Shared Flashcard Set

Details

Pharm Exam 4- Antidepressants
Antidepressants
32
Pharmacology
Professional
11/24/2012

Additional Pharmacology Flashcards

 


 

Cards

Term
Tricyclic drug example
Definition
Imipramine
Term
Imipramine actions
Definition
-Block NE and Serotonin UPTAKE
-Block muscarinic, mistaminergic, and alpha 1 adrenergic receptor Side Effects
Term
Imipramine Tx
Definition
-Elevate mood
- Reverse depression
-Neuropathic pain
-Enuresis
-OCD
- Cataplexy (Narcolepsy)
Term
SEs of Imipramine
Definition
-Atropine like:
xerostomia, blurred vision, constipation
-Anti-histamine:
mild sedation, hypotension, fatigue
***Cardio- toxicity*** slows conduction, torsade de pointe
Term
Contraindications of Imipramine
Definition
-Heart problems
-Bipolar disorder (can --> Mania)
Term
Examples of Heterocyclic
Definition
Venlafaxine
Mirtazapine
Term
Venlafaxine Tx actions
Definition
-Inhibits Serotonin and NE reuptake
Term
How is Venlafaxine different from tricyclic
Definition
Does NOT also block muscarinic, histaminergic, and a-1 adrenergic receptor SEs
Tricyclics do
Term
Mirtazapine Tx actions
Definition
-Blocks alpha 2 receptors = enhances neurotransmission through 5HT1
-Blocks 5HT2 and 5HT3
Term
Mirtazapine Uses
Definition
Depressions
Anti-anxiety possibly
Term
Mirtazapine SEs
Definition
-SSRI like:
Headache, Inhibits Cytochrome P450
-Does not cause nausea, Vomiting or cardio-toxicity
Term
Buproprion action
Definition
-Blocks uptake Monoamines (NE, 5HT, DA)
Term
Buproprion Uses
Definition
smoking cessation
depression
Term
Buproprion difference in SEs
Definition
No sexual SEs
Term
Examples of Selective Serotonin reuptake Inhibitors
Definition
Fluoxetine- Prozac
Paroxetine- Paxil
Sertraline- Zoloft
Term
SSRI action
Definition
Specific blocks reuptake of Serotonin (5HT)
Term
SSRI Uses
Definition
Depression
Atypical depression
Term
SEs of SSRIs
Definition
-Nausea/Vomiting
-Headache
-Sexual dysfunction
-Inhibits Cytochrome P450

-No cardiac effects like TCAs
Term
Contraindication SSRI
Definition
Can't use w/ MAOIs
Term
Which SSRI has the longest half life?
Definition
Fluoxetine
Term
MAO Inhibitor example
Definition
Phenelzine-Nardil
Term
MAO-I action
Definition
Inhibits MAO
Blocks deamination of monoamines (NE,dopamine, serotonin, and tyramine)
Term
MAO-I uses
Definition
-Reverse Psychomotor retardation in depressed pts
-Atypical Depression
- Can Inc. Psychomotor activity to hypomanic or mania
Term
SEs of MAO-I
Definition
-Hepatotoxicity, tremors, insomnia, hyperhidrosis
-Convulsions
-Peripheral Neuropathy
-Interferes w. metabolic degradation of anesthetics, antihistamines, alcohol, analgesics
-Potentiates CV effects of sympathomimetic amines = HYPERTENSIVE CRISIS
Term
Contraindications of MAO-I
Definition
-Not w. SSRI = Central Serotonin Syndrome = hyperpyrexia, confusion, and death
-Tyramine = HTN crisis = food w. tyramine (beer, wine, cheese, coffee)
Term
Bipolar drug examples
Definition
Lithium
Sodium Valproate
Divalproex
Carbamazepine
Term
Lithium action
Definition
-Looks like Na+
-Dec. cAMP and Ca2+ dignaling
-Inc. Permeability of Na channels = accumulation in active neurons
Term
Lithium Uses
Definition
Prophylaxis- Bipolar disorder
-Acute Tx manic phase
-Adjunct Tx in refractory depression
Term
Lithium SEs
Definition
-Anorexia
-Ataxia
Blurred vision
slurred speech
Muscular weakness
Polyuria
Kidney toxicity
Convulsions
Coma
Death
Term
Contraindications of Lithium
Definition
-Low therapeutic index
-Low Na diet
Term
Sodium Valproate Divalproex Uses
Definition
Acute mania in Bipolar disorder
Term
Carbamazepine use
Definition
Mood stabilizer in Bipolar
Supporting users have an ad free experience!