Antidepressants Flashcards
Amine hypothesis of depression
disruption of 5HT and NE w/ downstream effects
BDNF (brain-derived neurotropic factor)
important for maintaining brain structure
increased w/ long term antidepressant use
What are the 4 classes of antidepressants?
TCA
MAOI
SSRI
dual-mechanism
What are the two TCAs?
desipramine
imipramine
What is the mechanism of TCAs?
block 5-HT and NE reuptake
What is the danger of TCAs?
low therapeutic index ==> suicide
What is the MAOI?
phenelzine
What is the mechanism of MAOIs?
irreversibly bind MAO
What are the 3 SSRIs?
fluoxetine
escitalopram
sertaline
Which receptor produces SSRI effects?
5-HT-2A
Venlafaxine
blocks 5-HT and NE reuptake
but not in adregenic system
Mirtazapine
blocks alpha-2 autoreceptors
NE in adjacent cell
Buproprion
blocks 5-HT and NE reuptake
Ketamine
TRIPPY