Psychoactive USED IN AP: 1.BENZODIACEPINAS: q are the most used. Inducers of sleep (very fast-acting and short-term) Zolpidem, Lormetazepam, Loprazolam. Anxiolytics: alprazolam (Trankimazin) is addictive; Bromazepam (Lexatin) , Lorazepam (Orfidal, Idalprem) dipotásco Clorazepate (Tranxilium), diazepam (Valium), Halazepam (Alapryl) Ketazolam (Sedotime). Types of Insomnia Insomnia conciliation: multiple causes. They are used sleep inducers. Fragmented sleep: Do not give sleep inducing but long-acting BZD. Waking up early: characteristic of depression. Do not deal with BDZ but with ATD. BZD antidote -> Flumazenil (anexate) 0.2-0.3 mg IV over 15 seconds, maximum 1-2 mg. Tb can be administered by IV infusion: 0.1-0.4 mg / h if recurring effects of BDZ. 2. Antidepressants: SSRIs are the choice. The tricyclics have more serious side effects so often handled by psychiatrists.ATD-Tricyclics: imipramine, Clormipramina. SSRI (+ fr side effects but less severe) Floxetina, Proxetina, Sertraline, Escitalopram (mild anxiolytic also very useful in the elderly) All SSRIs cause nausea at first and decreased livid. Indications: Depression, anxiety Tr, Tr loss of impulse control, Tr feeding, chronic pain, sleep Tr. (Drugs that cause depression: Anti, hormones, steroids and anticancer). 3. ANTIPSYCHOTICS: Classic: Haloperidol. Atypical: Clozapine, Olanzapine, Risperidone, Quetiapine, and so on. 4. Eutimizantes: in bipolar Tr: Lithium (manic phases decreases and makes softer, is toxic, levels between 0.5 and 1.3, in the long term can affect the thyroid) and antiepileptics. 5. TREATMENT OF ALZHEIMER: Donepezil, Galantamine, Rivastigmine, Tacrine.
DISORDERS PSICÓTICOS.Son + fr man in normal situations may arise ideas overestimate (very emotionally charged, can be true or subjective perception) and deliroid or delusions: is primary, false irrevatible logically through pathology is established. Contents of delusion: self-reference, prejudice, jealousy, religious megalomania, fantastic, guilt, hypochondriasis. Tr psychotic types: acute and transient psychotic Tr, Tr of persistent delusions, schizophrenia, schizotypal Tr, Tr schizoaffective disorder. Tr psychotic: 1. Tr perceptual and auditory hallucinations psuedoalucionaciones, visual hallucinations, olfactory and gustativas.2. Tr thought. 3. Tr language: neologisms, echolalia, stereotypes, impoverished. 4. Tr of humor and affection: inappropriate emotional response, emotional isolation, aplapamiento affective postpsicóticas depressions. 5. Tr psychomotor: Catatonic manifestations (restlessness, bizarre postures, negativism, automatic obedience, mutism, stupor). 6. Schizophrenia: positive symptoms: hallucinations, delusions, disorganized behavior, disorganized thinking, affective incongruity. Negative symptoms: affective flattening, Alogia (poor content of thought: language poor, blocking, increased latency of responses), apathy (lack of pulse), anhedonia, impaired concentration and attention. Types of Schizophrenia: Paranoid (affecting thought, delusions) Disorganized (more early, immature personality), Catatonic, Undifferentiated, Residual. Information for patients and family members: mental illness symptoms can be anxiety and behavior weird. These may come and go x lo q early detection is imp xa avoid relapses. The medication is essential especially xa prevent relapses. Puden volentes present agitation or behavior in which there are q value income. Reduce the max stress and aggressiveness not discuss delusions and avoid confrontation or criticism.Forecast: will depend on the following factors: pre-adaptation, marital status, family support, number and duration of the Episodes, expression of emotions, compliance tto better in females, timing of symptoms (hebephrenic worse prognosis).