drugs for mood disorders Flashcards

1
Q

3 classes of NT

A

small molecule, neuro peptides, NT gases

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2
Q

small molecule NT

A

dopamine

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3
Q

neuropeptide

A

substance p

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4
Q

NT gases

A

NO

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5
Q

NT important in memory

A

acetylcholine

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6
Q

monoamines

A

dopamine, NE, E, serotonin

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7
Q

dopamine, serotonin, NE, E are what

A

monoamides

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8
Q

what system maintains emotional tone

A

noreadrenegric system

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9
Q

what NT is in the noreadrenergic system

A

NE

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10
Q

serotinergic system maintains what

A

maintains sleep wake cycle, emotional tone, and sensory perceptions

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11
Q

maintains sleep wake cycle, emotional tone, and sensory perceptions

A

serotonergic system

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12
Q

noradrenergic and serotonin system are metablozied by what

A

MAO enzyme

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13
Q

§ Lack of energy
§ Sleep disturbances
§ Abnormal eating patterns
§ Feelings of despair, guilt or hopelessness
§ Most common mental health disorder of older adults
§ Encompasses physical, emotional, cognitive and social factors
are symtpoms of what

A

major depressive disorder

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14
Q

biological cause and family history can be linked to what mood disorder

A

major depressive

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15
Q

short lasting, often reactive as a result of a circumstance is what

A

situational depression

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16
Q

what depression presents 2 weeks to 6 months after childbirth

A

postpartum

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17
Q

what disorder is associated with dark winter months and lower levels of natural light

A

seasonal affective disorder

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18
Q

antidepressant drugs

A

are used to treat depression by enhancing mood

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19
Q

what is effective in treating both the psychological and physical signs of pain

A

antidepressants

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20
Q

how do antidepressants exert their effects

A

through actions on dopamine, serotonin, and NE

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21
Q

what block the enzymatic breakdown of NE and slow the reuptake of serotonin and norepinephrine

A

antidepressants

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22
Q

SSRIS

A

inhibit serotonin reuptake into the presynaptic neuron

23
Q

what have no affinity for histamine, alpha adrenergic or muscarinic receptors - shows a narrow affinity

24
Q

what is the prefered drug class for depression

25
why should the discontinuation of SSRIS be gradual?
to avoid withdrawl affects such as nausea, dizziness, anxiety, tremor, palpitations
26
what is serotonin syndrome
this is associated with extreme increases in serotonin levels
27
how does serotonin syndrome happen
caused by the co-adminsitration of drugs that cause an increase in serotonin
28
SSRIS and MAOS can cause what
drug drug can cause serotonin syndrome
29
SSRIS and TCAs
drug drug can cause SES
30
SSRIS and lithium
can cause ses
31
ssris and st. johns wart.
can cause ses
32
MDMA and SSRIS
can cause ses
33
SSRIS and fentanyl
can cause ses
34
SNRIS
inhibit the reuptake of serotonin and NE to elevate mood
35
what inhibit the reuptake of serotonin and NE to enhance mood
SNRIS
36
what may increase the risk of post partum hemorrhage
SNRIS
37
NDRIS
inhibit dopamine and epinephrine reuptake
38
what drug is contraindicated in those with seizure disorders
NDRIS
39
tricyclic antidepressants
inhibit NE, 5-HT and DA reuptake into the presynaptic neuron, increasing NE, 5HT and DA levels in the synapse
40
inhibit NE, 5-HT and DA reuptake into the presynaptic neuron, increasing NE, 5HT and DA levels in the synapse
tricyclic antidepressants
41
what antidepressant shows delay in efficacy, and has an affinity for histaminergic, muscarinic and a1 adrenergic receptors
tricyclic antidepressants
42
monoamine oxidase inhibitor drugs (MAO(S)
deaminates DA, NE, and 5HT, inhibits MAO enzyme increasing monoamine levels
43
what deaminates DA, NE, and 5HT, inhibits MAO enzyme increasing monoamine levels
monoamine enzyme inhibitors
44
adverse effects of MAOIS
orthostatic hypotension, headache, insomnia, and diarrhea
45
what is a hypertensive crisis assocated with
serotonin syndrome and elevated levels of tyramine
46
what is associated with SES and elevated levels of tyramine
hypertensive crisis
47
mood stabilizer - lithium
inhibits the synthesis of POP, decreasing the generation of IP3 and DAG
48
what inhibits the synthesis of POP, decreasing the generation of IP3 and DAG
lithium
49
what can be co-administered with litium
antidepressants and benzo
50
lithium toxicity can cause what
muscle weakness, lack of coordination, vomiting, diarrhea, tremor, twitching, lethargy, mental confusion, polyuria
51
muscle weakness, lack of coordination, vomiting, diarrhea, tremor, twitching, lethargy, mental confusion, polyuria are all symptoms of what
lithium toxicity
52
why must someone only take lithium at night
to protect the kidneys
53
antiseizure drugs adverse effects
dizziness, drowsiness, headache, nausea, blurred vision, sedation