Week 13: SNRI Flashcards
SNRI MOA
boosts serotonin, norepinephrine, dopamine (for major depression) in prefrontal cortex
which SNRI’s are bad for hypertensive pt’s or require monitoring of blood pressure and HR? (they are dose dependent)
venalfaxine and desvenlafaxine
duloxetine (cymbalta) c/c
may inc concentrations of antipsychotics (need decreased dosages)
fetzima need dose adjustments in
SNRI
-for renal impairment, elderly
is ssri or snri better for depression AND pain?
SNRI more effective
-SNRI & TCA (both work on serotonin and norepinephrine reuptake) relieves pain with fibromyalgia, low back pain, postherpetic neuralgia, and diabetic peripheral neuropathy
to avoid discontinuation syndrome, need to
tape off slowly