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98 Cards in this Set
- Front
- Back
child is noncopmpliant in absence of criminality
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oppositional defiant disorder
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tx for tourettes
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haldol
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X linked disorder seen only in girls (why?)
mental retardation appearing at age 4 |
Rett's
boys die in utero |
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stereotyped hand-wringing in a little girl
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Retts
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gaba, NE and serotonin in anxiety
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NE up
GABA down serotonin down |
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decreased NE
decreased serotonin |
depression
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decreased GABA and Ach
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Huntingtons
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increased dopamine
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schizzophrenia
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decreased dopamin
Increased ach |
parkinsons
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anosognsoia
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lack of awareness that one is ill
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abrupt change in geographic location with inability to recall past
confusion about personal identity assumption of a new identity distress and impariment not result of GME or substance abuse |
dissociative fuge
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formication
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sense of ants crawling on one's skin
common in DTs and cocain abusers |
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hypnagogic
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while GOing to sleep
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psychosis 1-6 months
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schizophreniform
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psychosis les thn 1 month
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brief psychotic disorder
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how many positive symptoms are needed for schizo
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2
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schizo featuring atomatisms
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catatonic
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manic symtoms
no impairment no psyhotic features |
hypomanic episode
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how long does dysthymia have to last
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2 years
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what aspects of sleep are slowed and sped up in depression
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increased REM (early and total)
decreased slow-wave, REM latency |
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number of physical symptoms necessary in panic disorder
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4, and they have to peak within 10 minutes
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panic disorder criteria
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recurrent
intense fear and discomfort peaking in 10 minutes 4 physical symptoms |
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algophobia
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fear of pain
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gamophobia
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fear of marriage
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how long does acute stress disorder last
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2-4 weeks
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how long does PTSD have to last before it's official
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1 month
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difference between adjustment disorder and GAD
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< 6 months ofr adjustment disorder
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criteria for Muchausen's
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assume sick role to get medical attention (primary gain)
multiple hospital admissions willingness to receive invasive procedures |
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false belief of being pregnant associated with objective physical signs of pregnancy
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pseudocyesis
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tertiary gain
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what the caretaker gets from a patients complaints (e.g., physician on an interesting case)
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schizoid vs schizotypal
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schizoid is withdrawn; schizotypal is odd, eccentric
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Cluster A disorders
Cluster B disorders Cluster C disorders |
Weird - Aloof
Wild - Bad Worried - Chattering Teeth |
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timing of psychotic symptoms in schizophreniform
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1-6 months (less than 1 is brief psychotic disorder
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what is a sensitivie test for alcohol use
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serum GGT
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tremor, tachycardia, HTN, malaise, nausea, seizures, delirium tremens, tremulousness, agitation, hallucinations
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alchohol withdrawal
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dilated pupils
piloerection yawning |
opioid withdrawal
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psychomotor agitation, impaired judgment, pupillary dilation, HTN, tachycardia, arrhythmias, hallucinations
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amphetamine intoxication
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euphoria, tachycardia, hallucinations (including tactile), paranoid ideations, sudden cardiac death
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cocaine intoxictaion
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belligerence, impulsiveness, fever, psychomotor agitation, vertical and horizontal nystagmus, homicidality, psychosi
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PCP intoxication
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recurrence of intoxication symptoms due to reabsorption in GI tract, sudden onset of severe random, homicidal violence
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PCP withdrawal
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marked anxiety or depression, delusions, visual hallucinations, flashbacks, pupillary dilation
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LSD intoxication
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how long after last use can pot be detected in urine
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1 month
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anxiety, seizures, delirium, life-treatening cardiovascular collapse
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barbiturate withdrawal
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intoxication with a low safety margin, respiratory depression
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barbiturate intoxication
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amnesia, ataxia, somnolence, minor resporatory depression, additive effects with alcohol
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benzo intoxication
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rebound anxiety, seizures, tremor, insomnia
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benzo withdrawal
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how does ethanol cause hypoglycemia
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increased NADH/NAD, inhibits gluconeogenesiss
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when does delirium tremens peak
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2--5 days
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how to dreat deliriu tremens
