Antidepressants

Question 1

Med type that:
increases nor epinephrine
SA include anticholinergic effects

Answer 1

Tricyclics

Question 2

Med type that:
increases serotonin
SA fewer
Favored B/C minimal overdose issues

Answer 2

SSRI’s - Selective Serotonin Reuptake Inhibitors

Question 3

Med type that:

increases SEROTONIN & NOR EPINEPHRINE

Answer 3

SNRI’s - Serotonin and noradrenaline repuptake inhibitors

Question 4

Antidepressants ACTION

Answer 4

increases concentration of norepinephrine, serotonin, and/or dopamine

Question 5

Antidepressants INDICATIONS

Answer 5

dysthymia, anxiety, alcoholism, schizophrenia, depression

Question 6

Antidepressants CONTRA

Answer 6

acute MI (need 12 lead EKG)
angle-closure glaucoma
CONCOMITANT WITH MAOIs

Question 7

SSRI medications

Answer 7

Fluoxetine (Prozac)
Sertraline (Zoloft)
Paroxetine (Paxil)
Fluvoxamine (Luvox)

Question 8

Types of med that causes sleepiness (give @ bedtime)

Answer 8

SSRIs

Question 9

Adverse reaction to serotinergic medications; can be caused by SSRI/SNRI

Answer 9

Serotonin Syndrome

Question 10

Serotonin Syndrome S&S

Answer 10

fever, agitation, rigidity, muscle twitching, sweating, cardiac dysrhythmias , seizures (MUST GO TO ICU)

Question 11

What inactivates norephinephrine, serotonin, and dopamine

Answer 11

MAOI

Question 12

TCA (Tricyclics) medications

Answer 12

Amitriptyline (Elavil)
Clomipramine (anafranil)
Doxepine (Sinequan)
Imipramine (Tofranil)
Trimipramine (Surmontil)

Question 13

TCA SA

Answer 13

sedation
orthostatic hypotension
anticholinergic

Question 14

TCA Adverse reaction

Answer 14

cardiotoxicity –> lead to cardiomyopathy

Question 15

Med used for migraine management, eating disorders, and depression BUT cautiously

Answer 15

TCAs

Amitriptyline (Elavil)

Question 16

SNRI meds

Answer 16

Bupropion (Wellbutrin) –> anti-smoking med
Venlafaine (Effexor)
Duloxetine (Cymbalta) –> neurolgia
Desvenlafaxine (Pristiq)

Question 17

Alpha 2 antidepressant
give @ night
for General Anxiety disorder (GAD)

Answer 17

Mirtazapine (Remeron)

Question 18

Heterocyclic antidepressant

for insomnia properties

Answer 18

Trazadone (desyrel)

Question 19

Secondary Amine antidepressant
problem w/ pre-existing CVD
hx of seizures
cardiotoxic problems (such as TCAs)

Answer 19

Nortriptyline (Aventyl, Pamelor)

Question 20

Monitor Client for what antidepressant SA

Answer 20

dry mouth
sedation (take bed @ night)
nausea

Question 21

Antidepressant PRECAUTIONS

Answer 21

elderly
hepatic/renal/cardiac insufficiency
psychotic clients
clients with BPH
hx of seizures