1.1.2 DT Anti-depressant Drugs (Bi) Flashcards

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1
Q

What are the symptoms of depression?

A
  • emotional- intense feelings of sadness
  • motivational- difficulty initiating actions
  • somatic- disturbance of appetite and sleep
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2
Q

What is depression caused by?

A

A shortage of monoamines (neurotransmitters including dopamine, serotonin and noradrenaline)

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3
Q

What are SSRIs?

A

Selective serotonin reuptake inhibitors

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4
Q

How do SSRIs work?

A

They increase levels of serotonin by blocking its reuptake

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5
Q

What is serotonin thought to have?

A

A positive influence on mood, emotion and sleep

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6
Q

What effect do SSRIs have on depressives?

A

They have a positive effect, improving symptoms and making people more responsive

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7
Q

What are the problems/side effects of SSRIs?

A
  • can react unpredictably with other medication
  • shaky/anxiousness
  • vomiting
  • dizziness
  • blurred vision
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8
Q

What are MAOIs?

A

Monoamines oxidase inhibitors

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9
Q

Why are MAOIs rarely used now?

A

Due to their wide range of side effects

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10
Q

When are MAOIs used?

A

When other medication is not effective and under supervision

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11
Q

What is the problem with MAOIs?

A

You have to avoid certain foods (cheese) containing tyramine as when MAOIs react with it, it can cause a dangerous rise in blood pressure

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12
Q

What are TCAs?

A

Tricyclic anti depressants

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13
Q

Why are TCAs not recommended?

A

They have unpleasant side effects and can be dangerous if an overdose is taken

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14
Q

When are TCAs used?

A

In severe cases where no other medication is successful

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15
Q

Who do anti depressants work best on?

A

Those severely depressed, research showed there was little benefit of taking SSRIs if you were mildly depressed

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16
Q

How many patients treated with SSRIs do not reach remission?

A

Two thirds

17
Q

How many adults treated with SSRIs develop recurrent symptoms of depression whilst on therapy?

A

One third

18
Q

How many patients respond to treatment of SSRIs?

A

Between 40-60%

19
Q

What is depression?

A

A mood disorder