anti depressants facts Flashcards
unipolar depression
one direction of symptoms
bipolar disorder
depression alternating with mania
Monoamine theory
depression from lack of NT
but physical effects of drugs happen in hours vs the weeks it takes to have effect?
Ketamine acts fast?
Neuroendocrine depression effects
NE and 5-HT control CRH,ACTH and cortisol they are higher in depressed patients
depression trophic effects
Lower brain derived neurotrophic factor and increased excitotoxicity leads to neuronal loss in hippocampus and prefrontal cortex
NE reuptake block
antidepressant but sympathetic side effects
5-HT reuptake block
antidepressant and anxiety but nausea and headache/serotonin syndrome
Da reuptake block
antidepressant and antiparkinsons but aggravates psychosis
M1 ACh blockade
dry mouth, blurred vision, anticholinergic side effects
H1 blockade
sedation and hypotension
alpha 1 blockade
hypotension, reflex tachycardia
alpha 2 blockade
CNS stim possible decrease in depression
D2 blockade
antipsychotic effect but Parkinson’s effect
TCA secondary amines
block NAT more than SERT
TCA tertiary amines
Block Sert more