Exam 1 Meds Flashcards
what are SSRIs
selective serotonin reuptake inhibitors
action of SSRIs
inhibit reuptake of serotonin
physiological effects of SSRIs
decreased depression*, control anxiety, and control obsessions
side effects of SSRIs
nausea, agitation, headaches, sexual dysfunction
what is the first med used for depression
SSRIs
names of SSRIs
Prozac, Lexipro, Zoloft, Celexa, Paxil
describe serotonin syndrome
increased serotonin levels
shivers, flu like symptoms
describe discontinuation syndrome
occurs if SSRIs are stopped abruptly TAPER OFF (do not stop abruptly)
safety issues for antidepressants
increased risk of suicidal ideation increased sedation orthostatic HTN hyponatremia blurred vision constipation serotonin syndrome discontinuation syndrome
what is an important consideration for SSRIs and other antidepressants
cause increased suicidal ideation so start at low dose
what is the action of MAO inhibitors
increased norepinephrine and serotonin
physiological effects of MAO inhibitors
decreased depression and control anxiety*
side effects of MAO inhibitors
sedation, dizziness, sexual dysfunction, HTN crisis
describe how a hypertensive crisis occurs
if eat the wrong foods while on MAO inhibitors
what foods have a lot of tyramine
cheese, meats, sauces, beans, alcoholic beverages, overripe fruit
what is an important consideration for MAO inhibitors
AVOID foods high in tyramine
SEVERE dietary restrictions (ie/ no cheese and wine)
is the process of neurotransmitter inactivation
reuptake
anxiety med
Buspirone
SSNRI action
increased norepinephrine (which increases BP) increased serotonin
physiological effects of SSNRI
decreased depression
relieve pain of neuropathy
relieve anxiety
side effects of SSNRI
nausea, sweating, insomnia, tremors, sexual dysfunction
SSNRI drugs
Pristiq, Cymbalta, Effexor
what is used for chronic pain(like fibromyalga) and is also and antidepressant
Cymbalta
these are older meds not used as much anymore
helpful with chronic pain
tricyclic antidepressants
physiological effects of tricyclic antidepressants
decreased depression, relief of severe pain, prevent panic attacks
side effects of tricyclic antidepressants
sexual dysfunction, sedation, weight gain, dry mouth, constipation, blurred vision, urinary retention, tachycardia
nursing considerations for tricyclic antidepressants
a little is lethal
takes 4-6 wks to reach full therapeutic effect
physiological effects of bupropion
decreased depression, aids in smoking cessation, decreased ADHD symptoms
side effects of bupropion
insomnia, dry mouth, tremor, seizure
tricyclic antidepressants drugs
amitriptyline and amoxapine
what does bupropion work on
dopamine (addiction neurotransmitter)
bupropion drug
wellbutrin
nursing considerations for bupropion
watch for increased BP due to increased norepinephrine
cannot take med if eating disorder (will cause seizures)
this is used to sleep/sedation
trazodone
nursing consideration for trazodone
priapism (erection goes down)
physiological effects of trazodone
decreased anxiety and depression
side effects of trazodone
nausea, sedation, orthostasis, priapism
trazodone drug
desyrel
