Depression Flashcards
Highest rate of suicide?
Elderly men
SIG E CAPS
Sleep Interests Guilt Energy Concentration Appetite Psychomotor disturbance Suidical ideation
Bipolar questions
DIG FAST
DIG FAST
Distractable Impulsive Grandiose Flight of ideas Activities Sleep Talkative
SSRI’s
First line tx for depressive disorders
SSRI Types
Fluvoxamine (Luvox) Fluoxetine (Prozac) Escitalopram (lexapro) Sertraline (zoloft) Paroxetine (paxil) Citalopram (celexa)
SSRI SE
GI Sexual dysfxn Anxiety Insomnia, sedation Sweating Dizziness
SNRI types
Venlafaxine (effexor)
Duloxetine (cymbalta)
SNRI MOA
Act on both serotonin and norepi
Venlafaxine (effexor) may cause?
HTN
Tachycardia
TCA MOA
Act as serotinin-norepenephrine reuptake inhibitors
TCA types
Amitryptaline
Nortriptyline
Doxepin
Imipramine
TCA SE
Anticholinergic Antihistamine Orthostatic hypotension Cardiac Lethal in OD More drug interactions
MAOI Types
Phenelzine (Nardil)
Tranylcypromine (Parnate)
MAOI MOA
Block the effects of monoamine oxidase, leaving more receptors open.
MAOI SE
Poorly tolerated Drug interactions DIetary constraints Serotonin syndrome HTN crisis
Trazadone
Good for sleep at low doses
Functions as AD at high doses
Watch for sedation, orthostasis, priapism
Bupropion uses
Major depressive
ADHD
Smoking cessation
Bupropion SE
Avoid in seizure disorder, bulimia
Enhances dopamine
Anxiety, psychosis
Bupropion safe in pregnancy?
Yes
Mirtazapine
Sedation, weight gain.
Good for patients w/ nausea
How long do these meds take to work?
2-4 weeks minumum