nature Most are not used recreationally or abused Benzodiazepines
More informationMedications for Anxiety & Behavior in Williams Syndrome. Disclosure of Potential Conflicts. None 9/22/2016. Evaluation
Medications for Anxiety & Behavior in Williams Syndrome Christopher J. McDougle, M.D. Director, Lurie Center for Autism Professor of Psychiatry and Pediatrics Massachusetts General Hospital and MassGeneral
More informationAntidepressants: Prof. Riyadh Al_Azzawi F.R.C.Psych
Antidepressants: Prof. Riyadh Al_Azzawi F.R.C.Psych A. Heterocyclic antidepressants: (tricyclic and tetracyclic ), e.g.amitryptaline,imipramine. B. Monoamine oxidase inhibitors(m.a.o.i), e.g.phenelzine.
More informationPediatric Psychopharmacology
Pediatric Psychopharmacology General issues to consider. Pharmacokinetic differences Availability of Clinical Data Psychiatric Disorders can be common in childhood. Early intervention may prevent disorders
More informationPSYCHIATRIC DRUGS. Mr. D.Raju, M.pharm, Lecturer
PSYCHIATRIC DRUGS Mr. D.Raju, M.pharm, Lecturer PSYCHIATRIC DRUGS Treat mood, cognition, and behavioral disturbances associated with psychological disorders Psychotropic in nature Most are not used recreationally
More informationBipolar Disorder 4/6/2014. Bipolar Disorder. Symptoms of Depression. Mania. Depression
Bipolar Disorder J. H. Atkinson, M.D. Professor of Psychiatry HIV Neurobehavioral Research Programs University of California, San Diego KETHEA, Athens Slides courtesy of John Kelsoe, M.D. Bipolar Disorder
More informationAntidepressants. Dr Malek Zihlif
Antidepressants The optimal use of antidepressant required a clear understanding of their mechanism of action, pharmacokinetics, potential drug interaction and the deferential diagnosis of psychiatric
More informationIndex. Note: Page numbers of article titles are in boldface type. A ADHD. See Attention-deficit/hyperactivity disorder (ADHD) b-adrenergic blockers
Note: Page numbers of article titles are in boldface type. A ADHD. See Attention-deficit/hyperactivity disorder (ADHD) a-adrenergic blockers for PTSD, 798 b-adrenergic blockers for PTSD, 798 Adrenergic
More informationΝευροφυσιολογία και Αισθήσεις
Biomedical Imaging & Applied Optics University of Cyprus Νευροφυσιολογία και Αισθήσεις Διάλεξη 19 Ψυχασθένειες (Mental Illness) Introduction Neurology Branch of medicine concerned with the diagnosis and
More informationProfessor Tony Holland, Department of Psychiatry, University of Cambridge
INFORMATION SHEET The Use of Medication in the Treatment of Challenging Behaviour Professor Tony Holland, Department of Psychiatry, University of Cambridge Introduction The use of medication is but one
More informationRichard Heidenfelder M.D. Child, Adolescent and Adult Psychiatry 447 9th Ave San Diego, CA
*We are not accepting any New Patients who are currently taking any controlled pain medications *We are *Note: not completion accepting of the any following New Patients paperwork who and Initial are Screening
More informationMental Health Intake Form
38600 Van Dyke Ave., Suite 200 Sterling Heights, MI 48313 Phone: (586) 933-5395 Fax: (586) 935-0159 Mental Health Intake Form Please complete all information on this form and bring it to the first visit.
