Biological Therapies for Schizophrenia

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Why might antipsychotics be delivered via an injection or syrup?
When a paitent refuses to take the medication themselves and dosage needs to be carefully monitored.
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Why do paitents not take medication?
Paranoia of what the drug might do to them, dislike the sedative effects, forget to take them due to poor memory.
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Typical antipsychotics can also be referred to as...?
First generation
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Atypical antipsychotics can also be referred to as...?
Second generation
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What is an example of a typical antipsychotic?
Chlorpromazine
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What is an example of an atypical antipsychotic?
Clozapine
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How does Chlorpromazine work?
They are dopamine antagonists. The drug binds to dopamine receptors but does not stimulate them, thus blocking their action
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How does Clozapine work?
They bind to dopamine receptors (especially D2) but are though to act on glutamate and serotonin receptors also
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Why might Clozapine be prescribed?
Because of its mood-enhancing effects, it can be helpful if someone is at high risk of committing suicide
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What is the rate for attempted suicide in people with schizophrenia?
30-50%
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What is the advantage of Risperidone over Clozapine?
Decreased side effects
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What is the maximum daily dosage for Chlorpormazine?
1000 mg, but usually reduced to 400mg
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What is the maximum daily dosage for Clozapine?
300-450mg
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What is the maximum daily dosage for Risperidone?
12mg
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How are injections of antipsychotics effective for paitents who forget or refuse to take medication?
It has a slow releasing effect so paitents only need to be administered it every 2-4 weeks
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What is the advantage of administering Chlorpromazine as a syrup?
It's fast absorbing and therefore allows its sedative properties to come into effect quickly when paitents are anxious
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What is the name of the dangerous blood disease Chlorpromazine can cause?
Agranulocytosis
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What is a severe side effect of typical antipsychotics
Tardive Dyskinesia
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Why does Neuroleptic Malignant Syndrome (NMS) occur?
Drug blocks the dopamine receptors in the hypothalamus, which is associated with the regulation of several body symptoms.
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The symptoms of NMS are?
High temperature, delirium and coma
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What is the rate of non-compliance for taking antipsychotics?
40%
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Why does Clozapine have the lowest non-compliance rate (5%)?
Administration is strictly monitored
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How likely is developing NMS with typical antipsychotics?
0.1%-2%
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How likely is developing Tardive dyskinesia with typical antipsychotics?
32%
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How likely is developing Tardive dyskinesia with atypical antipsychotics?
13%
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How much weight is gained over 10 weeks with typical antipsychotics?
5kg
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How much weight is gained over 10 weeks with atypical antipsychotics?
2-4kg
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What is the main issue with treating people with antipsychotics?
They don't have a coping mechanism, and so they believe recovery is only possible on medication, and feel helpless when symptoms reoccur.
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What is the effect size (according to Leucht et al.) for acute cases of schizophrenia?
0.51
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What is the effect size (according to Leucht et al.) for relapse cases of schizophrenia?
0.92
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Other cards in this set

Card 2

Front

Why do paitents not take medication?

Back

Paranoia of what the drug might do to them, dislike the sedative effects, forget to take them due to poor memory.

Card 3

Front

Typical antipsychotics can also be referred to as...?

Back

Preview of the front of card 3

Card 4

Front

Atypical antipsychotics can also be referred to as...?

Back

Preview of the front of card 4

Card 5

Front

What is an example of a typical antipsychotic?

Back

Preview of the front of card 5
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