Antidepressants Flashcards

1
Q

Tricyclic antidepressants MOA

A

inhibit NA and 5-HT reuptake

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2
Q

Tricyclic antidepressants ADRs

A
  • antihistaminic, antimuscarinic effects
  • orthostatic hypotension
  • overdose: cardiac dysrhythmias
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3
Q

MOA SSRIs

A
  • block reuptake of 5-HT
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4
Q

ADRs SSRIs

A
  • insomnia, nausea, dizziness, anxiety

- increased suicide risk, serotonin syndrome (agitation, restlessness, confusion, rapid heart rate, high BP)

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5
Q

uses of SSRIs

A

depression, anxiety, OCD

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6
Q

MOA Tetracyclic antidepressants

A

block presynaptic alpha-2 receptors

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7
Q

ADRs tetracyclic antidepressants

A
  • sedation

- blood toxicity (rare)

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8
Q

MOA NSRIs

A
  • block reuptake of 5-HT, DA and NA
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9
Q

ADRs NSRIs

A
  • hypertension
  • hypercholesterolaemia
  • nausea, dizziness, insomnia
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10
Q

MOA MAOIs

A

inhibit MAO

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11
Q

ADRs non-selective MAOIs

A
  • if high dietary tyramine, tyramine enters terminal via reuptake-1, causing massive release of NA = hypertensive CRISIS
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12
Q

ADRs reversible inhibitors of MAO-A

A
  • sleep disturbances, dizziness, nausea

more selective for 5-HT and NA, no dietary restrictions

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13
Q

MOA SNRIs

A

primarily block NA uptake

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14
Q

ADRs SNRIs

A
  • dry mouth, constipation, tachycardia
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15
Q

What level of depression is St John’s wort used for?

A

mild to moderate

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16
Q

ADRs of St John’s wort

A

dry mouth, photosensitivity, headaches, palpitations

17
Q

MOA lithium carbonate

A

substitutes the Na+ ion, affects Na+/K+ pump, reduces transmitter release

18
Q

ADRs lithium carbonate

A

narrow range of safety (very toxic)

- cardiac dysrhythmias, convulsions, hypothyroidism, diarrhoea

19
Q

lithium carbonate is used for?

A

bipolar

20
Q

anti seizure drugs are used for?

A

mania

21
Q

MOA anti seizure drugs

A

enhance GABA’s effects

22
Q

MOA melatonin agonists

A

agonist at melatonin receptors, antagonist at some 5-HT receptors
- resets sleep-wake cycle

23
Q

ADRs melatonin agonists

A

liver impairment, dizziness, headache, sleepiness, GI upset

24
Q

MOA vortioxetine

A

enhance 5-HT availability, inhibit reuptake

25
Q

ADRs vortioxetine

A

headache, nausea