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Flashcards in key anxiety and antidepressants Deck (35):
1

What are the 7 anti depressants

Elavil - Trazodone - prozac - cymbalta - wellbutrin - zyban - deplin

2

in general, what is the purpose of the antidepressants

somehow increase the amount of serotonin-dopamine-and or NE in the cleft

3

Deplin

folic acid supplement - high dose 5-mthf - perscription only

4

zyban

NE and dopamine reuptake inhibitor - smokeing cessation

5

wellbutrin

NE and dopamine reuptake inhibitor - MAJOR Depression - ADD - nicotine receptor antagonist off

6

cymbalta

serotonin and NE reuptake inbibitor - Peripheral neuropathy - fibro - Major Depression

7

Prozac

SSRI - presyndaptic inhibiton - MAJOR Depress - Don't mix with NSAID - bleed - GI - ED , wt gain, rebound depression - best bene/risk ratio

8

Trazodone

Tetracyclic - Serotonin inhib/partal antag off - INSOMNIA - Sedation - elderly fall risk

9

Elavil

Tricyclic - serotonin and NE - chronic pain, migrains - benedryl like sx

10

who are antidepressants moderately effective in

those with moderate to severe depression

11

what antidepressant class is most likely to induce serotonin syndrome

Monoamine oxidase inhibitors

12

Parq for MAOI

No tyramine foods - dried fruits, red wine - cheese and soy

13

what is serotonin syndrome

hypertensive emergencies and excelerated HTN

14

what would be the best antidepressant for severe depression and insomnia

Elavil - or trazodone the cyclic andi depressants

15

what is concerning about the cyclic antidepressantes

fatal at 10 tiems normal dose - arrythmias increased QT interval

16

side effects of the cyclics

benadryl like

17

number on choice for antidepresantes

prozac although there is side effect of anxiety, ED diarrhea and insomnia and weight gain

18

Black box warning cymbalta

suicide 18-24

19

why might someone pick wellbutrin

may cause weight loss insead of gain

20

what is deplin

neutraceutical adjunct - high dose methylated folic acid

21

pentothal

US - GABA - Cl - deadly withdrawl

22

pentobarbital

s - GAPA - CL - 15 min/6hr

23

fiorinal

I - GABA - Cl - 20-40/6/8

24

phenobarbital

L - GABA- CL 12 hrs - seizure - respiratory depression

25

versed

benzo - syrup for children endoscopy - retrograde amnesia

26

valium

benzo - Break through seizures-muscle relaxer

27

ambien

Benzo like - same effect Gaba - different receptor - Quick acting 15/3hrs - sleepwalking

28

lunesta

benzo like - insomnia 15min - no tolerance

29

deplin

melatonin agonist - MT1-2 - enhances action of melatoin

30

romazicon

Benzo antidote - benzo receptor antagonist - IV only

31

benzo overdose

tachycardia, seizures , high BP - intoxication signs CNS depression

32

barbituates mixed with alcohol

respiratory depression

33

when are barbs often used

pre-op

34

what may a functional GABA defect causes

possibly some epilesly

35

concerns with anxiolytics

tolerance - psychiological and physical dependency