More informationWESTMEAD PRIMARY EXAM GROUP PSYCHOTROPIC MEDICATIONS
WESTMEAD PRIMARY EXAM GROUP PSYCHOTROPIC MEDICATIONS DOPAMINE HYPOTHESIS Excessive limbic dopamine is hypothesised to cause psychosis Many antipsychotics inhibit dopamine 2 receptors in mesolimbic and
More informationCHAPTER 3. Schizophrenia and Antipsychotic Treatment
CHAPTER 3 Schizophrenia and Antipsychotic Treatment What is it? It is a severe, chronic, disabling brain disease Considered to have biological origins but exact unknown 1% of population affected Schizophrenia
More informationGUIDELINES FOR THE USE OF PSYCHOACTIVE MEDICATIONS IN INDIVIDUALS WITH CO-OCCURRING SUBSTANCE USE DISORDERS
City and County of San Francisco Mayor Gavin Newsom Department of Public Health Community Behavioral Health Services 1380 Howard Street 5 th Floor San Francisco, CA 94103 GUIDELINES FOR THE USE OF PSYCHOACTIVE
More informationAntidepressants and Sedatives. David G. Standaert, M.D., Ph.D. Massachusetts General Hospital Harvard Medical School
Antidepressants and Sedatives David G. Standaert, M.D., Ph.D. Massachusetts General Hospital Harvard Medical School Depression A frequent problem, affecting up to 5% of the population Common presentations
More informationAnxiolytic, Sedative and Hypnotic Drugs. Assistant Prof. Dr. Najlaa Saadi PhD Pharmacology Faculty of Pharmacy University of Philadelphia
Anxiolytic, Sedative and Hypnotic Drugs Assistant Prof. Dr. Najlaa Saadi PhD Pharmacology Faculty of Pharmacy University of Philadelphia Anxiolytics: reduce anxiety Sedatives: decrease activity, calming
More informationNI Formulary: Chapter 4 Central Nervous system
Hypnotics Anxiolytics Acute state Non drug treatment Temazepam tablets 10mg, 20mg; oral solution 10mg/5ml or Zolpidem tablets 5mg, 10mg or Zopiclone 3.75mg, 7.5mg Non drug treatment Diazepam tablets 2mg,
More information^ PRIMER OF DRUG ACTION A comprehensive gyide to the actions, uses, and side effects of psychoactive drugs
^ PRIMER OF DRUG ACTION A comprehensive gyide to the actions, uses, and side effects of psychoactive drugs wm, ROBERT M.JULIEN M.D.. PH.D. Claire D. Advokat, Ph.D. Louisiana State University and Joseph
More informationAdverse events of common psychiatric medications: an umbrella review
Adverse events of common psychiatric medications: an umbrella review Katrina Bartellas, 1 Thomas Bajorek 1 Sarah Stockton, 1 Stefan Leucht, 2 Andrea Cipriani, 1 Seena Fazel 1 1 Department of Psychiatry,
More informationJohn E. Kraus, M.D., Ph.D.
John E. Kraus, M.D., Ph.D. Chief, Adult Psychiatry, Dorothea Dix Hospital, Raleigh, NC Assistant Professor/Associate Director of Residency Training, Dept. of Psychiatry, UNC Hospitals, Chapel Hill, NC
More informationAnti-Depressant Medications
Anti-Depressant Medications A Introduction: This topic may be a little bit underestimated here in Jordan, while in western countries it has more significance. The function of anti-depressants is to change
More informationAnxiety Pharmacology UNIVERSITY OF HAWAI I HILO PRE -NURSING PROGRAM
Anxiety Pharmacology UNIVERSITY OF HAWAI I HILO PRE NURSING PROGRAM NURS 203 GENERAL PHARMACOLOGY DANITA NARCISO PHARM D Learning Objectives Understand the normal processing of fear vs fear processing
More informationAffective or Mood Disorders. Dr. Alia Shatanawi March 12, 2018
Affective or Mood Disorders Dr. Alia Shatanawi March 12, 2018 Affective or Mood Disorders Reactive Depression. Secondary: Medical Neurological Drugs Major (Endogenous) Depression = Unipolar: Depressed
