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