Pharm Final review

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Depression results in a deficiency in ______, _____, or ______.
- Norepinephrine (NE)
- Dopamine
- OR
- Serotonin (5HT)
What is Imipramine and how does it work?
- Tricyclic Antidepressant
- reduces the re-uptake of 5HT and NE into the nerves
What is used to treat enuresis, migraines, sleep disorders, and OCD?
- Imipramine
- Trycyclic Antidepressant
Imipramine interacts with what other drugs?
- MAOI's
- Oral anticoagulants
What time of day should imipramine be taken?

Evening, due to the sedative effect
What type of drug is Pheneizine (Nardil)? treats what?
- MAOI
- treats patient with depression that have been unresponsive to other medications - used as a last resort
- NOT for CHILDREN
What cautions should be used when taking an MAOI?
- Use of other anti-depression meds
- Myelography tests (using dyes)
- Increased BP
- Avoid foods high in Tyramine (pickles, cheese, fermented foods, red wine)
What is Fluoxetine used to treat?

Prozac- treats bulimia, PMDD, PTSD, social phobias/ anxiety, OCD
What drugs should be avoided while taking Fluoxetine ?
- MAOI's
- Do not stop abruptly
What are some nursing considerations for Fluoxetine?
- Take in AM to avoid insomnia
- Use barrier contraceptives
- Decrease dose with elderly or those with impaired liver/kidney
What is Bupropion (Wellbutrin, Zyaban) used to treat?

Smoking cessation
____ seizures are characterized by a sudden, temporary