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35 Cards in this Set

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  • Back
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Modafinil (Provagil)

Analeptic

(Tenuate) diethylpropion

Anorexiant

Phentermine

Adipex

Anorexiant

Rvastigmine (Exelon)

Cholinesterase Inhibitor


Comes in patch form

Zoloft

Sertraline

Prozac

Fluoxetine

Lexapro

Escitalopram

Celexa

Citalopram

SSRI drugs

Citalopram


Escitalopram


Fluoxetine


Sertraline

SSRIs treats

Depressive DO


Anxiety DO


Panic DO


PMDD


PTSD


OCD

5 classes of Antidepressants

SSRIs


SNRIs


Tricyclics


MAOIs


Lithium

Adverse Reactions of SSRIs

Somnolence, tremor


Constipation, urinary retention,


dry mouth


Sexual dysfunction


Serotonin syndrome

SSRIs should be used with caution for those at risk for

Suicidal behaviors

How long should clients with serotonin syndrome be hospitalized for?

At least 24 hours

S/S serotonin syndrome

Tremor or restlessness


Muscle spasms or hyperreflexia


Agitation or confusion


Dilated pupils


Rapid, irregular heartbeat


Nausea or diarrhea

How long does therapuetic levels take with antidepressants

4 weeks

SNRIs treat

Diabetic Neuropathic pain


Fibromyalgia



Anxiety


PTSD


Panic

SNRI medications

Wellbutrin / Bupropion and Zyban


Duloxetine (Cymbalta)


Trazodone


Desvenlafaxine (Prestiq)


Venlafaxine (Effexor)

SNRI also used to suppress alcohol cravings


& May cause painful erection

Trazodone

SNRI used for neuropathic pain and fibromyalgia

(Cymbalta) Duloxetine

SNRI used for smoking cessation

Buproprion Wellbrutrin Zyban

Drugs that will increase risk of CNS & Respiratory depression when taken with SNRIs

Sedatives Hypnotics and Analgesics

Will Increase risk of hypotension events when taken with SNRIs

Antihypertensives

Interaction between SSRI & SNRI

Increase risk of Serotonin Syndrome

Adverse Reactions of SNRIs

Somnolence, Migraine HA, hypotension


Skin rash, itching, flushing & sweating,


blurred vision, vertigo, lightheadedness


Impotence & decreased libido


Bitter taste, dry mouth, photosensitivity

Tricyclics uses

Depression


Bipolar


Insomnia


ADHD

Tricyclic drug names

Amitriptyline (Elavil)

action of SNRI

Affects neurotransmission dopamine, serotonin, and norepinephrine

Action of SSRIs

Inhibits CNS uptake of serotonin


Increase serotonin levels = stimulant = decrease depression

Action of Tricyclics

Inhibit reuptake of norepinephrine or serotonin in the brain

Adverse reactions of Tricyclics

Anticholinergic effects:


Urinary retention, visual disturbances, dry mouth, Constipation


Sedation, photosensitivity, orthostatic hypotension

Foods that contain Tyramine

Aged cheese (blue, cheddar, mozzarella, parm, swiss)


Sour cream, yogurt, soy sauce


Beef, chicken liver, pickled herring,


Fermented meats (bologna, pepperoni, salami, dried fish)


Red wine,.imported beer


Caffeine,.chocolate


Avocado, banana beans, figs, fava, raisins

Early signs of hypertensive crisis

HA, chest pain


Stiff neck Dilated pupils


Fever, sweating


Nausea vomiting


Brady/Tachycardia

Contraindications of lithium

Cardiovascular or renal disease


Decrease sodium levels


Dehydration


Taking diuretics


Taking antacids (will decrease effects)

Manifestations of Lithium

Polyuria


Thirst


Temors


Weight gain


Leukocytosis