ANTIDEPRESSANTS Flashcards

1
Q

SE of antidepressants?

A

serotonin syndrome

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2
Q

Contraindications of SSRI

types?

A

insomnia (since it does cause CNS stimulation)
sexual difficulties

types: prozac, paxil, zoloft, celexa, lexapro

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3
Q

SSRI (Drug interactions)

types?

A

MAO’s
TCA’a
st. johns wort - (b/c it can worsen risk for serotonin syndrome)
Lithium- can also raise lithium levels

types: prozac, paxil, zoloft, celexa, lexapro

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4
Q

SNRI action

types?

A

inhibits reuptake of serotonin and norepinephrine

types: effexor, cymbalta

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5
Q

what are the types of SNRI’s

A

Effexor

cymbalta

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6
Q

Cymbalta action

dx it is used for?

type?

A

reduces depression and pain

“when pain hurts” commercials:
fibromyalgia
diabetic neuropathy

SNRI

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7
Q

What drugs are mood stabilizers

A

anticonvulsants
lithium
zyprexa

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8
Q

What are anticonvulsants used for?

A

mood stabilizer

deep neuropathic pain

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9
Q

Anticonvulsants SE

A

toxicity, monitor serum drug levels

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10
Q

SE for TCA’s

A

cardiac toxicity (dysrthmias)
*lethal
yawngasm

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11
Q

antidote for TCA’s

A

physostigmine

think: since they cause lethal dysrrthmias SOS in middle

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12
Q

if someone is on TCA’s they are resistant to

A

SSRI

SNRI

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13
Q

which antidepressant causes hypertensive crisis?

what exactly brings this about?

How can the patient avoid? (Pt Education)

A

MAO’s

dietary tyramine

avoid foods like:
yeast extracts (beer, wine most cheese, hard cheeses
fermented sausages (salami, pepperoni)
aged fish/meat

pickled

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14
Q

a stimulant similar to amphetamine

what is it good for?

used for?

A

bupropion (wellbutrin,zyban)

good for fatigue

used for - depression, smoking cessation, (already know that)
sexual dysfunction
seasonal affective disorder (new)

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15
Q

What type of drug is mirtazapine (Remeron)

A

tetracyclic antidepressant

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16
Q

Second line defense (used only if nothing else works)

Why is that?

A

b/c SE are so bad- dysrthmias, priapism (prolonged erection)

Trazodone (olepto)

17
Q

action of SSRI

names of SSRIs

A

block serotonin- raise levels of serotonin

*be extra careful for serotonin syndrome

18
Q

Anticonvulsants nursing care

A

*NO GRAPEFRUIT

monitor drug levels