Antidepressants Flashcards

1
Q

Citalopram

A

SSRI

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2
Q

Escitalopram

A

SSRI

** LEAST CYP450 interaction

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3
Q

Fluoxetine

A

SSRI

** strong CYP450 interactions (Most)

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4
Q

Paroxetine

A

SSRI

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5
Q

Sertraline

A

SSRI

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6
Q

Vilazodone

A

SSRI

+ Partial Agonist for 5HT 1A

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7
Q

Vortioxetine

A

SSRI
+ Partial Agonist for 5HT 1B
+ Full Agonist for 5HT 1A
+ Full Antagonist for 5HT 1D, 3,7

** LEAST CYP450 interaction

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8
Q

SSRI SE

A

MILD SE!!!

but sedation/insomnia, wt gain, sex dysfxn, WITHDRAWL

Rare SE

  • QT prolongation
  • Hyponatremia

Serious SE

  • Serotonin Syndrome (sweat, hyperreflexia, akathisia/myoclonus, shiver/tremor
  • Suicide
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9
Q

Amitriptyline

A

SNRI - TCA

3 amine

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10
Q

Clomipramine

A

SNRI - TCA

3 amine

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11
Q

Doxepin

A

SNRI - TCA

3 amine

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12
Q

Imipramine

A

SNRI - TCA

3 amine

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13
Q

Amoxapine

A

*** SNRI + DA - TCA (also inhibits Dopamine repuptake)

2 amine

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14
Q

Desipramine

A

SNRI - TCA

2 amine

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15
Q

Notripyline

A

SNRI - TCA

2 amine

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16
Q

Desvenlafaxine

A

SNRI

17
Q

Duloxetine

A

SNRI

18
Q

Venlafaxine

A

SNRI

19
Q

Levomilnacipran

A

SNRI

20
Q

Nefazodone

Trazodone

A

SARA

  • SSRI FXN = blocks 5-HT reuptake
  • blocks post-synaptic a1 on NE neuron
  • blocks post- synaptic 5-HT receptors
21
Q

Mirtazapine

A

SARA

  • blocks pre-synaptic a2 on NE + 5-HT neurons
  • blocks post-synaptic 5-HT receptors
22
Q

Bupropion

A

NDRI

* stimulating

23
Q

Isocarboxazid

A

MAOI

24
Q

Phenelzine

A

MAOI

25
Q

Selegiline

A

MAOI

    • Selective for MAO B subtype
  • so less risk for hypertensive crisis
26
Q

Tranylcypromine

A

MAOI

* stimulating

27
Q

Lithium

A

Mood stabilizer
neruoprotective/neuroproliferative

Renal side effects = polyuria/polydipsia
competes with Na+ reabsorption and disrupts ADH function