Case Studies & Lightning Round

Psychiatric side effects due to anti-epileptic use can include

Which anti-epileptic agent is associated with the highest rate of induced psychosis?

History of seizures is a contraindication to treatment with clozapine

Clozapine is the gold standard and only FDA approved antipsychotic for treatment resistant schizophrenia

[blank_start]Valproic acid[blank_end] is the most widely studied anticonvulsant for seizure prophylaxis

Using valproic acid WITH clozapine can improve

When studied in alcoholics, trazodone caused an increase in the number of drinks per drinking day

SSRIs are most likely to cause significant sexual dysfunction

First line management of sexual dysfunction involves adding bupropion or a PDE-5 inhibitor

What can be used off label for socual anxiety

In first episode psychosis, no antipsychotic is clearly superior to another in regards to efficacy

First episode psychosis risk factors for medication non-adherence include

High potency antipsychotics are more likely to be the causative agent of catatonia

second generation antipsychotics have no risk of inducing NMS

Treatment for catatonia includes

Valproate increases lamotrigine concentration more than 2 fold

Risk factors for lithium toxicity: [blank_start]Anorexia[blank_end] Cystic fibrosis [blank_start]decreased[blank_end] circulating volume decreased [blank_start]sodium[blank_end] intake infections [blank_start]renal insufficiency[blank_end] Other medications

Which of the following are symptoms of acute lithium toxicity?

Lithium is almost entirely excreted by the kidneys

The rate of hyperthyroidism is increased in patients on lithium

Cyproheptadine is used for moderate to severe serotonin toxicity

What neurotransmitters are targeted in treatment of residual insomnia?

When treating residual insomnia, what side effects should be considered?

In residual concentration difficulty, what neurotransmitters should be targeted?

Consider abuse/dependence potential and cardiac history when treating concentration difficulties