Pharm5 - Pharm5 Flashcards
class thioridizine
typical antipsychotic
class haloperidol
typical antipsychotic
class fluphenazine
typical antipsychotic
class chlorpromazine
typical antipsychotic
class clozapine
atypical antipsych
Class olazapine
atypical antipsych
class risperidone
atypical antipsych
class fluoxetine
ssri
class paroxetine
ssri
class sertraline
ssri
class citalpram
ssri
class imipramine
tca
class amitriptyline
tca
class desipramine
tca
class nortiptyline
tca
class clomipramine
tca
class doxepin
tca
class buprorpion
heterocyclic
class venlafaxine
heterocyclic
class mirtazapine
heterocyclic
class maprotiline
heterocyclic
class trazadone
heterocyclic
class phenylzine
maoi
class tranylcypromine
maoi
toxicity associated with ssri
gi distress anorgasmi a seratonin syndrome if given with maoi
sx of seratonin syndrome
hyperthermia muscle rigidity cv collapse
how long does it take for antidepressants to work
2-3 wks
side effects of tca
sedation alpha-blocking effects atropine like effects (tachy, urinary retention)
which generation of tca s have more anticholinergic effects? give an example of the drug
3rd amitryptyline
which tca is least sedating
desipramine
toxicity assocaited with tcas
tri-c’s convulsions coma cardiotoxicity respiratory depression hyperpyrexia confusion and hallucination in elderly (d/t anticholinergic effects)
which class of drugs is used to treat alcohol w/d
benzos
which class of drugs is used to treat anorexia/bulemia
ssri
which drugs are used to treat anxiety
buspirone benzos/barbiturates (take a shorter time to work) MAOI
which drugs are ssris?
paroxetine fluoxetine sertriline citalopram
which class of drugs is used to treat atypical depression
maoi
which class of drugs is used ot treat bipolar d/o
lithium carbamazepine valproic acid
which drugs are used to treat depression
ssri tca
which drugs are used to treat depression with insomnia
trazadone mirtazapine
which drugs are used totreat OCD
climipramine ssri olanzepine
which drugs are used to treat panic d/o
tca buspirone
toxicity associated with maois
hypertensive crisis associated with ingesting wine/cheese (tyramine)
drug interactions assicated with maois
b-blockers ssri (–> both cause seratonin syndrome)
MOA venlafaxine
inhibits 5HT, NorE, and DA reuptake
toxicity of venlafaxine
stimulant effects sedation nausea constipation increased BP
MOA mirtazapine
alpha-2 antagonist (increased release of NorE and 5HT) and potent 5HT2, 3 receptor antagonist
toxicity of mirtazapine
sedation increased appetite weight gain dry mouth
moa maprotiline
blocks NorE reuptake
toxicity of maprotiline
sedation orthostatic hypotension
moa trazadone
inhibits 5HT reuptake
toxicity of trazadone
sedation nausea priapism postural hypotension
MOA dantroline
blocks the release of ca from SR of skeletal muscles
uses of dantroline
nms malignant hyperthermia
wha tcan cause malignant hyperthermia
inhalation of anesthetics and succinylcholine
what are the different types of NM blocking agents
depolarizing and nondepolarizing
ex of a depolarizing NM blocking agent
succinylcholine
ex of nondepolarizing NM blockign agent
anything with a ‘cur’ in it
uses of NM blockign agents
to paralyze muscles in surgery or mechanical ventilation
what are the 2 phases of depolarizing NM blockade?
1: continuous depolarization 2: gradual repolarization with resistance
how do you reverse the depolarizing blockade at phase 1? phase 2?
administer cholinesterase inhibitors (eg: neostigmine or physostimine) during PHASE
how do you reverse the non-depolarizing blockade?
cholinesterase inhibitors (eg: neostigmine, edrophonium)