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Antidepressants
Antidepressants
16
Pharmacology
Professional
01/19/2012

Additional Pharmacology Flashcards

 


 

Cards

Term
Imipramine
Definition
Tricyclic
Produces a balanced NE and 5-HT effect
Also blocks H1, alpha, and muscarinic receptors.
Adv effects include sedation, anticholinergic effects and cardiotoxicity. Narrow therapeutic index.
Term
Amitryptaline
Definition
Tricyclic
Also blocks H1, alpha, and muscarinic receptors
Slightly more 5-HT than NE increase
Adv effect: sedation, anticholinergic effects, and cardiotoxicity. Narrow therapeutic index
Term
Clomipramine
Definition
Tricyclic
Much higher 5-HT than NE increase, also blocks alpha, H1, and muscarinic receptors
Adv effects of sedation, anticholinergic effects, and cardiotoxicity. Narrow therapeutic index
Term
Phenelzine
Definition
MAOI, Non-selective
Adv effects of insomnia, tyramine interaction (causes hypertensive crisis), weight gain, and drug interactions
Term
Selegiline patch
Definition
MAOI, selective at lower doses for MAO-B. Patch inhibits both in the CNS only (avoids hypertensive crisis)
Adv effects of insomnia, weight gain, and drug interactions. Avoids tyramine interaction.
Term
Fluoxetine
Definition
SSRI
Adv effects of insomnia, sexual dysfxn (higher than others), GI disturbances, and serotonin syndrome. Also P450 inhibition
Term
Paroxitine
Definition
SSRI
Adv effects of insomnia, GI disturbances, sexual dysfxn, serotonin syndrome, and P450 inhibition
Term
Escitalopram
Definition
SSRI, excellent efficacy and well tolerated
Adv effects of insomnia, GI disturbances, sexual dysfxn, and serotonin syndrome
Term
Sertraline
Definition
SSRI. Excellent efficacy and well tolerated
Adv effects of insomnia, GI disturbances, sexual dysfxn, and serotonin syndrome
Term
Duloxetine
Definition
SNRI. Also can be used to treat back pain and osteoarthritis pain.
Adv effects of insomnia, GI disturbances, sexual dysfxn, HTN, and serotonin syntdrome
Term
Venlafaxine
Definition
SNRI, good efficacy. Also can treat back pain and osteoarthritis
Adv effects of insomnia, HTN, GI disturbances, sexual dysfxn, P450 block, and serotonin syndrome
Term
Desvenlafaxine
Definition
SNRI, also can treat fibromyalgia and neuropathic pain.
Adv effects of insomnia, HTN, GI disturbances, sexual dysfxn, and serotonin syndrome. No P450 inhibition.
Term
Trazodone
Definition
Atypical antidepressant, inhibits reuptake of serotonin
Term
Bupropion
Definition
Atypical antidepressant, DA and NE reuptake inhibitor. Good for severe depression with loss of interest. Safe for cardiac Pt and no sexual side effects.
Also can be used to help quit smoking.
Term
Mirtazapine
Definition
Atypical antidepressant, blocks presynaptic alpha 2 receptors leading to incr 5-HT and NE. Also blocks 5-HT autoreceptors leading to incr release of serotonin.
Minimal effects on CYP450 enz and can also be used as anti-nausea.
Term
Agomelatine
Definition
Atypical antidepressant, inhibits 5-HT2C autoreceptors leading to incr release of serotonin and NE. Also restores circadian rhythm and sleep quality. Not yet approved.
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