Mood influencing agents

Question 1

Mood Stabilizers (Normotimic agents)

Answer 1

Lithium
Carbamazepine
Valproic acid
Lamotrigine

Question 2

Non-selective monoamine reuptake inhibitors (NMARIs) or
Tricyclic
antidepressants

Answer 2

Amitriptyline
Nortriptyline

Question 3

Selective Serotonin Reuptake Inhibitors (SSRIs)

Answer 3

Paroxetine
Citalopram
Sertraline

Question 4

Selective serotonin and norepinephrine reuptake inhibitors (SSNRIs)

Answer 4

Duloxetine
Venlafaxine

Question 5

Noradrenergic and Specific Serotoninergic Antidepressants
(NaSSA)
or
Tetracyclic antidepressants

Answer 5

Mirtazapine

Question 6

Selective dopamine and norepinephrine reuptake
inhibitors (SDNRI)

Answer 6

Bupropion

Question 7

Benzodiazepines (BZD)

Answer 7

Alprazolam
Diazepam
Midazolam

Question 8

Non-benzodiazepines

Answer 8

Phenobarbital

Question 9

Benzodiazepine analogs

Answer 9

Zolpidem

Question 10

Antidepressant toxicology

Answer 10

Serotonin syndrome

Symptom Triad: hyperreflexia, neuromuscular disorders (tremor, muscle rigidity), mental disorders

Unlike NMS, serotonin syndrome is characterized by hyperreflexia and mydriasis (NMS is characterized by hyporeflexia and unchanged pupil)

mild serotonin syndrome -
benzodiazepines

Moderate to severe serotonin syndrome with hyperthermia - cyproheptadine

Question 11

Hypnotic / sedative overdose

Answer 11

Patients do not respond, miosis, respiratory and cardiovascular depression

Flumazenil (in case of BZD or BZD analogues overdose)

NO antidote to barbiturate overdose