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antidepressatns
antidepressants
45
Medical
Graduate
11/13/2011

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Term
ssris moa
Definition
sleectively inhibit reuptake 5-ht, no NE uptake.
Term
fluoxetine
Definition
ssri
Term
snrismoa
Definition
inhbit areuptake of both ne and 5ht
Term
ventafaxine
Definition
snri
Term
tircylic antidepresants moaa
Definition
inhiit reuptaek of both ne and 5ht. itneract with variety of other receptors, hve broad range of side effects. snRIs have more specificity.
Term
imipramine
Definition
tircylic
Term
amitryptylline
Definition
tricilyc
Term
imiparmine efect and its metaabolite
Definition
imipramine seratonin morehtan orep, its metabolite deipramine hasnorep more than seratonin.
Term
trazodone
Definition
5-ht2 antagonit, originally prodrug
Term
trazodone
Definition
5-ht2A antagonit, originally prodrug
Term
5-ht2 receptor
Definition
postsynaptic receptor
Term
bupriopion
Definition
acts like aamphetamine, may affect dopamine reuptake, heterocyclic antidepressant
Term
pehenlzine
Definition
irreversible maoi
Term
sedation
Definition
common effect of tcas and hcas.
Term
cns stimulation
Definition
sssris, maois, bupropion
Term
msucarinic rceptor lockade
Definition
occurs with all tcas. Atropine-like effects
Term
cardiovascular effects
Definition
tcas cause hypotentsion, due to alpha adrenergic recptor lb ockade, depress cardiac produrction
Term
seizures
Definition
tcas and maois (some ssris)
Term
depressedd dphase of bpad
Definition
demands pharm itnerentsion, treated alognside lihium , neededor high rate of suicide
Term
anxiety disorders treatment
Definition
treat for both nxiety nadderpession, can use venlafaxine ,paroxetine
Term
panic disorder treatment
Definition
ssris first line , can be switched to tca or maoi if not effective
Term
OCD treatmetn
Definition
ssris seem uniquely efective
Term
ptsd treatment
Definition
ssris
Term
adverse effects of ssri
Definition
enhance seratogenic tone. : gi symtpoms, sexua ldysfunciton ,decreased libido, headache, insmomnia hyerpsomnia, weight gain, hyponatremia in elderly, increaased risk of bleeding,
Term
teratogenic potential with waht drug
Definition
paroxetine, and some ssris
Term
snri effects
Definition
ssri efects plus noradrenergic effects such as increased bp, heart rate, adn cns acativation
Term
tca adverse effects
Definition
snri effects plus orthostatic hypotention, seadation, arrythmogenic, and anticholinergic
Term
HCA, traozodone adverse effects
Definition
sedation, gi disturbances, orthosattic hypostention
Term
buproprionadverse efefcts
Definition
agitation , insomnia, anroexia
Term
mirtazapine adverse effects
Definition
significantly sedating, incresaed appetite and weight gain
Term
maois adverse effects
Definition
orhostatic hypotesion, weight gain, sex distrubacnes

Improtant: tyrmaine containg foods itneractions causeh ypertesive crisis.

serotinin syndrome in combination of ssri and snri
Term
serotnin sydnrome
Definition
life threatening, characters yb ams, fevere tacycardia htn agitation t,remor ,myclonus heyprreflexia ,ataxia , incoordiantion diaphoresis, and shiverign ,adn gi symptoms.

dont give ssri/snri with amoi , or anytthig nawith maoi actiiy, or serotengeric drugs
Term
children therapyeutic choice
Definition
flouextine only 2nd gen drug aprpoved for chidlren. Concerned abaout suicidal risk, so now monitored when begin antidepressant
Term
pharmacodynamic itneractions of antidepressants
Definition
those sedative effects are additive to toher drugs such as benzodiapines nad alcohol, maois sensitize patients to indirect sympahtomiemtics . also serotoinin syndroem
Term
pharmacokinetic effects of antidepressants
Definition
paroxetine and fluoxetine potently inhibit cyp2d6, fluvoxamien and others inhbiit cyp3a4
Term
phamaconkinetic of antidepresants
Definition
rapid oral abosrp, fast plasma concentration, metabolziedby liver and elimianted by kidney
Term
Lithium use
Definition
for bipolar affectiev disorder
Term
lithium moa
Definition
enters via sodium channels, may increase effects of seratonin, may decrese turn over of ne and DA. , may reduce synaptic trnasmission
Term
ltihium drug interactions
Definition
diurectics, decrease renal clearance, nsaids decrease clearance by increased li reabospriton.
Term
overdosing on antidepressatnts
Definition
extremley dangerous with TCAS, no refill basis
Term
lithium pharmacokinetics
Definition
excreted in urine completle, low access to itnracelluar comparmetn NO Protein binding
Term
lithium toxicity
Definition
tremor, inhibits potassium entry to myocytes, decresed thyroid function, polyuria
Term
lithium contraidnciations
Definition
dont give to patients lactating, with sodim deficits or dehyd, or signiciant cardio disease or renal impairtment
Term
paroxetine
Definition
ssri
Term
sertraline
Definition
ssri
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