Drugs used for pregnancy
TCA
Drugs used for insomnia
TCA
Trazadone
Mirtazipine
Drugs used for migraine
TCA
Fluoxetine
SSRI
Prozac
Sertraline
SSRI
Zoloft
Paroxetine
SSRI
Paxil
Used for menopause
Citalopram
SSRI
celexa
Escitalopram
SSRI
Lexapro
Enantiomer of celexa
Fluvoxamine
SSRI
Luvox
Has many ddi especially 1A2 2C9. 2C19
Trazadone
SARI
desyrel, oleptro
CU: insomnia -depression related anxiety - sexual dysfxn with other meds
CI : nonconpliant
Vilazadone
Viibryd
CU: mixed anxiety depression -lower incidence of sexual dysfxn - renal dysfxn weight neutral
CI : seizures
Bupropion
Wellbutrin
CU: add on for no response and reverse sexual dysfxn
Cons for bupropion
Seizures Agitated/ insomnia Hepatic dysfxn Abrupt dc of alcohol and sedatives Those one NTS
Mirtazapine
Remeron
Mixed anxiety and depression
Mixed panic and depression
CI: seizures
Phenelzine
MAOI
Nardil
Tranyloypramine
MAOI
parnate
Elavil
Tertiary amine
Amitriptyline
Tofranil
Tertiary amine
Imipramine
Anafranil
Clomipramine
Tertiary amine
Sinequan
Tertiary amine
Doxepine
Surmontil
Trimipramine
Tertiary amine
Vivactil
Secondary amine
Protriptyline
Norpramin
Secondary amine
Desipramine
Asendin
Secondary
Amoxapine
Pamelor
Nortriptyline
Secondary
Therapy duration for first episode
6- 9 months
Therapy duration for second episode
4 to 5 years
Duration of therapy for second episode with complicated factors and third episode
Indefinitely
Electrocinvulsive therapy (ECT)
Most effective for treatment resistance
Preg
Pts who refuse to eat/drink
Delusional
ECT duration
2 to 3 times weekly for 6 -12 treatments
Drug used for nerve pain
Duloxetine (cymbalta)
Medication used for pain
TCA
Medication used for elderly
SSRI
Medication used for bipolar
SSRI
Medication for cardiac
SSRI
Medication used for menopause
SSRI
Paroxetine
Medication used for overweight
SSRI
Venlafaxine/ Desvenlafaxine
Bupropion causes anorexia
Medication used for bulimia
MAOI
Mediation used associated with panic attack
MAOI
Mirtazipine
Reverse sexual dysfxn (add on)
Bupropion
Trazadone/ nefazodone
Medications used with chemo
Mirtazipine
Mediation used for renal dysfxn
Vilazodone
Medication used for hypersomiacs ( excessive daytime sleepiness)
Venlafaxine/ desvenlafaxine
Psychomotor retardation
Venlafaxine/ desvenlafaxine
What medications can’t you give with hepatic dysfxn
SSRI ( hepatic and renal) Mirtazipine Bupropion Nefazodone Duloxetine ( and hx alcohol use)
Selegiline low concentration is used for ?
MAO B (CNS)
Parkinson’s disease
High con inhibits MAO A (depression and increase tyramine interactions )
Bupropion side effects
Anxiety Anorexia Agitation Nausea Insomnia Seizures ( high risk with head trauma, Cns tumor, bulimia/ anorexia , alcoholics )
Bupropion DDI
Increase toxicity :
- amantadine - Levodopa - MAOI - ritonavir
Decrease toxicity: -CBZ - phenytoin- phenobarbital
Don’t use with NTS (Zyban)
Medications that can not be used with hepatic dysfunction
Bupropion Duloxetine Mirtazapine SSRI Trazadone ( nefazodone ) Vortioxetine
What drug can not be given with even one drink of alcohol ?
Duloxetine( cymbalta )
Used for diabetic peripheral neuropathic pain ( dpnp)
What medication can u give with renal dysfxn
Vilazadone
Drug used for SUI (stress urinary incontinence )
Duloxetine
What medication activates mania in bipolar patients ?
Venlafaxine/ desvenlafaxine
What drugs can’t use use with HTN
Venlafaxine/ desvenlafaxine
Cymbalta (Duloxetine )
Fetzima (levomilnacipran) increase bp
What medication can’t we use for hypotension
MAOI
TCA
What medications can’t u use with seizures
Bupropion
Vilazodone
Mirtazapine
TCA - adverse effect
What medications can’t u use with sexual dysfxn
SSRI
Duloxetine
Venlafaxine/ desvenlafaxine
Levomilnacipran