9. norepinephrine and serotonin receptor antagonist antidepressants. Agomelatine. Tianeptine. Agents used for treatment of manic phase of bipolar disorders Flashcards
Norepinephrine and serotonin receptor antagonist antidepressants
that are selective Serotonin reuptake inhibitors that have direct antagonistic effect on restorers and and 5-HT2(3) antagonist and NE reuptake inhibitor
that are NE reuptake inhibitors & α2 and 5-HT2, (3) antagonist
Serotonin reuptake inhibitors & 5-HT2A antagonists
AE: hepatotoxic, very sedative
Moderate α1 receptor antagonism
drugs …
Trazodone
Nefazodone
Serotonin reuptake inhibitors & 5-HT1A partial agonist
Vilazodone
Serotonin reuptake inhibitors & 5-HT3A , 5-HT7 antagonist, 5-HT1A,B partial agonis
Vortioxetine
NE reuptake inhibitors α2 and 5-HT2, (3) antagonist
Mirtazapine
Mianserine
Agomelatine
Melatonin (MT1 MT2) agonist
5-HT2C inhibition
recovery of circadian rythem
incraes sexual function & sleep
Tianeptine
Enhances of 5-HT reuptake
treatment of manic phase of bipolar disorders
Lithium carbonate
Anticonvulsant agents
Ca++ channel blockers
some Antipsychotics
Trazodone
Serotonin reuptake inhibitors & 5-HT2A antagonists
used for insomnia as well
Mirtazapine
NE reuptake inhibitors & α2 and 5-HT2, (3) antagonist
highly sedative
Anticonvulsant agents
Carbamazepine
Valproate
Clonazepam
Ca++ channel blockers
Verapamil
in what situation using Antipsychotics in bipolar
acute phase & mood stabilizer
Antipsychotics for acute phase
Haloperidol
Clozapine
Antipsychotics for mood stabilizer
Olanzapine Quetiapine Risperidone Aripiprazole Ziprasidone