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23 Cards in this Set
- Front
- Back
What is the mechanism of action of Tricyclic antidepressants?
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Enhance the actions of biogenic amines by inhibiting reuptake.
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What is the prototypic Tricyclic antidepressant?
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Imipramine (Tofranil)
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What is the mechanism of action of Imipramine (Tofranil)?
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Blocks norepinephrine reuptake.
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What are the adverse effects of Tricyclic/MAO Inhibitor drug interactions?
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Hypertensive crisis
Tachycardia Seizures Hyperpyrexia |
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What are the adverse effects of Tricyclic/Antihypertensive drug interactions?
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Orthostatic Hypotension
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Tricyclic antidepressants result in additive effects with what other types of drugs?
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CNS depressants
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What are the adverse effects of Tricyclic/Sympathomimetic drug interactions?
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Cardiotoxicity
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What are the adverse effects of Tricyclic/Cimetidine (Tagamet) drug interactions?
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Decreased liver metabolism (results in higher drug levels)
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What are the most common adverse effects of Tricyclic antidepressants?
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Urinary retention
Constipation Weight gain Sexual dysfunction Confusion/Delirium Orthostatic Hypotension |
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What are some examples of MAO inhibitors?
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Phenelzine (Nardil)
Tranylcypromine (Parnate) Clorgyline Isocarboxazid |
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Which MAO inhibitor is specific for MAO type A?
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Clorgyline
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What are the most common adverse effects of MAO inhibitors?
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Drug interactions (serotonin syndrome)
Food interactions (tyramine) Sleep disturbances Orthostatic Hypotension Weight gain Sexual dysfunction |
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What is a possible adverse food-drug interaction of tyramine-containing foods and MAO inhibitors?
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Hypertensive crisis
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What are some examples of SSRIs?
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Fluoxetine (Prozac)
Clomipramine (Anafranil) Sertaline (Zoloft) Paroxetine (Paxil) Venlafaxine (Effexor) |
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What is an example of an SSRI that has actions at both serotonin and norepinephrine receptors?
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Venlafaxine (Effexor)
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What are the most common adverse effects of SSRIs?
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Diarrhea
Nausea Headache Insomnia Nervousness Fatigue Sexual Dysfunction |
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What are the withdrawal effects of SSRIs?
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Dizziness
Nausea Parathesias Palpitations Tremor Anxiety |
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What are the adverse effects of MAOI/SSRI drug interactions?
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SEROTONIN SYNDROME
Hyperthermia Diaphoresis Seizures Delirium |
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What drug interactions can cause Serotonin Syndrome?
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MAO inhibitors plus:
1) Clomiprimine 2) SSRI 3) Narcotics (Merpidine) |
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What are the adverse effects of MAOI/Sympathomimetic drug interactions?
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Hypertensive crisis
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What are the adverse effects of MAOI/Opioid Analgesic drug interactions?
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Hypertensive crisis
Circulatory collapse |
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What are the adverse effects of MAOI/Buspirone drug interactions?
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Hypertension
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What are the adverse effects of MAOI/General anesthetic drug interactions?
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Prolonged hypotensive and CNS depressive effects
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