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22 Cards in this Set

  • Front
  • Back
What are antidepressants used for other than depression?
- OCD
- Phobias
- Anxiety
- Bulimia
- Enuresis
What are the 4 categories of antidepressants?
- SSRIs
- Atypicals
- Tricyclics
- MAOIs
What are some general considerations for SSRIs?
- Less side effects than older meds
- Acts faster than older meds
- Assess suicidality
- D/C gradually
- May precipitate mania
What is the action of SSRIs?
- Blocks reuptake of serotonin so the body recognizes more
What are some common side effects of SSRIs?
- drowsiness or insomnia
- sexual dysfunction
- GI upset
What is the adverse reaction of SSRIs?
Serotonin syndrome
What are the s/s of serotonin syndrome?
- agitation, confusion
- hyperreflexia, tremors
- changes in BP and pulse
How do you treat serotonin syndrome?
- D/C stat
- treat the symptoms
When do you usually give SSRIs?
Morning, unless patient gets drowsy from med
Name 6 SSRI medications?
- Prozac
- Luvox
- Zoloft
- Paxil
- Celexa
- Lexapro
What other antidepressant should not be taken with SSRIs?
MAOIs
What two antidepressants are known for having relative absence of sexual dysfunction?
- Wellbutrin
- Serzone
What atypical antidespressant is usually given for sleep and can cause priapism?
- Desyrel
What are the 5 atypical antidepressants?
- Effexor
- Remeron
- Desyrel
- Serzone
- Cymbalta
Tricyclics side effects are?
- Anticholinergic
- Sedation
- Cardiotoxic
When should you give tricyclics?
At night
Name 4 Tricyclics
- Elavil
- Sinequan
- Pamelor
- Tofranil
When taking MAOIs what must be restricted?
Tyramine
What foods is tyramine found in?
- Anything fermented
- Most cheese
- Red wines
- beer
- pastas
What can happen if a patient on MAOIs eats foods with tyramine?
- Hypertensive crisis
Name 4 MAOIs
- Marplan
- Nardil
- Parnate
- Emsam
MAOIs side effects are similar to?
Tricyclics