SAS 9 Flashcards
(42 cards)
A person’s mood goes far beyond the normal “ups and downs”
Affective Disorder
Severe and long-lasting feelings of sadness beyond the precipitating event
Depression
Depression results from a deficiency of what?
norepinephrine (NE), dopamine, or serotonin (5HT)
Classification of Antidepressants
TCAs, MAOIs, SSRIs, Atypical antidepressants (heterocyclic second generation)
TCAs
Tricyclic antidepressants
MAOIs
Monoamine Oxidase Inhibitors
SSRIs
Selective Serotoninreuptake inhibitors
SSRIs are effective after how many weeks?
2-4 weeks
TCAs are effective after how many weeks?
2-4 weeks
Half-life of TCAs
8 to 68 hrs
TCAs Action
Reduce the re-uptake of 5HT and NE into nerves
Used for adult outpatients with reactive depression
Tranylcypromine (Parnate)
Used for patients who DO NOT respond to or cannot take newer, safer antidepressants
Isocarboxazid (Marplan)
Used fie SOME patients who do not respond to newer, safer antidepressants
Phenelzine (Nardil)
TCAs Drug-to-drug interactions
MAOIs, cimetidine, fluoxetine (prozac), ranitidine, and oral antidepressants
Treatment of patients with depression who are unresponsive to other antidepression agents
MAOIs
Peak of TCAs
2-4 hrs
Peak of MAOIs
2-3 hrs
This drug can cause an increase in blood pressure
MAOIs
Food interactions of MAOIs
Tyramine or pressor amines: increase blood pressure
The newest group of antidepressants
SSRIs
Specifically block the re-uptake of 5HT, with little to no known effect on NE
SSRIs
It is associated with congenital abnormalities
SSRIs
When combined with TCAs, it increases therapeutic and toxic effects
SSRIs