Table 14.6 FDA-Approved Drugs for Major Depressive Disorder Flashcards
SSRI
drugs
citalopram
escitalopram
fluoxetine
paroxetine
sertraline
SSRI
action
block the synaptic reuptake of serotonin
SSRI
notes
first line of treatment
either activate or sedate
risk of overdose is not lethal
SSRI
side effects
agitation, insomnia, headache, N/V, sexual dysfunction, hyponatremia
SSRI
warning
discontinuation syndrome
- dizziness
- insomnia
- nervousness
- irritability
- nausea
make sure to taper when coming off of drugs
SNRI
drugs
desvenlafaxine
duloxetine
levomilnacipran
venlafaxine
SNRI
action
blocks synaptic reuptake of serotonin and norepinephrine
What is a popular SNRI that is tried after SSRI
Effexor/venlafaxine
SNRI
side effects
nausea, dry mouth, insomnia, constipation,
TCA
drugs
amitriptyline
amoxapine
desipramine
doxepin
imipramine
maprotiline
nortriptlyine
protriptyline
trimipramine
TCA
action
inhibit synaptic reuptake of serotonin and norepinephrine. Antagonize adrenergic, histamine, muscarinic receptors
TCA
notes
therapeutic effects similar to SSRI, side effects more prominent
TCA
side effects
dry mouth, constipation, urinary retention, blurred vision, hypotension, cardiac toxicity, sedation
TCA
warnings
lethal in overdose
MAOI
drugs
isocarboxazid
phenelzine
selegiline
tranylcypromine