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7 Cards in this Set

  • Front
  • Back
SSRIs
Fluoxetine, paroxetine, sertraline, fluvoxamine, citalopram
Selective serotonin reuptake inhibitors (SSRIs) - 1st line

RNAM of 5HT transporter (reuptake)

safe and easier than TCAs (and venlaxafine)
side effects - git, cns, sexual, other
may have incr suicidal ideation in some patients at start of Rx
"serotonin syndrome" - dont combine with MAOI or RIMAs
NaSSAs
Mirtazapine
Noradrenaline-serotonin specific antidepressants

antagonists presynaptic inhibitory NA & 5HT (lots of receptors)

especially for patients with insomnia (and ssri sexual dysfunction)
RIMAs
Moclobemide
Reversible inhibitors of monoamine oxidase A

especially for fatigued patients (and ssri sexual dysfunction)

no tyramine reaction (reversible)
SNRIs
Venlaxafine
Serotonin & noradrenaline reuptake inhibitors
2nd line

RNAM of NA & 5HT reuptake transporter
(compared to TCAs: lacks M, a1 and H1 receptor affinity - no impaired cardiac conduction)

weak CYP2D6
TCAs
desipramine, nortriptyline, amitriptyline, imipramine
Tricyclic Antidepressants - 3rd line

RNAM of Na & 5HT reuptake transporters

Side-effects
Overdose
Toxic
Sedating
NRIs
Reboxetine
Noradrenaline reuptake inhibitors

RNAM of NA reuptake transporter
MAOIs
Phenelzine
Tranylcypromine

IRREVERSIBLE inhibiton of MAOa and MAOb

"tyramine reaction"