Antidepressants Flashcards
What class of drug is Fluxetine?
SSRI
What class of drug is Paroxetine?
SSRI
What class of drug is Atomoxentine?
SSRI
What class of drug is Citalopram?
SSRI
What class of drug is Escitalopram?
SSRI
What is the mechanism of action of SSRIs?
inhibit reuptake of serotonin
Adverse effects of Fluxetine include cardiovascular and suicide risk in the elderly as well as anorexia in the first few months of use
true
SSRIs A/E:
N & V, D, anxiety, restlessness, insomnia, sexual dysfunction
What class of drug is Venlafaxine?
SNRIs
What class of drug is Desvanlafaxine?
SNRIs
What class of drug is Duloxetine?
SNRIs
SNRIs mechanism of action?
prevent reuptake of serotonin, NE and DA
A/E of SSRIs
N, D, anxiety, restlessness, insomnia, sexual dysfunction, increased BP & HR, orthostatic hypotension
What class of drug is Imipramine?
TCA
What class of drug is Clomipramine?
TCA
What class of drug is Amitriptyline?
TCA
What class of drug is Amoxapine?
TCA
What class of drug is Doxepin?
TCA
What class of drug is trimipramine?
TCA
What class of drug is Mirtazapine?
TCA
What class of drug is Mianterin?
TCA
What is the mechanism of action of TCAs?
Prevent the reuptake of serotonin and NE
A/E of TCAs
N, D, anxiety, restlessness, insomnia, sexual dysfunction, increased BP & HR, orthostatic hypotension
What class of drug is Tranylcypromine?
MOI
What class of drug is Moclobemide?
MOI
What class of drug is phenelzine?
MOI
What drug class had this MOA? inhibit the oxidative deamination of NA, DA and serotonin
Monoamine oxidase Inhibitors (MOI)
What drug class has these adverse effects? Sedation, postural hypotension (sympathetic block), insomnia, impotence, anxiety, restlessness, confusion
MOI
What is the mechanism of action of action of Bupropion?
inhibit the reuptake of NE and dopamine
What are the A/E of bupropion?
N & V, headaches, activation, agitation, hypertension and insomnia (less sexual dysfunction)
Which drug do these contraindications belong to? Risk for seizures, seizure disorder, history of anorexia or bulimia, using or withdrawing from alcohol or benzos
Bupropion
Mirtazapine has no action at histamine receptors
False. Mitrazapine antagonizes adrenergic, 5-HT2, 5-HT3 receptors- increased NE and 5-HT. Also has activity at histamine receptors
What drug has these contraindications? Pregnancy, lactation, <18 yrs, MAOIs
Mirtazapine
A/E of Mirtazapine
Sedation, weight gain, constipation, dry mouth, appetite
Decreased risk for sexual dysfunction compared to SSRIs
Trazadone MOA?
Inhibit serotonin reuptake
Contraindications for trazadone?
Alcohol or hypnotics intoxication, acute MI, < 18 yrs
A/E of trazadone
Sedation, N, sexual dysfunction and orthostatic hypotension
What drug has a similar MOA to trazadone?
Nefazodone
What is the first line drug for depression?
Nefazodone
What are the adverse effects of Nefazodone?
Dry mouth, nausea, constipation, visual alterations, orthostatic hypotension, sedation
Hepatic failure- most common