PPT #2

Question 1

The most common psychiatric illness?

Answer 1

depression.

Question 2

Non drug therapies available

Answer 2

exercising, nutrition, diet, spiritual guidance

Question 3

What drugs are the MAOIs? (Monoamine Oxidase Inhibitors)

Answer 3

Isocarboxazid, Phenelzine, Selegiline transdermal, Tranylcypromine

Question 4

MAIOS (3 things)

Answer 4

weird side effects, food interactions, drugs with issues with electrolytes NA, K, CL

Question 5

What are MAOIs prescribed for?

Answer 5

Major depression. But not the only one.It is rare to see a person on MAOIs

Question 6

MAOIS work by blockin monamine oxidase– the enzyme that breaks down

Answer 6

norepinephrine, serotonin, and dopamine

Question 7

MAOIS increase?

Answer 7

NE, 5-HT, and DA. This can elevate a clients mood and energize them

Question 8

Clients taking MAOIs must avoid taking what?

Answer 8

food containing tyramine which are old and stinky (cheeses, aged processed meats, smoked and pickled fish, overly ripened fruit, beers and wines, sauerkraut, soy sauce)

Question 9

Drugs to avoid when taking MAOIS

Answer 9

other antidepressants, otc cold meds, triptans, and meperidine

Question 10

Excessive tyramine and norepinephrine levels can cause

Answer 10

High BP

Question 11

What is serotonin syndrome

Answer 11

excessive serotonin, and an altered mental status , high fever, sweating and clonus (involuntary, rhythmic muscle contraction in the foot)

Question 12

What are TCAs? What are the drugs?

Answer 12

tricyclic antideprresants. Drugs are Amitriptyline, Nortriptyline

Question 13

What are TCAs used for?

Answer 13

Treating major depression, neuropathic pain, and anxiety disorders

Question 14

TCAs block what pumps?

Answer 14

Serotonin and nor-epinephrine reuptake. This increases those levels in the synapses.

Question 15

Adverse Effects:

Answer 15

anticholinergic effects, orthostatic hypotension, and cardiotoxicity (fatal heart dysthymias in overdose)

Question 16

What are SSRIs? What are the drugs?

Answer 16

Selective serotinin reuptake inhibitors. These are clean. Drugs are Escitalopram (Lexapro), Fluoxetine (Prozac), Paroxetine (Paxil), and Sertraline (Zoloft)

Question 17

TCAS increas

Answer 17

Serotonin and NE

Question 18

SSRIs increase

Answer 18

Serotonin

Question 19

The more neurotransmitters, the more….?

Answer 19

side effects

Question 20

SSRIs are used for?

Answer 20

The 1st line drugs for depression and effective for treating anxiety

Question 21

Side effects of SSRIS?

Answer 21

stomach troubles
Slow metabolism
Sexual dysfunction
suicidal ideation
sedation( fluoxetine is an exception. its stimulating)

Question 22

What drugs are SNRIs?

Answer 22

Duloxetine, Venlafaxine

Question 23

Uses for SNRIs?

Answer 23

For major depression. Duloxetine is used for neuropathic pain. Venlafaxine is used for anxiety disorders. More selective than TCAs

Question 24

Side effects of SNRIs?

Answer 24

Similar to SSRIs but can also cause hypertension

Question 25

Miscellaneous Antidepressants?

Answer 25

Buproprion and Trazodone

Question 26

Used for depression and smoking cessation and adult ADHD and can increase libido and weight loss

Answer 26

buproprion

Question 27

used for depression and insomnia

Answer 27

trazodone

Question 28

Inhibits reuptake of DA and NE

Answer 28

Buproprion

Question 29

Weak serotinin reuptake inhibitor with strong sedative and anticholinergic effects?

Answer 29

trazodone

Question 30

Side effects of buproprion

Answer 30

anxiety, insomnia. contraindicated is a client has risk of seizures

Question 31

Side effects of trazodone

Answer 31

Sedative and anticholinergic effects and priapism (erection of the penis thats painful)

Question 32

What are black box warnings?

Answer 32

Warns of increased risk of suicidal thoughts.