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50 Cards in this Set

  • Front
  • Back
TCA used in obsessive compulsive disorder (OCD), most significant of TCA's for risk of seizure, weight gain, and neuropsychiatric signs and symptoms
Clomipramine
Secondary amines that have less sedation and more excitation effect
Nortriptyline, Desipramine
Side effects seen with tricyclic antidepressants (4)
Muscarinic blockade (dry mouth, constipation);
weak alpha-1 block (orthostatic hypotension);
weak histamine block (sedation)
Heterocyclics
Antidepressant associated with neuroleptic malignant syndrome
Amoxapine

A malignant antidepressant, a Mox on both your houses
Antidepressant associated with seizures and cardiotoxicity
Maprotiline

seizing all over the map
Antidepressant having stimulant effects similar to SSRI's and can increase blood pressure
Venlafaxine
Antidepressant inhibiting norepinephrine, serotonin, and dopamine reuptake
Venlafaxine

ven diagram - gets all three
Antidepressant also used for sleep that causes priapism
trazodone

trazoBONE
Antidepressant which is inhibitor of CYP450 enzymes and may be associated with hepatic failure
Nefazodone
Heterocyclic antidepressants least likely to affect sexual performance, used for management of nicotine withdrawal, SE's include dizziness, dry mouth, aggravation of psychosis, and seizures
Bupropion
Antidepressant with MOA as alpha 2 antagonist, has effects on both 5-HT and NE, blocks histamine receptors, and is sedating
Mirtazapine
SE of mirtazapine
Liver toxicity, increased serum cholesterol

Taz got a Fatty Liver
Selective serotonin reuptake inhibitors (SSRI)
Except for these agents all SSRI have significant inhibition of CytP450 enzymes
Citalopram and its metabolite escitalopram
Side effects frequently seen with SSRIs
CNS stimulation; GI upset
Antidepressants with no effect on BP, no sedation
SSRIs
SSRI with long T1/2 and can be administered once weekly for maintenance, not acute tx
Fluoxetine
SSRI indicated for premenstrual dysphoric disorder
Fluoxetine (Sarafem)
Some of SSRIs' therapeutic effects beside depression (5)
Panic attacks, social phobias, bulimia nervosa, and PMDD (premenstrual dysphoric disorder), OCD
SSRI less likely to cause a withdrawal syndrome
Fluoxetine
Opioid Analgesics & Antagonists
Inhibit synaptic activity of primary afferents and spinal cord pain transmission neurons
Ascending pathways
Activation of these receptors close Ca2+ ion channels to inhibit neurotransmitter release
Presynaptic mu, delta, and kappa receptors
Activation of these receptors open K+ ion channels to cause membrane hyperpolarization

(Targeted by opioids)
Postsynaptic Mu receptors
Tolerance to all effects of opioid agonists can develop except (2)
Miosis and constipation
All opioids except this agent (which has a muscarinic blocking action) cause pupillary constriction
Meperidine
SE of these drugs include dependence, withdrawal syndrome, sedation, euphoria, respiratory depression nausea and vomiting, constipation, biliary spasm, increased ureteral and bladder tone, and reduction in uterine tone
Opioid Analgesics
Strong opioid agonists
Morphine, methadone, meperidine, and fentanyl
Opioids used in anesthesia
Morphine and fentanyl
Opioid used in the management of withdrawal states
Methadone
Opioid available trans-dermally
Fentanyl
Opioid that can be given PO, by epidural, and IV, which helps to relieve the dyspnea of pulmonary edema
Morphine
Use of this opioid with MAOI can lead to hyperpyrexic coma, and with SSRI's can lead to serotonin syndrome
meperidine (Demerol)
Moderate opioid agonists
Codeine, hydrocodone, and oxycodone
Weak opioid agonist, poor analgesic, its overdose can cause severe toxicity including respiratory depression, circulatory collapse, pulmonary edema, and seizures
Propoxyphene
Partial agonist or mixed antagonists
Partial opioid agonist, considered a strong analgesic, has a long duration of action and is resistant to naloxone reversal
Buprenorphine
Opioid antagonist that is given IV and had short DOA
Naloxone
Opioid antagonist that is given orally in alcohol dependency programs
Naltrexone
These opioid agents are used as antitussive
Dextromethorphan, Codeine
These agents are used as antidiarrheal
Diphenoxylate, Loperamide
Drugs of Abuse
Abused Inhalant anesthetics (3)
NO, chloroform, and diethyl ether
Abused drugs: Toxic to the liver, kidney, lungs, bone marrow, peripheral nerves, and cause brain damage in animals, sudden death has occurred following inhalation (2)
Fluorocarbons and Industrial solvents
Abuse of theses cause dizziness, tachycardia, hypotension, and flushing
Organic nitrites
Causes acne, premature closure of epiphyses, masculinization in females, hepatic dysfunction, MI, and increases in libido and aggression
Steroids
Readily detected markers that may assist in diagnosis of the cause of a drug overdose include (7)
Changes in heart rate, blood pressure, respiration, body temperature, sweating, bowel signs, and pupillary responses

Vitals(4) + pupils, sweating and bowels
Opioid Analgesics
Opioids most commonly abused by health care professionals (5)
Heroin, morphine, oxycodone, meperidine and fentanyl