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Antidepressants
psychopharmacology
Question | Answer |
---|---|
This class of antidepressants is most likely to cause sexual dysfunction | SSRIs |
Olanzapine and Clozapine are what class of drug | Antipsychotics |
When taking antipsychotics teach patient to immediately report what symptoms | Sore throat, unusual bleeding/bruising, and rash and tremors |
Mirtazapine(Remeron)increase the risk for infection due to | Neutropenia |
This antidepressant can be problematic for older men with BPH | TCAs = anticholinergic side effects = urinary retention. |
This antidepressant is used for smoking cessation | Buproprin (Wellbutrin) |
Which antidepressant have life threatening food interactions | MAOIs- inhibitors |
Antipsychotics may cause | Neuroleptic Malignant Syndrome |
Patient's taking quetiapine (Seroquel) may experience | An alteration in body temp regulation |
This antidepressant causes weight gain and drowsiness as side effects (take at bedtime) | Mirtazepine (Remeron) |
signs and symptoms of Neuroleptic Malignant Syndrome | Muscle rigidity, increased temp/resp, elevated pulse and b/p. Less responsive to verbal stimuli |
Life threatening hyperpyrexia can occur when MAOIs are taken with | cough suppressants containing Meperidine and Dextromethorphan |
How long does it take for antidepressants to take effect | 3-4 weeks |
Which antidepressant causes sedation *take at bedtime | Trazodone (Desyrel) and Mirtazepine (Remeron) and all the TCAs |
S/S of panic attack | chest pain, chills/hot flashes, feeling of being detached from the world, nausea, numbness, palpitations, sob, sense of choking |
When taking Zyprexia and/or Seroquel avoid grapefruit because | It may increase blood levels of drug which will increase the risks of side effects |
Effexor, Cymbalta, Wellbutrin are all in what class of drugs | Antidepressants |
Smoking may what the effectiveness of the antipsychotics olanzapine(zyprexa) and Clozapine) | decrease |
Name some Tyramine containing foods | Aged cheeses, liver, smoked meats, soy sauce, bananas, red wines, beers, sour cream |
They inhibit breakdown of serotonin, norepinephrine, and dopamine in the CNS nerve synapses and inhibit tyramine breakdown in intestines | Mechanism of action of the MAO-inhibitors |
Are antidepressants addictive | No they are not. They do not cause psychological dependence they can cause physical dependence and withdrawal symptoms |
S/S of Obsessive compulsive disorder | excessive focus on religious or moral ideals fear of being contaminated by germs/dirt or contaminating others. fear of causing harm to yourself or others, intrusive sexually explicit or violent thoughts/images idea |
This class of antidepressants is most likely to worsen dementia | TCAs because of the anticholinergic effects |
Life threatening hypertensive crisis can occur when MAOIs are taken with | Ephedrine, Amphetamines, Cocaine, Pseudoephedrine, TCAs, SSRIs, and SNRIs |
What typically guides drug selection in treatment of depression | selecting drugs with fewer side effects, low cost and consider family response |
This class of antidepressants is most likely to cause orthostatic hypotension | TCAs |
This class of antidepressants is most likely to cause anticholinergic side effects and sedation | TCAs |
General therapeutic uses of antidepressants | anxiety, phobic disorders, OCD, premenstrual dysphoric disorder, bulimia, Tourette's syndrome, bipolar disease, neuropathic pain |
This SNRI is specifically FDA approved to treat Fibromyalgia pain | Duloxetine (Cymbalta) |