More informationSafe transfer of prescribing guidance
Safe transfer of prescribing guidance TEWV Prescriber Summary Application required before prescribing Products requiring an application, before prescribing, using the single application form Unlicensed
More informationChapter 4 ~ Central nervous system
Chapter 4 ~ Central Nervous System: General Section 1 of 6 Chapter 4 ~ Central nervous system 4.1 Hypnotics and anxiolytics 4.1.1 Hypnotics CHLORAL HYDRATE CLOMETHIAZOLE NITRAZEPAM TEMAZEPAM TRICLOFOS
More informationDrugs, Society and Behavior
SOCI 270 Drugs, Society and Behavior Spring 2016 Professor Kurt Reymers, Ph.D. Chapter 8 Medication for Mental Disorders 1. Mental Disorders: a. The Medical Model Model: symptoms diagnosis determination
More informationParkinson s Disease Psychosis Treatment in Long-Term Care: Clinical and Operational Considerations
Parkinson s Disease Psychosis Treatment in Long-Term Care: Clinical and Operational Considerations Pari Deshmukh MD Triple board-certified psychiatrist (Boards of psychiatry, addiction medicine, integrative
More informationClasses of Neurotransmitters. Neurotransmitters
1 Drugs Outline 2 Neurotransmitters Agonists and Antagonists Cocaine & other dopamine agonists Alcohol & its effects / Marijuana & its effects Synthetic & Designer Drugs: Ecstasy 1 Classes of Neurotransmitters
More informationThe Deprescribing of Psychotropic Medication in Service Users (Patients) with Learning Disability
The Deprescribing of Psychotropic Medication in Service Users (Patients) with Learning Disability Danielle Adams Principal Clinical Pharmacist Pharmacy and Medicines Optimisation Team HPFT July 2017 1
More informationPsychopharmacology: A Comprehensive Review
Psychopharmacology: A Comprehensive Review 1) The association between a chemical compound and its biological activity, pioneered by Bovet and colleagues in the 1930s is known as a) Symbiosis b) Structure-activity
More informationDEMENTIA AND MEDICATION
DEMENTIA AND MEDICATION Dr. Siobhan Ni Bhriain, MRCP, MRCPsych. Clinical Director, Tallaght and SJH MHS, Consultant Old Age Psychiatrist, Chair, DSIDC Steering Committee. SUMMARY OF TODAY S TALK Dementia-definition,
More informationFLASH CARDS. Kalat s Book Chapter 15 Alphabetical
FLASH CARDS www.biologicalpsych.com Kalat s Book Chapter 15 Alphabetical antipsychotic drugs antipsychotic drugs Neuroleptic drugs. Used to treat schizophrenia. Primarily block dopamine receptors. atypical
More informationMedicine Related Falls Risk Assessment Tool (MRFRAT)
Medicine Related Falls Risk Assessment Tool (MRFRAT) The Medicine Related Falls Risk Assessment tool (MRFRAT) in Appendix 1 is designed to help identify patients at risk of falls due to their current medicine
More informationAffective Disorders.
Affective Disorders http://www.bristol.ac.uk/medicalschool/hippocrates/psychethics/ Affective Disorders Depression Mania / Hypomania Bipolar mood disorder Recurrent depression Persistent mood disorders
More informationKey concepts in psychopharmacology
Key concepts in psychopharmacology David Nutt Anne Lingford-Hughes Agonists, antagonists and partial agonists and antagonists at dopamine D 2 receptors Full agonist: dopamine, apomorphine Abstract Drugs
More informationSchizophrenia & the Antipsychotics
splitting of mind (cognition/emotion) from reality 1% of population globally shamans or mentally ill Several subtypes: paranoid / catatonic / disorganized / undifferentiated / residual positive ( exaggerated)
More informationMood Disorders and Addictions: A shared biology?
