Anti-depressants

Question 1

Which depressant might you use in a patient with depression with severe retardation? Why?

Answer 1

Fluoxetine

SNRI’s

Reboxetine

Nortriptyline

Because they have a greater activating affect (cf to the rest of the SSRI’s)

Question 2

What are the most used SSRIs?

Answer 2

Escitalopram (Lexapro) Sertraline (Zoloft) Fluoxetine (Prozac, Sarafem)

Question 3

What are the multimodal anti-depressants?

Answer 3

Mirtazepine Agomelatin Vortioxetine (Brintellix)

Question 4

What are the most used SNRIs?

Answer 4

Venlafaxine (Effexor) Desvenlafaxine (Pristiq) Duloxetine (Cymbalta)

Question 5

In which condition are higher doses of antidepressants used, anxiety or depression?

Answer 5

Anxiety

Question 6

How long do you wait for, for a response before changing the agent? What do you change it to?

Answer 6

6 weeks

Usually a new drug group

Question 7

What are the symptoms of antidepressant discontinuation syndrome?

Answer 7

Dizziness

Tiredness

Headache

Depression

Anxiety