Psychopharmacology
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Transcript of Psychopharmacology
- 1. Psychopharmacology
2. PSYCHOPHARMACOLOGY
- Antipsychotics
- Antiparkinsonisms
- Antidepressants
- Mood stabilizers
- Sedative Hypnotics
- Medications used to treat ADHD
3. Principles of psychopharmacotherapy
- The diagnostic assessment is fundamental to our model
- Pharmacotherapy is insufficient for complete recovery.
- The phase of an illness is of critical importance in terms of the initial intervention and the duration of treatment
- The risks to benefit ratio must always be considered when developing a treatment strategy
4. Principles of psychopharmacotherapy
- Prior personal history of good and bad response to a specific agent usually dictates the first line of choice for a subsequent episode.
- It is important to target specific symptoms that serves as a marker for the underlying psychopathology.
- Observe the development of adverse side effects.
5. Indications of antipsychotics
- Brief psychotic disorders
- Schizophreniform
- Schizophrenia
- Schizoaffective Disorders
- Delusional disorders
- Psychotic mood disorders
- Organic psychoses
6. Antipsychotics
- Phenothiazines
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- Aliphatic
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- Chlorpromazine ( Thorazine 25, 50,100mg)
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- Piperidines
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- Thioridazine ( Melleril 50, 100mg )
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- Mesoridazine ( Serentil 10mg.)
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- Piperazines
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- Fluphenazine
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- Perphenazine ( Trilafon 4, & 8 mg.)
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- Trifluoperazine ( Stelazine 5 mg.)
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7. Antipsychotics
- THIOXANTHENES
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- Thiothexenes Navane
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- Zuclophentixol HCl Clopixol 10, 25mg tab
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- Zuclophentixol decanoate Clopixol depot
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- Zuclophentixol acetate Clopixol Acuphase
8. Antipsychotics
- Butyrophenones
- Haloperidol ( Haldol, 1, 2, 5, 10 mg/tab)( Serenace 5, 10, 20mg/tab )
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- ( Serenace 5mg/ampule )
9. Antipsychotics
- Benzamides
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- Sulpiride Dogmatil
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- Amisulpiride - Solian
10. Antipsychotics Serotonin-Dopamine Antagonists
- Dibenzodiazepines
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- Clozapine - Leponex
- Thiobenzodiazepines
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- Olanzapine - Zyprexa
- Benzothiazepines
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- Quetiapine - seroquel
- Benzisoxasoles
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- Risperidone - Risperdal
- Benzisothiasole piperazine
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- Ziprasidone - Zeldox (Geodon)
11. Unclassified
- Aripiprazole
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- Abilify 5,10, 15mg/tab
12. Antiparkinsonism
- Biperidin HCl Akineton 2mg.
- Diphenhydramine Benadryl 50mg
- Amantadine Symmetrel 100mg
- Benztropine mesylate Cogentin 2mg
- Trihexylphenidyl HCl Artane 2mg
13. Antidepressants
- Heterocyclics
- MAOIs
- RIMA
- Dopamine Agonists
- SSRI
- SNRI
14. Antidepressants Heterocyclics
- Tricyclics
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- Imipramine - Tofranil
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- Clomipramine - Anafranil
- Tetracyclics
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- Maprotiline - Ludiomil
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- Dothiepine Prothiaden
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- Mirtazapine - Remeron
15. Antidepressants Monoamine Oxidase Inhibitors (MAOI )
- Increases biogenic amines by inhibiting their degradation
- Should not be taken with foods w/ tyramine
- Examples
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- Tranylcypromine ( Parnate )
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- Phenelzine ( Nardil )
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- Iproniazid ( Marsilid )
16. Antidepressants Reuptake Inhibitor of Monoamine Oxidase Inhibitor type A (RIMA)
- Moclobemide Aurorix 150 mg
- Brofaromine
17. Antidepressants Dopamine Agonists
- Amineptine HCl Survector 100mg/tab
18. Antidepressants Selective Serotonin Reuptake Inhibitors (SSRI)
- Paroxetine Paxil, Seroxat 20/tab
- Fluovoxamine Luvox, Faverin 50mg/tab
- Fluoxetine Prozac 20mg/pulvules
- Sertraline Zoloft 50mg/tab
19. Antidepressants Serotonin-Norepinephrine Reuptake Inhibitors
- Venlafaxine Effexor 50mg./tab
20. Medications used for ADHD
- Stimulants
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- Methylphenidate (Ritalin, Metadate, Concerta, Daytrana)
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- Amphetamine (Adderall)
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- Dextroamphetamine (dexedrine, Dextrostat)
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- Lisdexamfetamine mesylate ( vyvanse)
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- Non stimulant
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- Atomoxetine ( Strattera )
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21. Mood Stabilizers
- Lithium carbonate Quilonium R 450mg/tab
- Carbamazepine Tegretol 200mg/tab
- Oxcarbazepine Trileptal 300 & 600mg
- Depakene Valproic Acid
- Divalproate sodium Epival 250mg/tab
22. Sedative - Hypnotics
- Benzodiazepines
- Imidazopyridines
- Cyclopyrrolone derivatives
23. Benzodiazepines Estazolam Lorazepam Clobazam Clorazepate dipotassium alprazolam Clonazepam Flurazepam Triazolam Midazolam Diazepam Short-acting Intermediate Long Acting 24. Imidazopyridines
- Zolpidem Stilnox 10mg/tabAmbien in US
25. Cyclopyrrolone derivative
- Zopiclone Imovane 7.5mg/tab