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Psychopharm N358 Exam/ Actual Exam Questions with 100% Verified Answers/ Latest Update 2024 - Rated A+ $12.99   Add to cart

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Psychopharm N358 Exam/ Actual Exam Questions with 100% Verified Answers/ Latest Update 2024 - Rated A+

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Psychopharm N358 Exam/ Actual Exam Questions with 100% Verified Answers/ Latest Update 2024 - Rated A+

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  • October 18, 2024
  • 18
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • Psychopharm
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Psychopharm N358 Exam/ Actual Exam Questions
with 100% Verified Answers/ Latest Update 2024 -
Rated A+



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 causes decreased - ANSWER - subjective euphoria and abuse potential


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)


symptoms of serotonin syndrome - ANSWER - changes in mental status, restlessness,
elevated temperature, tachycardia, labile blood pressure, diaphoresis, shivering,
tremors


treatment for serotonin syndrome - ANSWER - cyproheptadine (Periactin) - histamine 1
receptor antagonist and supportive measures


examples of heterocyclic antidepressants - ANSWER - bupropion (Wellbutrin)
miratazapine (Remeron)
trazodone (Desyrel)


characteristics of fluoxetine - ANSWER - Prozac - SSRI, longer half-life


characteristics of fluvoxamine - ANSWER - Luvox - SSRI, may be used to treat OCD


characteristics of citalopram - ANSWER - Celexa - SSRI, obtain baseline EKG, not
dosed higher than 40mg/day because of cardiac effects


characteristics of duloxetine - ANSWER - Cymbalta - SNRI, depression and/or pain

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