Depression Flashcards
What medications can contribute to depression
Clonidine, HORMONAL CONTRACEPTIVES, PROPANOLOL, varenicline, atomoxetine. interferons
what are four key signs of depression
Changes in sleep pattern, Anhedonia (decreased pleasure/interest), Feelings of worthlessness, changes in appetite
T/F: All antidepressants come with a MedGuide
True
What does of Lexapro (escitalopram) is associated with a higher risk of QT prolongation, Celexa (citalopram)
More than 20 mg/day, more than 40 mg/day
What is a fatal risk associated with overdosing on Tricyclic antidepressants
Arrhythimia due to QT prolongation
What two medications must be avoided if a patient is taking an SSRI or an SNRI
Methylene blue and Linezolid
How long should a patient wait before they take methylene blue or linezolid after taking and SSRI or SNRI, what is the exception and how much longer should they wait
2 weeks
Fluoxetine- 5 weeks
What SSRI is okay to take for PPMD, how should it be taken
Fluoxetine: Two weeks prior to menses and through the first full day of bleeding
Which antidepressant is good for patients who are nauseous
Mirtazapine
T/F: Paroxetine use during pregnancy is associated with pulmonary hypertension
True
What antipsychotics are approved for treatment resistant depression
Aripiprazole, quetiapine extended release, and olanzapine PLUS fluoxetine
Which SSRI is the most sedating, most likely to keep someone up
Paroxetine, Fluoxetine
T/F: When taking SSRI or SNRI energy will improve BEFORE mood
True
What are the three most common side effects associated with
Elevated blood pressure, sexual dysfunction, diaphoresis (sweat)
Which antidepressant has a ghost shell and should be counseled to patients
Desvenlafaxine- Even though the outer shell is there the medication was absorbed properly
