This class is DEPRESSING me Flashcards
What is an example of a tricyclic antidepressant?
A) Sertraline
B) Escitalopram
C) Amitriptyline
D) Paroxetine
C) Amitriptyline
Tricyclic antidepressants have “trip” in the name
What condition can a tricyclic antidepression treat other than depression?
A) Withdrawal symptoms
B) Nicotine addiction
C) Headaches
D) Neuropathic pain
D) Amitriptyline is prescribed to treat neuropathy as well as depressive symptoms
Which of the following is not a side effect of tricyclic antidepressants?
A) Insomnia
B) Orthostatic hypotension
C) Withdrawal symptoms
D) Dry mouth
E) Sedation
F) Constipation
G) Sexual dysfunction
H) Tremors
I) Weight gain
J) Dizziness
A) Insomnia
The list of potential side effects is quite long with tricyclic antidepressants!
Which lab value should you monitor on a patient who is on tricyclic antidepressants?
A) BUN/Creatinine
B) AST/ALT
C) Triglycerides
D) CBC
D) CBC
Tricyclic antidepressants can cause enias and emias
Which of the following conditions do SSRI medications treat? (Select all that apply)
A) Neuropathic pain
B) Anxiety
C) OCD
D) Parkinson’s
E) Hot flashes
F) Migraine headaches
G) Depression
B, C, F, and G
SSRIs treat depression, anxiety, and help prevent migraine headaches
What should you primarily monitor in an adolescent with a newly prescribed SSRI medication?
A) Gi discomfort
B) CBC
C) Suicidal ideation
D) Blurred vision
C) SSRIs can cause blurred vision, dry mouth, headaches, GI discomfort, insomnia, and suicidal ideation. Of those side effects, the suicidal ideation is the most worrying side effect and should be monitored closely especially in the adolescent population.
What is an example of an atypical antidepressant?
A) Bupropion
B) Marplan
C) Nardil
D) Duloxetine
A) Bupropion
Bupropion is used to treat depression, anxiety, and hot flashes. It should be avoided if the patient has a history of seizures.
Which herbal remedy can cause serotonin syndrome when taken with an SSRI?
A) Goldenseal
B) Echinacea
C) Valerian
D) St. Johns Wort
D) St. Johns Wort
Which atypical antidepressant is also used to treat hot flashes?
A) Venlafaxine
B) Buspirone
C) Bupropion
A) Venlafaxine
It is used to treat both depression and hot flashes
Which group of antidepressants has the most interactions with food products?
A) Tricyclic
B) SSRIs
C) Atypicals
D) MAOIs
D) MAOIs have MANY food and drug interactions
What should you monitor for the patient who is prescribed an MAOI?
A) AST/ALT
B) BUN
C) CBC
D) BP
D) blood pressure fluctuations can be caused by MAOI meds and should be monitored
Which of the following should not be taken with MAOIs? (Select all that apply)
A) Sudafed
B) Bupropion
C) Uncaffeinated tea
D) Chocolate
E) Bananas
F) Spinach
G) Roasted chicken
H) Avocados
I) Red wine
J) Kraft cheese
K) Light beer
L) Swiss cheese
M) Raisins
N) Lunch meat
A, D, E, H, I, K, L, M, N
MAOIS have an extensive list of food and medication interactions. No alcohol, no caffeine, no fermented foods, no foods with tyramine, no aged cheeses, no foods with high amounts of dopamine, no sympathomimetic amines, nothing pickled, and nothing overripe.
Kraft cheese is one of the only cheeses that is not a fermented cheese.
These patients are not allowed to take ANY over the counter medications without first asking their doctor.
What can cause toxicity when paired with an SSRI?
A) Bupropion
B) Grapefruit juice
C) St. John’s Wort
B) Grapefruit juice
St. John’s Wort can cause serotonin syndrome, but not toxicity.
Which antidepressant can also treat fibromyalgia?
A) Tricyclic
B) SSRIs
C) Atypicals
D) MAOIs
A)
Tricyclic antidepressants can be used to treat fibromyalgia and neuropathic pain.
What is a symptom of serotonin syndrome?
A) Low blood pressure
B) Low heart rate
C) Constipation
D) High heart rate
D)
Signs of serotonin syndrome are diarrhea and elevated heart rate.
