Antidepressants Flashcards
First Gen drugs
tricyclics and MAO inhibitors
2nd and 3rd Gen drugs
tetracyclics and unicyclics; 5-HT2 antagonists; SSRI; SNRI
drugs that inhibit 5-HT reuptake w/ greater potency but not technically SSRIs
trazodone and venlafaxine
drug that inhibits NE reuptake w/ greater potency
maprotiline
drugs that have little effect on re-uptake of either 5-HT or NE
bupropion and mirtazapine
tricyclic dibenzazepine tertiary amine
imipramine
tricyclic dibenzazepine secondary amine
desipramine
tricyclic dibenzocycloheptadiene tertiary amine
amitriptyline
tricyclic dibenzocycloheptadiene secondary amine
protriptyline
tricyclic dibenzoxepine tertiary amine
doxepine
probably primary action of alleviation of depression of TCAs
blockage of NE reuptake
sedative effects of TCAs are enhanced by …
CNS depressants
co-administration of TCAs with … can lead to sever hyperpyrexia, hypertension, tremors, convulsions, coma or death
MAOIs
inhibitors of cytochrome P450 … will increase concentration of TCAs
erythromycin, clarithromycin, fluoxetine
inducer of cyp-450
carbamazepine
MAOIs of both MAO A and B
phenelzine and trancylcypromine
located in gut and peripheral tissues; preferentially oxidizes 5-HT, but not NE or dopamine
MAO-A