Mood Disorders and Addictions: A shared biology? Dr. Paul Stokes Clinical Senior Lecturer, Centre for Affective Disorders, Department of Psychological Medicine Disclosures No relevant disclosures: No paid
More informationFor: NEON Primary Healthcare Providers By: Michelle Romero, DO June 2013
For: NEON Primary Healthcare Providers By: Michelle Romero, DO June 2013 This power point is only a guideline for recommendations in the treatment of psychiatric disorders. This is not comprehensive. Please
More informationA Brief Overview of Psychiatric Pharmacotherapy. Joel V. Oberstar, M.D. Chief Executive Officer
A Brief Overview of Psychiatric Pharmacotherapy Joel V. Oberstar, M.D. Chief Executive Officer Disclosures Some medications discussed are not approved by the FDA for use in the population discussed/described.
More informationDepression in Pregnancy
TREATING THE MOTHER PROTECTING THE UNBORN A MOTHERISK Educational Program The content of this program reflects the expression of a consensus on emerging clinical and scientific advances as of the date
More informationTOP APS DRUGS - DIVALPROEX SODIUM BRAND NAME: DEPAKOTE (ER)
divalproex sodium TOP APS DRUGS - DIVALPROEX SODIUM BRAND NAME: DEPAKOTE (ER) Pharmacodynamics study of what a drug does to the body Divalproex sodium is chemically compounded from sodium valproate and
More informationA-Z of Mental Health Problems
Mental health problems can cover a broad range of disorders, but the common characteristic is that they all affect the affected person s personality, thought processes or social interactions. They can
More informationIntroduction to psychotropic medications JAYNE CAMPBELL
Introduction to psychotropic medications JAYNE CAMPBELL Introduction Psychotropic medications are prescription drugs that are commonly used to control some symptoms associated with many different types
More informationFormulary and Clinical Guideline Document Pharmacy Department Medicines Management Services
Formulary and Clinical Guideline Document Pharmacy Department Medicines Management Services DRIVING AND MENTAL HEALTH CONDITIONS AND TREATMENTS General information Driving while impaired by a physical
More informationCognitive enhancers PINCH ME. Anticholinergic burden BPSD. Agitation, Aggression and antipsychotics
Cognitive enhancers PINCH ME Anticholinergic burden BPSD Agitation, Aggression and antipsychotics 2 types Cholinesterase inhibitors licensed for mild to moderate AD Donepezil Galantamine Rivastigmine also
More informationPsychopathology: Biological Basis of Behavioral Disorders
1 6 Psychopathology: Biological Basis of Behavioral Disorders 16 Psychopathology: Biological Basis of Behavioral Disorders The Toll of Psychiatric Disorders Is Huge Schizophrenia is the major neurobiological
More informationPSYCHOTROPIC DRUGS. Norman L. Keltner, RN, CRNP, EdD. David G. Folks, MD
PSYCHOTROPIC DRUGS Norman L. Keltner, RN, CRNP, EdD Associate Professor School of Nursing University of Alabama at Birmingham Birminghanij Alabama David G. Folks, MD Professor and Chair Creighton University
More informationCannabinoids and Mental Health
Cannabinoids and Mental Health https://upload.wikimedia.org/wikipedia/commons Karen M. Lounsbury, PhD Professor of Pharmacology 802-656-3231, Karen.lounsbury@uvm.edu Objectives Describe the underlying
