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Neuro Exam 1
Lecture 4 Part 2
43
Art/Design
5th Grade
08/21/2013

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Term
SSRIs increase what?
Definition
5HT only
Term
what are examples of SSRIs -4
Definition
citalopram
fluoxetine
sertraline
paroxetine
Term
what is the main severe side affect of SSRis
Definition
serotonin syndrome
Term
how is the effiacy of SSRis compared wiht MAOi and TCAs
Definition
about equal
Term
early action of SSRIs is
what does it do with chronic use
Definition
incease 5 HT due to reuptake inhibit
alters gene expression and changes brain fucntion
Term
SSRIs work well to relieve pts who are experieincing what? but they do not relieve symtpoms of decreased?
Definition
negative affect (lonliness, irritable)
postive affect (self confidence, enthusiasm)
Term
side effects of SSRIs
Definition
agitation, panic attacks, reslessness movements, myoclunus at night, inhibiton of ejaculaiton, GI porblems,
Term
symtpoms of serotonin syndrome-4
Definition
tachycardia
HTN
tremors
diaphoresis
Term
if you combine SSRIs with what med you get the most lethal chance for serotonin syndrome
Definition
MAOI
Term
what meddds cna cause serotonin snyndrome by themsevles-6
Definition
SSRis
MAOis
TCAs 5 HT selective (tertiary)
lithium salts
opiates
St john's wart hyperforin extract
Term
32% of ppl also experience what big side effect from SSRis?
why?
Definition
hyponatremia
bc too much secretion of antiiduretic hormone (ADH)
Term
Generic of Prozac
Definition
fluoxetine
Term
fluoxetine is an antagonist for what specific receptor?
what is the effect?
Definition
5HT2C
increased Ne and DA (more energy)
Term
what is negtive side affect of the fluoxetine
Definition
anprexia and antiuliea
Term
at high doses fluoxetine can also inhibit what-3
Definition
NET
CYP 2D6 and 3A4
Term
what is the generic of zoloft
Definition
sertraline
Term
what 2 other recptors does sertraline block?
what do each of them cause
Definition
sigma 1
DA reuptake
sigma 1= antianxiety
DA reuptake- slightly increase energy
Term
what is the generic for paxil
Definition
paroxetine
Term
what are paroxetine's effects from different receptors
Definition
calming
weak NET inhibition= more efficacy
block NOS- sexual dysfunction
Term
what SSRI is known for having withdrawal rxns
Definition
paroxetine
Term
what drug is a potent inhibitor and subsstrate of 2D6
Definition
paroxetine
Term
what is the generic for Luvox
Definition
fluvoxemine
Term
what SSRI is more used for OCD and anxiety?
why?
Definition
fluvoxemine
signma 1 agonist- axiolytic
Term
whcih drug interacts with 3A4 and 1A2?
Definition
fluvoxamine
Term
what is the generic for cipramil
Definition
citalopram
Term
what enantiomer for citalopram is antagonist for SERT
Definition
S
Term
what are the 3 better things about escitalopram
Definition
no anti H1
no 2D6 inhibition
pure SERt inhibitoin
Term
what is the SNRI drug?
Definition
venalfaxine
Term
what is the generic of effexor
Definition
venalfaxine
Term
at low doses venalfaxine blocks?
what about hgih doses?
Definition
5 Ht uptake
NE uptake
Term
what is venalfaxine also a substrate for?
Definition
2D6
Term
what are side effects of venalfaxine
Definition
sexual dysfunctoin and nausea
Term
what meds block both Na and DA reuptake-1
Definition
bupropion
Term
what is the generic for wellbutrin
Definition
bupropion
Term
what drug has golilocks drug solution?
what is this?
Definition
bupropion
CNS stimulating
Term
generic for cymbalta
Definition
duloxetine
Term
dluoxetine is also an inhibitor of?
Definition
2D6
Term
what is the atypicla antidepressant
WHAT is its main other functoin
Definition
trazadone
SEDATION
Term
what are the NaSSAs
Definition
mertizipine
vizalaidone
Term
generic for REmeron
Definition
mitrzapine
Term
mirtzapine also has strong ___ properties?
why?
Definition
sedative
H! antag
Term
what is the med that can begin working in 1 week only
Definition
vilazadone
Term
generic for Viibrid
Definition
vilazadone
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