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benzos
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learning in which a natural response is elicited by a learned stimulus
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classical conditioning
pavlov |
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learning in which a particular action is elicited because it produces a reward
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operant conditioning
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negative reinforcement vs punishment
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negative reinforcement uses removal of bad stimulus to elicit behavior that causes the removal
punishment is bad outcome from a behavior in the hopes of stopping it |
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effect of continuous reinforcement schedule
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rapidly extinguished (you stop using a vending machine if it lets you down once)
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partially remaining at a more childish level of development
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fixation
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separation of feelings from ideas and events, e.g., describing a murder in graphic detail with no emotional response
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isolation
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tx for anorexia
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SSRIs
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tx for bulimia
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SSRIs
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tx for anxiety
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barbiturate
benzos buspirone MAOis |
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tx for ADHD
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methylphenidate
amphetamine |
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tx for atypical depression
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MAOi
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tx for bipolar disorder
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lithium
valproate carbamazepine |
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tx for depression
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SSRIs
TCAs |
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tx for depression with insomnia
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Make like Tryptophan
trazodone mirtazapine |
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tx for OCD
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SSRIs
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tx for panic disorder
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Beat Terror
TCAs buispirone |
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tx for schizophrenia
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antipsychotics
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tx for Tourettes
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Haloperiodl
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evolution of EPS side effects of antipsychotics
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4h - acute dystonia
4d - akinesia 4w - akathisia 4 mo - tardive |
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pt on antipsychotics
rigidity myoglobinuria autonomic instability hyperpyrexia |
neuoleptic malignant syndrome
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tx for neuroleptic malignant syndrome
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dantrolene
dopamine agonists |
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low potency neurolpetics
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thioridazine
chlorpromazine Calm Treaters |
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high potency neuroleptics
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haloperidol
trifluoperazine |
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atypical antipsychotics
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clozapine
olanzapine risperidone quetiapine aripiprazole ziprasidone |
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MOA of atypicals
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block 5HT2 and dopamine
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uses of olanzapine
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ol over the place!
its MOA deals with Depression and Tourrettes OCD anxiety depression mania Tourettes |
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why are patients on clozapine monitored
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agranulocytosis
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lithium side effects
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LMNOP
Lithium causes Movement (tremor) Nephrogenic diabetes insipidus HypOthyroidism Pregnancy problems |
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Buspirone MOA
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5HT1A receptors
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what causes serotonin syndrome
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SSRIs plus MAO inhibitors
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person on antidepressants
hyperthermia muscle rigidity cardiovascular collapse |
SSRIs and MAOIs, causing serotonin syndrome
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what kind of drug is doxepin
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TCA
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what kind of drug is amoxapine
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TCA
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rx for bedwetting
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imipramine
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TCA used for OCD
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clomipramine
keeping everything neat in the closet |
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pscyh meds that cause atropine like effects
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TCAs
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rank in oder of decreasing anticholinergic effects:
nortirpytline desipramine amitriptyline |
amitriptyline
nortriptyline desipramine |
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TCA toxicity
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the Three Cs of TCas
Convulsion Coma Cardiotoxicity |
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moa of venlafaxine
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inhibits reuptake of
serotonin NE dopamine |
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oa of mirtazapine
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alpha 2 antagonist (increases release of NE and serotonin)
and potent 5HT2 and 3 receptor antagonist |
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side effects of mirtazapine
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weight gain, sedation, dry mouth
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moa of maprotiline
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blocks NE reuptake
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toxicity of maprotilne
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orthostatic hypotenion
Can't change directions on the MAP |
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moa of trazodone
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primarily inhibits serotonin reuptake
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trazodone side effects
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priapism
postural hypotension |
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rx that can be used for hypochondriasis
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atypical antidepressants
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what causes hypertensive crisis on MAOIs
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tyramine inestion
beta agonists |
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drugs to avoid when you're on MAOIs
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beta agonists (hypertensive crisis)
SSRIs and meperidine (serotonin syndrome) |
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moa of methylphenidate
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increased presynaptic NE vesicular release
otherwise not known |