Psychopharm N358 Exam/ Actual Exam Questions
with 100% Verified Answers/ Latest Update 2024 -
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what is methadone - ANSWER - opioid agonist, synthetic narcotic analgesic
what is methadone used for - ANSWER - substitution or opioid maintenance therapy
why is methadone used - ANSWER - harm-reduction strategy to reduce associate risks
of heroin or IV drug use (infectious diseases), reduce or prevent other negative
consequences of illicit substance use (crime and violence)
methadone may contribute to - ANSWER - increased psychosocial stability
buprenorphine class - ANSWER - partial opioid agonist
Subutex
properties of buprenorphine - ANSWER - some agonist and some antagonist
buprenorphine has extremely high - ANSWER - binding capacity to opioid receptors
dietary restrictions which which MAOI may not be necessary - ANSWER - selegeline
transdermal system (Emsam) at 6mg/24 hour
modifications recommended at 9mg and 12mg/24 hour
, 2
tricyclic antidepressants may also be used for treatment of - ANSWER - chronic pain
What is different about tricyclic antidepressants from SSRIs? - ANSWER - more
pronounced side effects and safety considerations
side effects of tricyclic antidepressants - ANSWER - anticholinergic effects (dry mouth,
constipation)
orthostatic hypotension
photosensitivity (eyes and skin)
risk of potentially fatal overdose in suicide attempts
tricyclic antidepressant examples - ANSWER - amitryptiline
imipramine (Tofranil)
clomipramine (Anafranil) effective in treatment of OCD
what kind of side effect profiles do SSRIs and SNRIs have - ANSWER - benign, safer
when will therapeutic response with SSRIs and SNRIs occur - ANSWER - a few weeks
to a few months
characteristics of sertraline - ANSWER - Zoloft - SSRI, among most commonly
prescribed
what can occur when duloxetine is discontinued abruptly? - ANSWER - discontinuation
syndrome, like the flu
which antidepressant class is the treatment of choice for long-term management of
anxiety disorders - ANSWER - SSRIs and SNRIs
, 3
SSRI and SNRI initial dosing - ANSWER - start low and go slow to avoid initial
worsening of symptoms
start at half or less recommended dose
interruption in SSRI and SNRI regimen or abrupt termination may result in - ANSWER -
discontinuation syndrome with flu like symptoms
What puts someone at risk for serotonin syndrome - ANSWER - two or more
medications and/or illicit agents that potentiate serotonergic neurotransmission (St.
John's Wort and ecstasy)
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