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23 Cards in this Set

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