anxiety and depression

Question 1

phenelzine

Answer 1

inc serotonin, epinephrine NE and dopamine
rarely used last class that providers will try in treating treats depression
hypertensive crisis triggered by diet tyramine
dysrhythmias, orthostatic hypotension
monitor for CV status, prevent interactions, containing tyramine, avoid st john wart, evaluate mood

Question 2

fluoxetine

Answer 2

inc serotonin
depression, anxiety, OCD
GI, N/V/D sexual dysfunction, inc risk GI bleed, hypoglycemia
3 S’s - serotonin syndrome, sexual dysfunction, stomach issues
monitor drug interaction, codeine not effective when taking SSRI,
8-12 weeks to reach full effect
assess suicide risk

Question 3

serotonin syndrome

Answer 3

too much serotonin
mental changes
tachycardia
tightness in the muscles
difficulty walking
inc BP and temp