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Depression notes

Stack #70363

QuestionAnswer
Treatments for unipolar depression and bipolar depression are the same. False
Name three symptoms of unipolar dpression Loss of interest or pleasure in most or all activites, sleep disturbance, decreased energy, low self esteem, recurrent thoughts of death or suicide
name two symptoms of bipolar depression Episodes of depression followed by periods of mania, inflated self esteem, decreased need for sleep, flights of ideas or racing thoughts, lack of focus
Depressive illness is thought to be caused by Environmental factors, genetics and biological/physiological elements
The combination of psychotherapy and pharmacotherapy does not benefit depressed patients False
How many more times prevalent is depression in women than in men? 2-3 times more prevalent
Do race and social class have an effect on the rates of depression? Yes
Name the four types/classes of edications used to treat depression Tricyclic antidepressants (TCAs), Monoamine Oxidase Inhibitors (MAOIs), Selective Serotonin Reuptake Inhibitors, New generation antidepressants
Name several common adverse reactions to antidepressant medications Anticholinergic effects, weight gain, weight loss, cardiovascular effects, sleep disturbance, sexual dysfunction, elevated hypertension, orthostatic hypotension, sedation
A major concern in the use of TCAs, especially disipramine,with children or adolescents is? Cardiac toxicity
Name the major symptom of atypical depression Prominent anxiety or panic symptoms
What type of depressive mood disorder are MAOIs effective in treating? Atypical depression with anxiety and panic symptoms
What types of foods can trigger a hypertensive crisis when consumbed by a patient on MAOIs? Tyramine ingestion-beers & ales, cheese, cholocate, fish, liver, sauerkraut, wine, bean curd, caffine
Interaction with what drug can provoke fatal hyperthermia when ingested with MAOIs? Meperidine
Is hyperthermia a severe reaction with MAOIs and dextromethorphan taken together? Yes
What precent of all antidepressant prescriptions in the US written for SSRIs? Greater than 80%
Name several "activation" effects noted by people starting SSRIs Anxiety, agitation, restlessness, insomnia
In what timeframe are the "activation" effects noted to dissapate? 4-8 weeks after beginning SSRI therapy
Which of the SSRIs causes the most "activation" effects? Fluoxetine
Which SSRI does not appear to cause "activating" side effects? Citalopram
The most sedating SSRI is Fluvoxamine
Which drug of the new generation antidepressants has the highest sedation effect? Trazadone
Name two other adverse effects of Trazadone Serious orthostatic hypotension and ventricular arrhythmia
Which next generation drug does not effect serotonin levels? Buproprion
Sexual dysfunction is a side effect of Buproprion? No
Which nest generation antidepressant promotes sleep restoration? Mirtazapine
Which drug is associated with an elevation of supine diastolic blood pressure? Venlafaxine
Which next generation antidepressant does not appear to suppress REM sleep? Nefazodone
Popular Pharmacology sets

 

 



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