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Depression
Question | Answer |
---|---|
Tricyclic antidepressants (TCAs) MOA | Block reuptake of NE and 5HT (serotonin) |
TCAs AE | ORTHOSTATIC HYPOTENSION, ANTICHOLINERGIC EFFECTS, sedation, CARDIAC TOXICITY, SEIZURES, |
TCAS INTER | MAOIS, LINAZOLID, ANTICHOLINERGICS, ANTIDYSRHYTHMICS, PIMOZIDE |
TCAS overdose treatment | gastic lavage, physostigmine, propranolol, lidocaine, and pheyntoin |
SSRI MOA | selective inhibition of serotonin reuptake |
SSRI AE | sexual dysfunction, GI, SEROTONIN SYNDROME, BLEEDING DISORDERS, HYPONATREMIA |
SSRI INTER | MAOI, LINAZOLID, lithium, NSAIDS, WARFARIN, TCAs |
Which is the most popular anti-deppressant? | SSRI |
SSRI with the longest half life | Fluoxetine (the flu always lasts a long time) |
SSRI that has an increase in half life with the elderly | Escitalopram |
SNRIs MOA | block NE and 5HT |
SNRI other | cannot be cut/crushed/chewed |
Venlafaxine/desvenlafaxine class | SNRIs |
Venlafaxine/desvenlafaxine EA | DIASTOLIC HTN, hypercholesterolemia, anorexia, sweating |
Dulozetine AE | LIVER TOXICITY, increase B/P, NARROW ANGLE GLAUCOMA |
Venlafaxine OTHER | dose adjust with the elderly |
Dulozetine Monitor | LFT |
MOAIs MOA | irreversible inhibition of MAO |
MOAIs AE | CNS stimulation, orthostatic hypotension SEROTONIN SYNDROME, HYPERTENSIVE CRISIS, |
MOAIs INTER | THYRAMINE (increase risk of hypertensive crisis) |
Bupropion Class | Atypical Antidepressant |
Bupropion AE | SEIZURE, constipation, weight loss |
Bupropion INTER | EtOH, MAOIs |
Bupropion Other | Does not cause weight gain or sexual dysfunction |