Phenelzine Flashcards

1
Q

What is phenelzine?

A

Monoamine oxidase inhibitor. Phenelzine is an antidepressant

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2
Q

mechanism of action

A

not fully determined, but it is believed to irreversibly inhibit monoamine oxidase (MAO).

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3
Q

two forms of MAO

A

MAO, (A+B)

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4
Q

where is MAO A found

A

in cells in the periphery

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5
Q

where is MAO B found

A

found extracellularly and predominately in the brain

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6
Q

true or false, the two subtypes are different substrates

A

true

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7
Q

what does MAO A catalyse?

A

the breakdown of serotonin, norepinephrine, epinephrine, dopamine and tyramine

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8
Q

what does MAO B catalyse?

A

acts on phenylethylamine, norepinephrine, epinephrine, dopamine and tyramine

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9
Q

why does the concentration of free amines esp serotonin and NA increase?

A

As Phenelzine inhibits MAO

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10
Q

why is MAO A inhibition is thought to be more relevant to antidepressant activity

A

as selective MAO B inhibitors (selegiline), have no antidepressant effects.

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11
Q

true or false Phenelzine is the first choice ant-depressant therapy available.

A

false

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12
Q

how long for the full clinical benefits to be realised?

A

several weeks of therapy may be required

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