Therapeutics - Depression 2

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kyleannkelsey
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294889
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Therapeutics - Depression 2
Updated:
2015-02-23 11:37:18
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Therapeutics Depression
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Therapeutics - Depression
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  1. What are the SE for Serzone?
    sedation, orthostasis, dry mouth, nausea, liver failure
  2. Of the SSRIs ___________ has the most potential to cause anticholinergic side effects such as dry mouth constipation and sedation
    Paxil
  3. Of the SSRIs Paxil has the most potential to cause ___________________such as ___________________________.
    • Anticholinergic side effects
    • Dry mouth constipation and sedation
  4. ______________ may cause more GI distress than other SSRIS, such as diarrhea or loose stools along with insomnia or activation.
    Zoloft
  5. Zoloft may cause more _________________such as ________________________________________________.
    • GI distress
    • diarrhea or loose stools along with insomnia or activation
  6. Serotonin syndrome is a combination of adverse effects that occurs due to excessive serotonin, what are the symptoms?
    GI symptoms, tremors, hyperreflexia, restlessness, tachycardia, hypertension, manic-like symptoms, confusion and hyperpyrexia
  7. Serotonin syndrome occurs mainly in what group of patients?
    Patient is on more than one medication that increases serotonin levels
  8. Once agent is discontinued, serotonin syndrome symptoms normally resolve within ____________.
    24 hours
  9. Abrupt discontinuation is not recommended for what SSRIs?
    • Short-acting agents such as Paxil, Celexa and Zoloft
    • Effexor
  10. What are the symptoms of SSRI discontinuation syndrome associated with short-acting agents such as Paxil, Celexa and Zoloft?
    Vivid dreams, nightmares, tremor, dizziness, crying spells, nausea and poor concentration
  11. How does Wellbutrin produce an antidepressant effect?
    • Primarily through inhibition of NE and DA reuptake
    • No direct effect on serotonin
  12. ________________ is less likely to cause sexual side effects than other agents.
    Wellbutrin
  13. ____________ is less likely to induce mania, though the risk still exist.
    Wellbutrin
  14. The seizure potential is higher with ______________ and is dose-dependent.
    Wellbutrin
  15. Wellbutrin seizure potential is higher than other agents, this property is dependent on what?
    Dose
  16. How can Wellbutrin be used to decrease the risk of seizure induction?
    SR and XL formulations
  17. Wellbutrin should be avoided in patients with:
    • Alcohol withdrawal
    • Existing seizure condition
    • Bulimia or anorexia nervosa
    • (Avoid wEllButrin)
  18. Effexor has what unique SE and what is it dependent on?
    • Increase in Diastolic BP
    • Dose-Dependant, seen in doses over 300 mg/day
  19. Is Effexor contraindicated in controlled hypertension?
    No
  20. Can you stop Effexor abruptly?
    No, discontinuation syndrome has been reported, thus tapering is suggested
  21. How does Remeron impose its antidepressant effect?
    Through the increase of NE and serotonin activity
  22. Increased sedation caused by Remeron is found at _________ doses.
    Low doses (<15 mg)
  23. Patients with ____________________________________ may benefit from Remeron use.
    a decreased appetite or body weight
  24. Patients with a decreased appetite or body weight may benefit from __________ use.
    Remeron
  25. ___________________has the potential to increase total cholesterol and triglycerides along with glucose dysregulation.
    • Remeron
    • ________________ fewer GI side effects compared to the SSRI’s
    • Remeron
  26. Nefazadone elicits it antidepressant effect through what?
    Increasing serotonin and possibly NE
  27. __________________ is an SSRI that is less likely to cause sexual dysfunction, agitation or weight changes
    Nefazadone
  28. Nefazadone is is less likely to cause _____________, _____________ and ________________.
    sexual dysfunction, agitation or weight changes
  29. Nefazadone contains a black box warning due:
    Hepatic failure
  30. Is Nefazadone a first line agent?
    No
  31. What monitoring should occur if Nefazadone is used?
    • Liver enzymes should be monitored
    • Signs and symptoms of liver failure
  32. What should you educate patients on Nefazadone about?
    S/S of Liver failure
  33. Cymbalta elicits its antidepressant effect by:
    Increasing both serotonin and NE
  34. What can Cymbalta also be used to treat?
    Pain due to diabetic neuropathy
  35. What are the most common adverse effects of Cymbalta?
    CNS (sedation, dizziness, headache, insomnia) and GI (nausea, vomiting, diarrhea) and xerostomia
  36. Tricyclic Antidepressants elicit a response by:
    blocking reuptake of NE and serotonin
  37. Typical side effects of TCAs include:
    • Weight gain
    • Hypotensive effects
    • Anticholinergic
    • Tachycardia
    • Sedation
    • Sexual dysfunction
    • Antihistamine
    • Decrease in the seizure threshold
    • (What’s sad)
  38. TCAs have a high______________________, so doses are normally given at bedtime.
    Sedation potential

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