SNRIs Flashcards
desvenlaxafine
pristiq
venlaxafine
effexor
duloxetine
cymbalta
minacipran
savella
MOA of SNRIs
block presynaptic serotonin and norepinephrine transporter proteins which results in inhibited reuptake of transmitters leading to an increased stimulation of the post-synaptic receptors
are SNRIs more potent on serotonin or norepinephrine?
serotonin
do SNRIs have an effect on other receptors?
NOPE, no effect on histamine, cholinergic, dopaminergic or adrenergic
indication for pristiq
MDD
indication for effexor
MDD, anxiety (GAD, SAD, panic) and ADHD
indication for cymbalta
MDD
indication for savella
ONLY fibromyalgia
side effects of the SNRIs
sexual dysfunction, insomnia, GI effects
what side effects are lacking for SNRIs?
anitcholinergic effects, weight gain, orthostatic hypotension
why is effexor nicknamed “side effexor”?
HTN, nausea, somnolence, dizziness, constipation, anorexia, blurred vision
can SNRIs be given with an MAOI?
NO -> serotonin syndrome (MUST wait at least 2 weeks)