Antidepressants Flashcards
(21 cards)
paroxetine
paxil
escitalopram
Lexapro
Depakote
Valproic acid
Anticonvulsant and bipolar disorder
Individuals who have 4+ episodes of mania and depression in one year
May interact with other drugs
fluoxetine
Prozac
citalopram
Celexa
Ssri teaching/ assess
Assess NA level( decrease in elderly). Assess BP and Apical- caution in parents with cardiac and seizure disorders.
Take in the AM- may cause insomnia. May decrease libido.
Report chest pains, palpilations, suicidal thoughts
phenelzine
Nardil
MAOI
sertraline
Zoloft
Pristiq
SSNRI
desvenlafaxine
Pamelor
notriptyline
-Tricyclic
imipramine
Tofranil
Tricyclic-
bupropion
Wellbutrin
Alters effects of serotonin
Lower seizure threshold, confusion, hallucinations, hypotension, arrhythmias, impotence
Serotonin syndrome
Tricyclic use
Correct imbalance in neurotransmitter concentrations of serotonin and NE at the nerve endings
Neuropathic pain, insomnia, enuresis
Tricyclic side effect
Sedation- tolerance/habituation, take in PM
Arrhythmia- assess ekg
Decreased urine output/ constipation
Orthostatic hypotension - BP, slow to stand
Blurry eyes - avoid if closed < glaucoma
Photophobia - sunscreen; Rash, Hepatoxicity
Decreased effect oral contraceptives
Incr appetite= weigh gain
Lithium Carbonate
May cause weight gain and acnee
Not too much coffee
Monitor CBC LFT I+O and electrolytes
Serum drug level= 0.5-1.5 meq/L
Muscle ridgity and fever and seizures
Serotonin syndrome
Discontinue drug
Supportive care
Maois
Blocks the enzyme MAOI =accumulated neurotransmitters
Depression
Causes feelings of sadness/loss of interest in activities. Affects how you feel, think, and act. Treatable.
Ssri other uses
Ocd, social phobia, bulimia, anorexia nervosa, panic disorder
amitriptyline
Elavil
Tricyclic-
Cymbalta
duloxetine
SSNRI
