Medications

Question 1

What 5 diagnoses are SSRI’s prescribed for?

Answer 1

Depression
OCD
Premenstrual Dysphoric Disorder
PTSD
Premature Ejaculation (SE delayed ejaculation)

Question 2

Common Side Effects of SSRI’s (10 of them)

Answer 2

Suicidality
Delayed Ejaculation, Reduced Vaginal   
     Lubrication
GI (nausea, diarrhea, constipation)
Insomnia 
Anxiety
HA
Anorexia
Serotonin Syndrome
Neuroleptic Malignant Syndrome
SSRI discontinuation syndrome

Question 3

Six Common SSRI’s

Answer 3

Fluoxetine (Prozac)
Sertraline (Zoloft)
Paroxetine (Paxil)
Citalopram (Celexa)
Escitalopram (Lexapro)
FluvOxamine (Luvox)

Question 4

Fluoxetine (Prozac) has a long half life so it increases/decreases the risk of SSRI discontinuation syndrome

Answer 4

Decreases

Question 5

Sertraline (Zoloft) most common side effect is

Answer 5

GI problems.

Question 6

Paroxetine (Paxil) has a short half life so it increases/decreases the risk of SSRI discontinuation syndrome

Answer 6

Increases

Question 7

Paxil is also good for lethargy due to it’s ________ properties

Answer 7

Stimulant

Question 8

Which two SSRI’s have the least side effects

Answer 8

Citalopram (Celexa) and Escitalopram (Lexapro)

Question 9

Which SSRI is used ONLY for OCD

Answer 9

Fluvoxamine (Luvox)

Question 10

SNRI’s (affect what neurotransmitters)

Answer 10

Serotonin Norepinephrine Re-uptake Inhibitors

Question 11

Name two SNRI’s

Answer 11

Venlafaxine (Effexor) and Duloxetine (Cymbalta)

Question 12

Venlafaxine (Effexor) inhibits the re-uptake of norepinephrine so can cause what side effect.

Answer 12

Increased BP

Question 13

Duloxetine (Cymbalta) also is approved for what chronic condition?

Answer 13

Chronic Pain

Question 14

Name the only NDRI (Norepinephrine Dopamine Re-uptake inhibitor)

Answer 14

Wellbutrin (Bupropion)

Question 15

Because Wellbutrin (Bupropion) does not involve what neurotransmitter means there are no _____________ side effects.

Answer 15

Serotonin

Sexual

Question 16

Because Wellbutrin (Bupropion) affects Dopamine high doses can cause what?

Answer 16

Psychosis

Question 17

Wellbutrin (Bupropion) increases the risk of what? Especially in those with electrolyte abnormalities (bulemia & anorexia)

Answer 17

Seizures

Question 18

Name the only SARI (Serotonin Antagonist Re-uptake Inhibitor)

Answer 18

Trazodone (Desyrel)

Question 19

Trazodone has a high side effect profile so is generally used for only for what

Answer 19

Insomnia

Question 20

Name the only NASA (Norepinephrine Antagonist Serotonin Antagonist)

Answer 20

Mirtazapine (Remeron)

Question 21

Mirtazapine (Remeron) antagonizes what neurotransmitter and therefore causes what two primary side effects.

Answer 21

Norepinephrine
Sedation
Weight Gain

Question 22

Since Mirtazapine (Remeron) causes weight gain it is ideal for patients with what condition.

Answer 22

Cancer. The patients have poor nutritional status.

Question 23

Name Three Common Tricyclic Anti-depressants

Answer 23

Imipramine (Toranil)
Amitriptyline (Elavil)
Clomipramine (