Exam 1 Meds Flashcards
(38 cards)
what are SSRIs
selective serotonin reuptake inhibitors
action of SSRIs
inhibit reuptake of serotonin
physiological effects of SSRIs
decreased depression*, control anxiety, and control obsessions
side effects of SSRIs
nausea, agitation, headaches, sexual dysfunction
what is the first med used for depression
SSRIs
names of SSRIs
Prozac, Lexipro, Zoloft, Celexa, Paxil
describe serotonin syndrome
increased serotonin levels
shivers, flu like symptoms
describe discontinuation syndrome
occurs if SSRIs are stopped abruptly TAPER OFF (do not stop abruptly)
safety issues for antidepressants
increased risk of suicidal ideation increased sedation orthostatic HTN hyponatremia blurred vision constipation serotonin syndrome discontinuation syndrome
what is an important consideration for SSRIs and other antidepressants
cause increased suicidal ideation so start at low dose
what is the action of MAO inhibitors
increased norepinephrine and serotonin
physiological effects of MAO inhibitors
decreased depression and control anxiety*
side effects of MAO inhibitors
sedation, dizziness, sexual dysfunction, HTN crisis
describe how a hypertensive crisis occurs
if eat the wrong foods while on MAO inhibitors
what foods have a lot of tyramine
cheese, meats, sauces, beans, alcoholic beverages, overripe fruit
what is an important consideration for MAO inhibitors
AVOID foods high in tyramine
SEVERE dietary restrictions (ie/ no cheese and wine)
is the process of neurotransmitter inactivation
reuptake
anxiety med
Buspirone
SSNRI action
increased norepinephrine (which increases BP) increased serotonin
physiological effects of SSNRI
decreased depression
relieve pain of neuropathy
relieve anxiety
side effects of SSNRI
nausea, sweating, insomnia, tremors, sexual dysfunction
SSNRI drugs
Pristiq, Cymbalta, Effexor
what is used for chronic pain(like fibromyalga) and is also and antidepressant
Cymbalta
these are older meds not used as much anymore
helpful with chronic pain
tricyclic antidepressants