SSRIs Flashcards
1
Q
name some SSRIs (4)?
A
- fluoxetine
- sertraline
- citalopram
- paroxetine
2
Q
what are the side effects of SSRIs?
A
- increased agitation/ anxiety
- sexual dysfunction
- headaches
- GI disturbance
- GI bleeds
- Risk of hyponatraemia due to inappropriate secretion of ADH (elderly)
- dry mouth
- insomnia
3
Q
when should you not use citalopram?
what can citalopram cause?
A
- with anti psychotics
- QT prolongation
4
Q
what is a bad side effect of paroxetine?
when is sertraline especially good to use?
when else can fluoxetine be used?
A
- withdrawal syndrome
- best for heart and in pregnancy
- eating disorders
5
Q
how long must you wait before starting an SSRI after an MAOI?
what is a contraindication to SSRIs?
A
- 2 weeks
- patient entering a manic phase
6
Q
what are the 3 main groups of serotonin syndrome?
A
- neuromuscular hyperactivity (tremor, clonus, hyperreflexia)
- autonomic dysfunction (tachycardia)
- altered mental state (confusion, agitation, mania)
7
Q
What SSRIs have the most interactions?
A
- fluoxetine
- paroxetine