antidepressants (TCA) Flashcards
1
Q
drugs
A
amitriptyline (elavil), trazodone, doxepin, amoxapine
2
Q
suffixes
A
-pramine, -ptyline
3
Q
mechanism of action
A
inhibits norepinephrine and serotonin reuptake in synaptic space
4
Q
indications
A
depression, insomnia, fibromyalgia/ chronic back pain, DM neuropathy
5
Q
adverse effects
A
anticholinergic effects (blurry vision, dilated eyes, dry mouth, constipation), sedation, orthostatic hypotension, seizures, weight gain, excessive sweating, QT prolongation
6
Q
contraindications
A
preg C, hyperthyroidism, seizures, BPH, urinary/bowel retentions, glaucoma
7
Q
RN considerations
A
4-8 weeks until maximum therapeutic effect, sig risk of intentional OD
8
Q
patient education
A
chew gum/ sip water/ exercise/ increase fiber to help with anticholinergic effects