More informationGuide to Psychiatric Medications for Children and Adolescents
Guide to Psychiatric Medications for Children and Adolescents by Glenn S. Hirsch, M.D. The following guide includes most of the medications used to treat child and adolescent mental disorders. It lists
More information8/15/17. Managing Psychiatric Conditions in Primary Care Beyond the Basics. Speaker s Biography. Situation
Managing Psychiatric Conditions in Primary Care Beyond the Basics Source: US National Library of Medicine, Images from the History of Medicine Luis Berrios, DNP, MHA, ANP, PMHNP Internal Medicine & Primary
More informationAbilify (aripiprazole)
Abilify (aripiprazole) FDA ALERT [04/2005] Abilify is a type of medicine called an atypical antipsychotic. FDA has found that older patients treated with atypical antipsychotics for dementia had a higher
More informationClinical Psychopharmacology Made Ridiculously Simple (8th Edition)
Questions from chapter 2 Clinical Psychopharmacology Made Ridiculously Simple (8th Edition) 1) The emotional reaction which stems from a relatively minor event is a) grief b) anhedonia c) dysthymia d)
More informationMental Health Intake Form
Current Symptoms Checklist: (check once for any symptoms present, twice for major symptoms) ( ) ( ) Depressed mood ( ) ( ) Racing thoughts ( ) ( ) Excessive worry ( ) ( ) Unable to enjoy activities ( )
More informationBenzodiazepines: risks, benefits or dependence
Benzodiazepines: risks, benefits or dependence A re-evaluation Council Report CR 59 January 1997 Royal College of Psychiatrists, London Due for review: January 2002 1 Contents A College Statement 3 Benefits
More informationMEDICATION ALGORITHM FOR ANXIETY DISORDERS
Psychiatry and Addictions Case Conference UW Medicine Psychiatry and Behavioral Sciences MEDICATION ALGORITHM FOR ANXIETY DISORDERS RYAN KIMMEL, MD MEDICAL DIRECTOR HOSPITAL PSYCHIATRY UNIVERSITY OF WASHINGTON
More informationMedicines Formulary BNF Section 4 Central Nervous System
Medicines BNF Section 4 4.1 Hypnotics and anxiolytics Chloral Hydrate 500mg/5ml Solution Clomethiazole 192mg Capsules Lormetazepam Tablets Melatonin Capsules Nitrazepam Suspension Nitrazepam Tablets Temazepam
More informationGREATER MANCHESTER INTERFACE PRESCRIBING GROUP
GREATER MANCHESTER INTERFACE PRESCRIBING GROUP On behalf of the GREATER MANCHESTER MEDICINES MANAGEMENT GROUP SHARED CARE GUIDELINE FOR THE PRESCRIBING OF SELECTIVE SEROTONIN REUPTAKE INHIBITORS (SSRIs)
More informationAntidepressant Selection in Primary Care
Antidepressant Selection in Primary Care R E B E C C A D. L E W I S, D O O O A S U M M E R C M E B R A N S O N, M O 1 5 A U G U S T 2 0 1 5 Objectives Understand the epidemiology of depression. Recognize
More informationA guide to reducing or stopping mental health medication. Notes for prescribers
A guide to reducing or stopping mental health medication Notes for prescribers 1 Prescribers notes for reducing or stopping mental health medication These notes are written to augment the information for
More informationChange Your Brain, Change Your Life. The Breakthrough Program for Conquering Anxiety, Depression, Obsessiveness, Anger, and Impulsiveness
Change Your Brain, Change Your Life The Breakthrough Program for Conquering Anxiety, Depression, Obsessiveness, Anger, and Impulsiveness Daniel G Amen Three Rivers Press New York Appendix Medication 1.
