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26 Cards in this Set
- Front
- Back
TCA MOA
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-block reuptake of 5-HT, NE, DA (mixed 5-HT/NE reuptake inhibitors)
-block cholinergic, histaminergic, and alpha1 adrenergic receptors |
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venlafaxine MOA
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-potent inhibitor of 5-HT and NE reuptake and a weak inhibitor of DA reuptake (SNRIs)
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duloxetine MOA
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-potent inhibitor of 5-HT and NE reuptake and a weak inhibitor of DA reuptake (SNRIs)
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trazodone, nefazodone MOA
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-5-HT reuptake inhibitor, 5-HT2 antagonist
-low affinity for alpha1 adrenergic receptors |
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bupropion MOA
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mixed DA/NE reuptake inhibitor (believed to be a DA reuptake inhibitor w/ possible norarenergic activity
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mirtazapine
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-mixed serotonin/NE effects
-enhances central noradrenergic and serotonin acitivity through antagonism of central presynaptic alpha2 adrenergic autoreceptors and heteroreceptors -anticholinergic, antihistaminergic (low doses) |
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phenelzine, tranylcypromine MOA
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-non-selective MAO inhibitors
-inhibit MAO enzyme increasing concentrations of NE, DA, 5-HT within neuronal synapse |
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selegiline MOA
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MAO-I, type B selective
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St. Johns Wort MOA
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believed to inhibit reuptake of serotonin
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TCA adverse effects (7)
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1)cardiac conduction delays
2)seizures 3)sexual dysfunction 4)excessive perspiration 5)weight gain 6)drowsiness, weakness, lethargy, fatigue 7)anticholinergic, antihistaminergic, alpha1 adrenergic blockade |
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venlafaxine adverse effects (7)
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1)dose related increase in BP at higher doses
2)sexual dysfunction 3)insomnia 4)dry mouth 5)agitiation 6)sweating 7)dizziness, HA, nausea, contipation |
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duloxetine adverse effects (6)
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1)may increase LFTs
2)nausea, diarrhea, constipation 3)insomnia 4)fatigue 5)dry mouth 6)dizziness |
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SSRIs adverse effects (4)
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1)sleep disturbances
2)sexual dysfunction 3)anxiety, tremor 4)nausea, HA |
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SSRI associated with the most diarrhea
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sertraline
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SSRI associated with the most agitation
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fluoxetine
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SSRI associated with the most sedation and weight gain
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paroxetine
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trazodone, nefazodone adverse effects
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1)sedation
2)orthostatic hypotension 3)priapism 4)hepatotoxicity (nefazodone black box) |
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bupropion adverse effects
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1)dry mouth
2)insomnia 3)HA, NV, constipation 4)agitiation, anxiety, tremor, dizziness |
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buproprion is contraindicated in what patients?
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those patients having seizures
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mirtazapine adverse effects
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1)sedation
2)weight gain, increased appetite 3)constipation 4)dry mouth |
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List antidepressants associated with the following characteristics: activating
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1)SNRIs
2)SSRIs (except paroxetine, fluvoxamine) 3)bupropion 4)high-dose mirtazapine |
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Sedating
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1)TCA
2)trazodone, nefazodone 3)low-dose mirtazapine |
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Sexual dysfunction
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1)TCAs
2)SNRIs 3)SSRIs |
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Weight gain
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1)TCAs
2)paxil 3)mirtazapine |
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Seizures
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1)bupropion
2)TCAs |
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Hepatotoxic
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1)nefazodone
2)fluvoxamine |