Depression Flashcards
therapeutic use Tricyclic antidepressants ((TCAs) Amitriptyline)
antidepressant (2nd line agent)
mechanism of action Tricyclic antidepressants ((TCAs) Amitriptyline
hinders monoamine (5HT, noradrenaline) reuptake on the presynaptic terminal
adverse effects Tricyclic antidepressants ((TCAs) Amitriptyline
nausea
blurred vision
dry mouth
contraindications Tricyclic antidepressants ((TCAs) Amitriptyline
heart block
narrow angle glaucoma
drug interaction Tricyclic antidepressants ((TCAs) Amitriptyline
Warfarin
therapeutic use Serotonin Reuptake Inhibitors ((SSRI) Fluoxetine)
depression
mechanism of action Serotonin Reuptake Inhibitors ((SSRI) Fluoxetine)
selective impairment of the 5-HT reuptake process, therefore extra amounts are obtainable to affect post-synaptic 5-HT receptors
adverse effects Serotonin Reuptake Inhibitors ((SSRI) Fluoxetine)
nausea
sexual dysfunction
anorexia
contraindications Serotonin Reuptake Inhibitors ((SSRI) Fluoxetine)
betablockers
anorexia
drug interaction Serotonin Reuptake Inhibitors ((SSRI) Fluoxetine)
Warfarin
therapeutic use Serotonin noradrenaline reuptake inhibitors ((SNRI) Venlafaxine)
anxiety
mechanism of action Serotonin noradrenaline reuptake inhibitors ((SNRI) Venlafaxine)
impairment of norepinephrine and serotonin absorption in the brain
adverse effects Serotonin noradrenaline reuptake inhibitors ((SNRI) Venlafaxine)
dizziness
insomnia
anorexia
contraindications Serotonin noradrenaline reuptake inhibitors ((SNRI) Venlafaxine)
narrow angle glaucoma
hypersensitivity
drug interaction Serotonin noradrenaline reuptake inhibitors ((SNRI) Venlafaxine)
Warfarin
therapeutic use Reversible Monoamine Oxidase Inhibitors ((MAOI) Moclobemide)
antidepressant
mechanism of action Reversible Monoamine Oxidase Inhibitors ((MAOI) Moclobemide)
non-selective and irriversible binding to monoamine oxidase-A and -B
adverse effects Reversible Monoamine Oxidase Inhibitors ((MAOI) Moclobemide)
dry mouth
dizziness
insomnia
contraindications Reversible Monoamine Oxidase Inhibitors ((MAOI) Moclobemide)
serotonin syndrome tyramine effect (foods such as ages cheese, beer on tap etc.)
drug interaction Reversible Monoamine Oxidase Inhibitors ((MAOI) Moclobemide)
Fluoxetine
therapeutic use Atypicals (Mirtazipine)
antidepressant
mechanism of action Atypicals (Mirtazipine)
Mirtazipine has an antagonist function at the presynaptic A2-receptor and the 5-HT2-receptor, causing an increase in norepinephrine and serotonin neurotransmission
adverse reactions Atypicals (Mirtazipine)
sedation
weight gain
contraindications Atypicals (Mirtazipine)
closed angle glaucoma
angina
drug interaction Atypicals (Mirtazipine)
Diazepam