Antidepressants Flashcards
In general, what is the MOA of antidepressants?
Modulate Serotonin, NE, Dopamine
General SE
Anticholinergic (dry), dizziness, increased threshold for seizures, HA
Black box warning?
Increased risk of suicide esp <25yo
5 types of antidepressants
MAO inhibitors TCA TeCA SSRI SNRI NDRI
What is contraindicated to consume while taking MAO inhibitors?
Tyramine containing foods because can’t breakdown and will cause increased NE leading to HTN, HA, Nausea
Raisins, red wine, meat, cheese NOT CHEESE :(
What is the TCA Antidepressant?
Amitriptyline
What hormone(s) does the TCA drug effect?
Serotonin, NE
How to dose Amitriptyline?
PO, at bedtime, as needed
Bummer side of Amitriptyline toxicity?
Increase QT wave
=arrhythmias
Which is the TeCA drug?
Trazadone (4 rings instead of 3)
Which is safer? Amitriptyline or Trazadone?
Trazadone but watch for hypOtension
What hormone does Trazadone work on?
Serotonin
What is the most common antidepressant given?
SSRIs
What is the SSRI drug?
Prozac
How long does it take for Prozac to work?
6-8w