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Psych Antidepressant
Stack #173904
Drug | Mech | Clinical Use | Toxicity |
---|---|---|---|
TCA | block reuptake of NE and serotonin. | Use: Major depression, bedwetting (imipramine), OCD (clomipramine). | Se:sedation, alpha blocking effects, atropine-like (anticholinergic) side effects (tachycardia, urinary retention). tertiarys (amitriptyline) have more anticholinergic effects than do secondaries (nortriptyline). Tox: TriCs=Convulsion,Coma, Cardio |
Venlafaxine | inhibits 5HT, NE, and DA reuptake. | antidepressant, generalized anxiety disorder. | stimulant effects, sedation, nausea, constipation, elevated BP |
Mirtazapine | alpha 2 antagonist (increase release of NE and 5HT) and potent 5HT2/3 receptor antagonist. | antidepressant | sedation, increased appetite, weight gain, dry mouth |
Maprotiline | blocks NE reuptake. | antidepressant | sedation, orthostatic hypotension |
Trazadone | inhibit 5HT reuptake. | depression with insomnia | sedation, nausea, priapism, postural hypotention |
Methylphenidate (ritalin) | increase presynaptic NE vesicular release (like amphetamines). | ADHD | |
SSRI | depression, OCD. | Fewer than TCAs. GI distress, sexual dysfunction (anorgasmia). Serotonin Syndrome with MAOI (hyperthermia, muscle rigidity CV collapse. | |
Buproprion (Wellbutrin) | mech: not well known. | antidepressant, smoking cessation. | stimulant effects (tachycardia, insomnia), headache, seizure in bulimic patients. does not cause sexual side effects |