More informationReview of Psychotrophic Medications. (An approved North Carolina Division of Health Services Regulation Continuing Education Course)
Review of Psychotrophic Medications (An approved North Carolina Division of Health Services Regulation Continuing Education Course) Common Psychiatric Disorders *Schizophrenia *Depression *Bipolar Disorder
More informationTranquilizers & Sedative-Hypnotics
Tranquilizers & Sedative-Hypnotics 1 Tranquilizer or anxiolytic: Drugs used therapeutically to treat agitation or anxiety Sedative-Hypnotic: drugs used to sedate and aid in sleep Original sedatives (before
More informationA Basic Approach to Mood and Anxiety Disorders in the Elderly
A Basic Approach to Mood and Anxiety Disorders in the Elderly November 1 2013 Sarah Colman MD FRCPC Clinical Fellow, Geriatric Psychiatry Mount Sinai Hospital, University of Toronto Disclosure No conflict
More informationTreating sleep disorders
Treating sleep disorders Sue Wilson Centre for Neuropsychopharmacology Imperial College London sue.wilson@imperial.ac.uk Suggested algorithm for treatment of insomnia Diagnosis of insomnia Associated with
More informationPharmacological Treatment of Anxiety & Depressive Disorders
Pharmacological Treatment of Anxiety & Depressive Disorders Dr Gary Jackson (MB BCh FRCPsych) Consultant Psychiatrist The Priory Hospital Chelmsford Wellesley Hospital Southend-on-Sea Medical Secretary:
More informationNorthSTAR. Pharmacy Manual
NorthSTAR Pharmacy Manual Revised October, 2008 Table of I. Introduction II. III. IV. Antidepressants New Generation Antipsychotic Medications Mood Stabilizers V. ADHD Medications VI. Anxiolytics and Sedative-Hypnotics
More informationGuilt Suicidality. Depression Co-Occurs with Medical Illness The rate of major depression among those with medical illness is significant.
1-800-PSYCH If you are obsessive-compulsive, dial 1 repeatedly If you are paranoid-delusional, dial 2 and wait, your call is being traced If you are schizophrenic, a little voice will tell you what number
More informationANTIANXIETY DRUGS: BENZODIAZEPINES
Margaret Gnegy Professor of Pharmacology pgnegy@umich.edu 1 ANTIANXIETY DRUGS: BENZODIAZEPINES Sedatives and hypnotics M. Gnegy, Ph.D. 1 2 Reading: Goodman & Gilman, 11th ed. Chapter 16, pp. 401-427. Drug
More informationSMOKING AND DRUG INTERACTIONS
Medicines Information Centre Pharmacy Department UK Medicines Information SMOKING AND DRUG INTERACTIONS Introduction Smoking rates are significantly higher among people with mental health problems. It
More informationpaxil bashing paxil treatmnt multiple chemical sensitivity paxil and meth use paxil brain damage. teeth grinding paxil, paxil cr free meds assistance
paxil bashing paxil treatmnt multiple chemical sensitivity paxil and meth use paxil brain damage. teeth grinding paxil, paxil cr free meds assistance can you combine benedryl with paxil taking wellbutrin
More informationChapter 4 Central Nervous System Answers. 1. What advice would you provide to someone who has just been initiated on Temazepam for insomnia?
Chapter 4 Central Nervous System Answers 1. What advice would you provide to someone who has just been initiated on Temazepam for insomnia? May impair judgement and increase reaction time, and so affect
More informationBEHAVIOURAL SCREENING OF DRUGS HYPNOTICS/SEDATIVES
BEHAVIOURAL SCREENING OF DRUGS I. PHARMACOLOGICAL PROPERTIES OF SOME CNS AFFECTIVE AGENTS HYPNOTICS/SEDATIVES The hypnotics and sedatives are one of the most widely prescribed classes of drugs on the market.
More informationCell body, axon, dendrite, synapse
SOME BASIC NEUROSCIENCE Neurons have specialised extensions 1: Label the parts of a neuron by selecting the correct term from the box below. Cell body, axon, dendrite, synapse 1 dendrite synapse cell body
More informationPsychiatric Medication Guide
Psychiatric Medication Guide F O R : N E O N P R I M A R Y H E A L T H C A R E P R O V I D E R S B Y : M I C H E L L E R O M E R O, D O M A Y, 2 0 1 3 Anti-depressants TCA s & MAOI s (Tricyclic Antidepressants
More informationPROCEDURE REF NO SABP/EXECUTIVE BOARD/0017
PROCEDURE REF NO SABP/EXECUTIVE BOARD/0017 NAME OF GUIDELINE REASON FOR GUIDELINE WHAT THE GUIDELINE WILL ACHIEVE? WHO NEEDS TO KNOW ABOUT IT? Medicines Guideline: Hypnotic Medication Compliance with NICE
More information