Depression *** Flashcards
Dx
1 of:
Depressed mood
Anhedonia
5 of:
Depressed mood
Anhedonia
Sleep disturbance
Feelings of worthlessness
Low energy
Poor concentration
Appetite change
Psychomotor agitation or retardation
Suicidal ideation
RF
Female, family hx, negative childhood experience, stressors, postpartum,
chronic medical condition, SES, SU, postpartum women, chronic disease, chronic pain
Best meds for elderly, pregnant, menopausea, least sexual SE
Elderly = duloxetine, mirtazapine, buproprion, citalopram, sertraline, venlafaxine
Pregnant = AVOID Paroxetine + clomipramine (cardiac defects)
Menopausal = 1) Desvenlafaxine + CBT 2) transdermal estradiol, citalopram, duloxetine, mirtazapine, quetiapine, venlafaxine, sertraline
Antidepressant with least sexual SE: bupropion
Rx for serotonin syndrome
DC meds
ER
Cyproheptadine
Lithium SE
vomiting, diarrhea, ataxia, myoclonic jerks, wt gain
Lithium monitoring
Cr, TSH, lithium, calcium, bHCG
Lithium levels
0.6-1.2
Serotonin syndrome drugs
MAOis, SSRIs, SNRIs
NMS sx not in serotonin syndrome
clonus
Acute mania + maintenance meds
lithium, quetiapine, divalproex