Anti-depressant Agents Flashcards
SSRIs
Selective serotonin reuptake inhibitors
Approved only for OCD
Fluvoxamine
SSRIs six available agents
Fluoxetine
Paroxetine
Sertraline
Fluvoxamine
Citalopram
Estitalopram
SSRIs clinical using
Major depression, anxiety, panic, OCD, PTSD, perimenopausal vasomotor symptoms, eating disorders /bulimia /
SSRIs toxicity
Half life 15-75 hours, orally, cause sexual dysfunction, risk of serotonin syndrome with MAOIs
SNRIs
Serotonin Norepinephrine reuptake inhibitors
SNRIs agents
Duloxetine
Venlafaxine
Desvenlafaxine
Levomilnacipran
Milnacipran
Three ring structure medication
Duloxetine
Bicyclic compounds
Venlafaxine and Desvenlafaxine
Approved only for fibromyalgia
Milnacipran
Venlafaxine side effects
Hypertension
SNRIs toxicity
Anticholinergic, sedation, hypertension
TCAs
Tricyclic antidepressants
TCAs agents
Imipramine
Desipramine
Clomipramine
Trimipramine
Amytriptyline
Nortriptyline
Protriptyline
Doxepin
Only for OCD
Clomipramine
TCAs toxicity
Anticholinergic, a-blocking effects, sedation, weight gain, arrhythmias, seizures in overdose
5-HT receptors modulators
Nefazodone
Trazodone
Hypnosis for
Trazodone
Black box warning hepatoxicity 5-HT receptor ?
Nefazodone
Vortioxetine
Agonists of the 5-HT1A receptor, treat for cognitive dysfunction associated with depression
Tetracyclic agents
Amoxapine
Maprotiline
Mirtazapine
Unicyclic aminoketone
Bupropion
Bupropion used for
Smoking cessation
Mirtazapine used for
Sedation
Lowers seizure threshold effects in
Amoxapine and Bupropion
Mirtazapine side effects
Sedation and weight gain
MAOIs
Monoamine oxidase inhibitors
MAOIs agents
Phenelzine
Tranylcypromine
Selegiline
Selegiline used for
Parkinson disease
NMDA receptor antagonists
Ketamine
Esketamine
To produce prolonged delirium “angel dust ”, drugs of abuse
Ketamine / IV route administration /
Ketamine used for
Anesthesia
Esketamine used for
Refractory depression, acute suicidal ideation
FDA panel voted medication
Brexanolone for Postpartum depression
Allopregnanolone
Brexanolone IV infusion over 60 hours, excessive sedation toxicity