8. Selective serotonin and/or norepinephrine reuptake inhibitors.

Question 1

Selective serotonin reuptake inhibitors (SSRI)

Answer 1

first line of action antidepressants
take 1 to 2 months to achieve maximal effect

drugs...
Fluoxetine 
Paroxetine 
Sertraline 
Citalopram

Question 2

Selective serotonin & norepinephrine reuptake inhibitors (SSNRI)

Answer 2

for patients not responding to SSRIs and chronic painful symptoms
take 1 to 2 months to achieve maximal effect

drugs…
Duloxetine
Milnacipran
Levomilnacipran

Question 3

Selective norepinephrine reuptake inhibitors (SNRI)

Answer 3

Reboxetine

Atomoxetine

Question 4

Fluoxetine

Answer 4

should be discontinued for 6 weeks before MAOI treatment is initiated
for bulimia nervosa
lowest risk for discontinuation syndrome
long half-life

Question 5

Paroxetine & Sertraline

Answer 5

short acting

discontinuation syndrome

Question 6

Duloxetine

Answer 6

Urinary stress incontinence

Question 7

Milnacipran

Answer 7

for patients not responding to SSRIs and chronic painful symptoms
used for fibromyalgia as well

Question 8

discontinuation syndrome

Answer 8

withdrawal syndrome

flu-like symptoms, trouble sleeping, nausea, poor balance, sensory changes, and anxiety