key anxiety and antidepressants

Question 1

What are the 7 anti depressants

Answer 1

Elavil - Trazodone - prozac - cymbalta - wellbutrin - zyban - deplin

Question 2

in general, what is the purpose of the antidepressants

Answer 2

somehow increase the amount of serotonin-dopamine-and or NE in the cleft

Question 3

Deplin

Answer 3

folic acid supplement - high dose 5-mthf - perscription only

Question 4

zyban

Answer 4

NE and dopamine reuptake inhibitor - smokeing cessation

Question 5

wellbutrin

Answer 5

NE and dopamine reuptake inhibitor - MAJOR Depression - ADD - nicotine receptor antagonist off

Question 6

cymbalta

Answer 6

serotonin and NE reuptake inbibitor - Peripheral neuropathy - fibro - Major Depression

Question 7

Prozac

Answer 7

SSRI - presyndaptic inhibiton - MAJOR Depress - Don’t mix with NSAID - bleed - GI - ED , wt gain, rebound depression - best bene/risk ratio

Question 8

Trazodone

Answer 8

Tetracyclic - Serotonin inhib/partal antag off - INSOMNIA - Sedation - elderly fall risk

Question 9

Elavil

Answer 9

Tricyclic - serotonin and NE - chronic pain, migrains - benedryl like sx

Question 10

who are antidepressants moderately effective in

Answer 10

those with moderate to severe depression

Question 11

what antidepressant class is most likely to induce serotonin syndrome

Answer 11

Monoamine oxidase inhibitors

Question 12

Parq for MAOI

Answer 12

No tyramine foods - dried fruits, red wine - cheese and soy

Question 13

what is serotonin syndrome

Answer 13

hypertensive emergencies and excelerated HTN

Question 14

what would be the best antidepressant for severe depression and insomnia

Answer 14

Elavil - or trazodone the cyclic andi depressants

Question 15

what is concerning about the cyclic antidepressantes

Answer 15

fatal at 10 tiems normal dose - arrythmias increased QT interval

Question 16

side effects of the cyclics

Answer 16

benadryl like

Question 17

number on choice for antidepresantes

Answer 17

prozac although there is side effect of anxiety, ED diarrhea and insomnia and weight gain

Question 18

Black box warning cymbalta

Answer 18

suicide 18-24

Question 19

why might someone pick wellbutrin

Answer 19

may cause weight loss insead of gain

Question 20

what is deplin

Answer 20

neutraceutical adjunct - high dose methylated folic acid

Question 21

pentothal

Answer 21

US - GABA - Cl - deadly withdrawl

Question 22

pentobarbital

Answer 22

s - GAPA - CL - 15 min/6hr

Question 23

fiorinal

Answer 23

I - GABA - Cl - 20-40/6/8

Question 24

phenobarbital

Answer 24

L - GABA- CL 12 hrs - seizure - respiratory depression

Question 25

versed

Answer 25

benzo - syrup for children endoscopy - retrograde amnesia

Question 26

valium

Answer 26

benzo - Break through seizures-muscle relaxer

Question 27

ambien

Answer 27

Benzo like - same effect Gaba - different receptor - Quick acting 15/3hrs - sleepwalking

Question 28

lunesta

Answer 28

benzo like - insomnia 15min - no tolerance

Question 29

deplin

Answer 29

melatonin agonist - MT1-2 - enhances action of melatoin

Question 30

romazicon

Answer 30

Benzo antidote - benzo receptor antagonist - IV only

Question 31

benzo overdose

Answer 31

tachycardia, seizures , high BP - intoxication signs CNS depression

Question 32

barbituates mixed with alcohol

Answer 32

respiratory depression

Question 33

when are barbs often used

Answer 33

pre-op

Question 34

what may a functional GABA defect causes

Answer 34

possibly some epilesly

Question 35

concerns with anxiolytics

Answer 35

tolerance - psychiological and physical dependency