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18 Cards in this Set
- Front
- Back
Fluoxetine
Sertraline Paroxetine Fluvoxamine Citalopram Escitalopram |
SSRIs
Inhibit 5HT reuptake and some NE/DA reuptake Don't have risk of cardiac arrythmia in OD like TCAs Side effects are Nausea, Sexual dysfunction and Fatigue |
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Venlafaxine
Desvenlafaxine Duloxetine |
SNRIs
Inhibit 5HT and NE reuptake Same side effects as SSRI except for increased BP |
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Mirtazepine
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Atypical Antidepressant
Antagonist at a2 and 5HT receptors Side effects are sedation and weight gain |
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Buproprion
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Atypical Antidepressant
NDRI: Inhibits uptake of NE and DA Side effects are agitation, insomnia, weightloss and low seizure threshold |
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Nefazodone and Trazodone
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SARIs
5HT receptor antagonist and 5HT reuptake inhibitor Side effects are sedation, orthostatic hypotension and priapism |
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Alpha 1 subunit on GABA channel
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Hypnotic, Amnestic
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Alpha 2 & 3 subunit on GABA channel
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Anxiolytic
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Alpha 5 subunit on GABA
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Tolerance
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1st Line therapy for anxiety disorders
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SSRIs or SNRIs
Ineffective in acute panic Increased anxiety on initiation |
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2nd line therapy for anxiety disorders
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Buspirone
5HT1 agonist Faster onset than AD but slower than BZD Non sedative and no potential for abuse |
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1st line therapy for anxiety disorder and acute panic attacks
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SSRI + BZD
(SSRI negates the rebound anxiety of BZDs) |
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Short acting BZDs for parenteral or preanesthetic procedure
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Midalozam (Versed)
Lorazepam (Ativan) |
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Flumenazil
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BZD binding site antagonist to reverse overdose or therapeutic effect
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Z drugs for insomnia
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Alpha 1 selective and act at BZD site
No REM rebound like BZDs No disruption of sleep architecture |
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Zolpidem
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Z drug for insomnia
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Zaleplon
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Z drug
Short half life Can be given in middle of night to go back to sleep |
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Eszoplicone
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Z drug approved for chronic use
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Ramelteon
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Treats circadian desynchrony
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