anti depressants

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jtafoya
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132089
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anti depressants
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2012-01-31 19:52:47
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anti depressants
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anti depressants
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  1. Antidepressants mainly work on _________.
    serotonin
  2. First choice for depression.
    SSRI
  3. SSRI Used in treatment of:
    • - Depression
    • - Anxiety
    • - Bipolar & Psychotic phases

    Also:

    • - Chronic pain
    • - Migraines
    • - Sleep Apnea
    • - Eating and panic d/o
  4. Antidepressant Drugs:
    SSRI

    TCA

    MAOI

    NRI (bupropion) - Wellbutrin

    SNRI

    Heterocyclics
  5. Antidepressants interact with ________ & __________.
    norepinephrine and serotonin
  6. Norepinephrine and serotonin do what?
    Regulate mood, arousal, attention, and sensory processing appetite.
  7. Nardil, Parnate and Marplan are what type of antidepressants?
    MAOI
  8. Lethal with overdose.
    TCA
  9. May take 4-6 weeks to become effective.
    TCA's
  10. TCA's block cholinergic receptors causing anticholinergic effects like:
    dry mouth, constipation, urinary hesitance, dry nasal congestion, blurred near vision.
  11. With TCA's:
    _____ dysfunction and ______ gain are common reasons for noncompliance.
    Sexual dysfunction and weight gain
  12. With TCA's:
    Anticholinergic effects on the CV system RESTRICTS use in who?
    elderly
  13. Has a low incidence of sedation and anticholinergic
    MAOI
  14. In general causes HYPOtension leading to heart failure
    MAOI
  15. MAOI's will cause HTN crisis if eaten with what?
    tyramine
  16. MAOI's are dangerous if combined with other drugs.
    True.
  17. MAOI's can be lethal if overdosed
  18. What is the biggest concern with MAOI's?
    HTN crisis.
  19. Antidepressant drug of choice.
    SSRI

    • (has fewer side effects)
  20. Common side affects of SSRI:
    • - Sexual dysfunction
    • - weight gain
    • - insomnia
    • - anxiety/agitation
  21. Types of Tyramine Foods:
    • - Aged CHEESE & MEATS
    • - Fava beans, tofu, banana peel, OVERRIPE fruit, avocado
    • - Tap beer & microbrewery beer
    • - Sauerkraut and anything SOY
    • - Yogurt, sour cream
    • - Peanuts, Brewers yeast
    • - Coffeinated coffee, tea, chocolate
    • - Lasagna and pizza
  22. May eat these typs of cheese:
    • Cottage cheese
    • Ricotta
    • Processed cheese slices
  23. If eat foods high in tyramine while taking MAOI may cause HTN crisis.

    Signs and symptoms of HTN crisis:
    • - Occipital h/a
    • - Nausea
    • - Increase HR and BP
    • - Flushed face
    • - Feeling "full"
    • - Palpitations & chest pain
    • - Sweating, fever, nausea, vomiting
    • - Dilated pupils
  24. If having a HTN crisis what should you do?
    DO NOT lie down!

    • IM chlorporamazine
    • IV phentoloamine
  25. Results from taking MAOI and SSRI at the same time.
    Serotonin Syndrome
  26. Signs and symptoms of Serotonin Syndrome
    • - Agitation
    • - Sweating
    • - Fever
    • - Tachycardia
    • - Hypotension
    • - Rigidity
    • - Hyperreflexia
  27. What do to if someone has Serotonin Syndrome?
    Stop the medication.

    Symptomatic treatment.
  28. Symptoms of serotonin syndrome may develop rapidly patient's may die before any intervention is taken.
  29. SUICIDE WATCH increase in risk during what time?
    First 1-3 weeks of starting medication
  30. Highly suicidal clients may need a medication that has no risk of lethal overdose.
    Once clients begin taking medication for depression, they often feel more energy which increases the risk of a successful suicide.

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