NSG552 / NSG 552 EXAM 2
STUDY GUIDE
Psychopharmacology - Wilkes
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, Anxiolytics
Hello class, as you get through the readings, discussion posts and the resources for this
week, please review the following concepts.
What are the symptoms for SSRI discontinuation syndrome (FINISH)
F= Flu like symptoms (aches, pains, chills)
I= Insomnia
N= Nausea
I= Imbalance
S= Sensory disturbance (tremors, sensation of electrical shock)
H= Hyperarousal
A patient experiencing SSRI related sexual dysfunction
● switch to Wellbutrin
What is the first line agent for anxiety disorders? e.g. Social anxiety disorder (SAD)
***Firstline treatment for chronic anxiety, GAD, panic disorder = SSRI
● Treat comorbid depression
● Lack abuse risk
● Low side effect rate
A patient presents with depressive symptoms alongside pain complaints = what medications
will you consider?
● SSRI’s and TCA’s
Highest anticholinergic effect
● TCA
NOTE: Venlafaxine (Effexor) can be very activating (patients can be restless)
β-adrenergic receptor antagonists (beta-blockers) are generally most effective in the
treatment of Akathisia
Signs of Serotonin Syndrome