Antidepressant meds Flashcards

1
Q

What are the main types of TCA’s

A

Amitriptyline
Doxepin
Imipramine(P)
Nortriptyline
Protriptyline

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2
Q

What are the common MAOI’s?

A

Phenelzine
Tranylcypromine
Isocarboxazid
Selegiline
PITS

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3
Q

What are some types of SSRI’s?

A

Citalopram, Fluoxetine, Fluvoxamine, Paroxetine, Sertraline

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4
Q

What are some types of SNRI?

A

Venlafaxine or Effexor, and Duloxetine

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5
Q

What are some types of additional antidepressants?

A

Buproprion , Mirtazapine, Trazadone

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6
Q

What are the medications used for ECT?

A

Robinol (atropine)
Brevitol (methohexital)
Anectine (Succinylcholine)

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7
Q

What type of drugs is Amitriptyline?

A

TCA

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8
Q

What type of drug is Doxepin?

A

TCA

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9
Q

What type of drug is Imipramine?

A

TCA

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10
Q

What type of drug is Nortriptyline?

A

TCA

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11
Q

What type of drug is Protriptyline?

A

TCA

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12
Q

What type of drug is Citalopram?

A

SSRI

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13
Q

What type of drug is Fluoxetine?

A

SSRI

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14
Q

What type of drug is Fluvoxamine?

A

SSRI

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15
Q

What type of drug is paroxetine?

A

SSRI

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16
Q

What type of drug is sertraline?

A

SSRI

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17
Q

What type of drug is Venlafaxine?

A

SNRI

18
Q

What type of drug is Duloxetine?

A

SNRI

19
Q

What type of drug is Buproprion?

A

additional antidepressant

20
Q

What type of drug is Mitazapine?

A

additional antidepressant

21
Q

What type of drug is Trazadone?

A

additional antidepressant

22
Q

What type of drug is phenelzine?

A

MAOI

23
Q

What type of drug is tranylcypromine?

A

MAOI

24
Q

What type of drug is isocarboxazid?

A

MAOI

25
Q

What type of drug is Selegiline?

A

MAOI

26
Q

What type of drug is Venlafaxine?

A

SNRI aka Effexor

27
Q

What type of drug is Duloxetine?

A

SNRI

28
Q

What type of patients should you not use Wellbutrin on?

A

history of seizure, head trauma, and eating disorders such as anorexia

29
Q

What are four uses of Wellbutrin?

A

Antidepressant, anxiety and panic, ADHD, smoking cessation

30
Q

How would you manage somebody with serotonin syndrome?

A

Discontinue the medication, benzodiazepines and an anticholinergic agent such as dantrium for muscle rigidity

31
Q

what do you monitor when people are on SNRIs?

A

BP

32
Q

What is an off-label use for SNRI?

A

Fibromyalgia (Duloxetine/Cympbalta) and diabetic myopathy

33
Q

What can increase levels of serotonin in the CNS?

A

SSRI and St. John’s Wort together, including other antidepressants

34
Q

How can Serotonin syndrome be treated?

A

Patient must be treated symptomatically must be cooling measures such as cold packs removing blankets chlorpromazine for the fever and dantrolene

35
Q

s/s of serotonin syndrome?

A

altered mental status, agitation, myoclonus, shivering, hyperreflexia or shakiness, ataxia or can’t walk well, diaphoresis, hyperpyrexia, labile BP

36
Q

What might you have with discontinuation syndrom?

A

Dizziness, pins and needles, zappers, and flu-like symptoms

37
Q

What are some possible side effects of SSRI’s

A

Nausea and vomiting, sleep disturbance, GI upset, sexual dysfunction, weight gain, agitation and diaphoresis

38
Q

How far in advance should you stop other meds before taking MAOI’s?

A

14 days before starting MAOI’s

39
Q

What are some drug interaction with MAOI’s?

A

SSRIS, SNRI’s and TCA- other antidepressants
Demerol, Sudafed (P)

40
Q

Which antidepressant can you not take with foods containing tyramine?

A

MAOI’s

41
Q

What are some ADR for TCA’s?

A

Anticholinergic effects- dizziness, blurred vision, etc
Cardiac problems including heart palpitations
Ataxia
Weight gain
Severe constipation

42
Q

What are some contraindications to TCA’s

A

Recent MI and heart problems