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Antidepressants
Lecture 19
28
Medical
Graduate
04/12/2011

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Cards

Term
AE: sedation, long QT, arrhythmias; drug?
Definition
TCA
Term
MOA of TCAs
Definition
blocks uptake 1, alpha1, H1, H2, and muscarinic receptors
Term
do not prescribe more than 1 wk supply of __
Definition
TCA
Term
name 3 TCAs
Definition
imipramine, desipramine, amitriptyline
Term
causes the worst side effects of all the TCAs
Definition
amitriptyline
Term
causes the least side effects of all the TCAs
Definition
desipramine
Term
1. TCA that preferentially blocks 5-HT receptors
2. TCA that preferentially blocks NE receptors
Definition
1. imipramine
2. desipramine
Term
TCA drug interactions with tyramine, MAOi, monoamines, sedatives, and EtOH
Definition
decreases tyramine effect; potentiates MAOi, monoamines, sedatives, and EtOH
Term
phenelzine, tranylcypromine; class?
Definition
MAOi
Term
1. MAO-A metabolizes __
2. MAO-B metabolizes __
Definition
1. A -> 5-HT, tyramine
2. B -> NE, epi
Term
general effect of TCA vs. MAOi
Definition

TCA = sedative

MAOi = stimulant

Term
AE: orthostatic hypotension
Definition
MAOi
Term
MAOi drug interaction with...
1. levodopa or meperidine
2. SSRI
Definition
1. hypertensive crisis
2. serotonin syndrome
Term
potentiates tyramine effects
Definition
MAOi
Term
name 3 SSRIs
Definition
fluoxetine, paroxetine, sertraline
Term
MOA of SSRI
Definition
blocks 5-HT and NE reuptake
Term
first line treatment for MDD
Definition
SSRI
Term
AEs of SSRIs
Definition
nausea, headache, sexual dysfunction, anxiety
Term
how long do antidepressant drugs take to see a clinical effect?
Definition
4-6wks
Term

MOA of...

1. trazodone

2. buproprion

3. venlafaxine

4. SSRIs

Definition

1. trazodone: blocks 5-HT2 receptors and reuptake

2. buproprion: blocks NE and DA reuptake

3. venlafaxine: blocks NE and 5-HT reuptake

4. SSRIs: blocks NE and 5-HT reuptake

Term
class and uses for trazodone
Definition
SARI; sedation
Term
why is buproprion commonly recommended for younger patients?
Definition
fewer sexual side effects
Term
AE: tardive dyskinesia, akathisia, hyperglycemia, extrapyramidal
Definition
olanzapine
Term
AE: rash, steven johnson syndrome (10%)
Definition
lamotrigine
Term
indications for carbamazepine or valproate
Definition
bipolar disorder
Term
MOA: starves cell of inositol
Definition
Li
Term
AE: tetralogy of Fallot if given in 1st trimester
Definition
Li
Term
very small therapeutic index
Definition
Li
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