Tricyclic Antidepressant Flashcards
How do tricyclics exert an antidepressant effect?
inhibition of the reuptake of neurotransmitters 5HT and noradrenaline
What other receptors are acted on by tricyclics which contribute to their side effect profile?
antagonism of:
- histamine receptors
- muscarinic receptors
- adrenergic receptors
Side effects caused by antagonism of histamine receptors
drowsiness
Side effects caused by antagonism of muscarinic receptors
blurred vision
dry mouth
constipation
urinary retention
Side effects caused by antagonism of adrenergic receptors
postural hypotension
Tricyclics lengthen the QT interval. TRUE/FALSE?
TRUE
Give examples of more sedative tricyclic antidepressants
Amitriptyline
Clomipramine
Dosulepin
Trazodone
Give examples of less sedative tricyclic antidepressants
Lofepramine
Nortriptyline