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  • 8/7/2019 SINGSON, Sonia Rufa Joy-unit2assignment

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    Psychopharmacology

    Sonia Rufa Joy L. Singson

    CNU - CN 2012

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    Acetophenazine 60-120 mg

    Aripiprazole 10-30 mgChlorpromazine 25-2000 mgChlorprothixene 30-600 mg

    Clozapine 215-900 mgFluphenazine 1-40 mg

    Fluphenazine decanoate 5-100 mg q 1-2 wk

    Haloperidol 1-100 mgHaloperidol decanoate 12.5-200 mg q 2-4 wk

    Loxapine 10-15 mgMesoridazine 30-400 mgMolindone 15-200 mgOlanzapine 5-20 mg

    2.5-10 mg q d

    Perphenazine 4-64 mgPrimozide 1-20 mg

    Prochlorperazine 5-150 mgQuetiapine 25-800 mg

    Risperidone 0.5-16 mg25-50 mg q 2 wks

    Thioridazine 10-800 mgThiothixene 1-60 mg

    Trifluoperazine 2-80 mgZiprasidone 20-160 mg

    10-40 mg

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    Amphetamine, general

    anesthesia, SSRI,

    stimulants

    Amphetamine, general

    anesthesia

    Amphetamine, general

    anesthesia, asthma

    medication, SSRI

    Amphetamine, general

    anesthesia, asthma

    medication, SSRI

    General anesthesia,

    asthma medication,

    SSRI

    General anesthesia,

    asthma mebication

    Amphetamine, general

    anesthesia, asthma

    medication, SSRI

    General anesthesia,

    SSRI

    Amphetamine, asthma

    medication, SSRI

    Amphetamine,

    Percocet, Percodan

    General anesthesia, SSRI,

    Perocet, Percodan

    Amphetamine, general

    anesthesia, SSRI, Perocet,

    Percodan

    Amphetamine, SSRI

    Amphetamine, general

    anesthesia, asthma medication,

    stimulants, SSRI

    Amphetamine, general

    anesthesia, asthma medication,

    stimulants, SSRI, Percocet,

    Percodan

    Amphetamine, general

    anesthesia, asthma medication,

    stimulants, SSRI, Hydrocodone,

    Percocet, Percodan

    SSRI

    Amphetamine, general

    anesthesia, stimulants,Hydrocodone, Percocet,

    Percodan

    SSRI

    D R U G S & F O O D S T H A T A R E C O N T R A I N D I C A T E D W I T H E A C H O T H E R

    Figure above shows column 1 as the foods (pictures) and the opposite of the foods as column 2 which are the drugs that contraindicate with the food.

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    Why Beta Blockers are used in Psychiatry

    Beta blockers are used in psychiatry because it alters sodium transport in nerve and muscle cells and inhibits the release of

    norepinephrine and epinephrine which mediates the "fight or flight" response, and also dopamine but not serotonin from

    stimulated neurons. It slightly increases intraneuronal stores of catecholamines and decreases intraneuronal content of second

    messengers and may thereby selectively modulate the responsiveness of hyperactive neurons that might contribute to themanic state.

    Beta blockers mainly treat anxiety by blocking the effects of two neurotransmitters, adrenaline and noradrenaline, at beta

    receptors, thus giving these medications their names. Adrenaline and noradrenaline are released when a person feels anxious,

    and they can be at a higher level if a person suffers from chronic anxiety. The anti-anxiety effects of beta blockers are

    regulated by the peripheral, or outer, receptors instead of centrally.

    However, beta blockers have no direct effect on anxiety. Instead, beta blockers act by reducing the patient's response toanxiety, such as tremors and cardiac response. By decreasing the effects of anxiety, beta blockers diminish the patient's

    thoughts that he is experiencing anxiety

    Cholinergic agonists are used in psychiatry because it functions to enhance or inhibit the effects

    mediated by acetylcholine (a neurotransmitter which plays a role in memory and attention and signals

    muscles to become active)

    These drugs are excitatory and are also inhibitory in nature. Thus, these kind of drugs are used for

    manic-depressive disorder or bipolar disorder wherein there is the presence of one or more episodes of

    abnormally elevated energy levels, cognition, and mood with or without one or more depressive episodes

    Why Thyroid Medications are used in Psychiatry

    Thyroid medications are used in psychiatry because it acts to increase the basal metabolic rate, affect protein synthesis, help

    regulate long bone growth (synergy with growth hormone), neuronal maturation and increase the body's sensitivity to

    catecholamines (such as adrenaline) by permissiveness. Thus, these mechanisms of action of thyroid medications especially the

    increase of adrenaline is also can justify that thyroid medications can also be anti-depressants.

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    Scientists now consider thyroid hormone one of the major players in brain chemistry disorders. And as with any brain

    chemical disorder, until treated correctly, thyroid hormone imbalance has serious effects on the patients emotions and

    behavior.

    Beta blockers are used in psychiatry because it alters sodium transport in nerve and muscle cells and

    inhibits the release of norepinephrine and epinephrine which mediates the "fight or flight" response, and

    also dopamine but not serotonin from stimulated neurons. It slightly increases intraneuronal stores of

    catecholamines and decreases intraneuronal content of second messengers and may thereby selectively

    modulate the responsiveness of hyperactive neurons that might contribute to the manic state.

    Beta blockers mainly treat anxiety by blocking the effects of two neurotransmitters, adrenaline and noradrenaline, at beta receptors, thus giving these medications their names. Adrenaline and

    noradrenaline are released when a person feels anxious, and they can be at a higher level if a person

    suffers from chronic anxiety. The anti-anxiety effects of beta blockers are regulated by the peripheral, or

    outer, receptors instead of centrally.

    However, beta blockers have no direct effect on anxiety. Instead, beta blockers act by reducing the

    patient's response to anxiety, such as tremors and cardiac response. By decreasing the effects of anxiety,

    beta blockers diminish the patient's thoughts that he is experiencing anxiety

    Psychiatric illness that impairs judgment, insight and stability places psychiatric patients at increased risk for medicationnon-compliance.

    Impaired cognitive function

    Problems with sight, hearing, or mobility

    Complicated dosing schedules

    Alteration of drug regimen based on the personal judgment of the client

    Unavailability of medication

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    Lack of motivationDifferent beliefs

    Too high or too low expectations

    Satisfaction with treatment

    Clients personality

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    sEXUAL sIDE EFFECTS OF aNTIPSYCHOTIC mEDICATIONS- disturbances of erection and

    ejaculation

    - changes in libido

    - priapism in men and decreased libido

    - orgasmic dysfunction

    - menstrual irregularities in women

    - infertility