LLUSM3 Antidepressants

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Created by:

leadclimbsgirl  on August 14, 2011

Subjects:

pharmacology, psychiatry

Description:

Antidepressant mechanisms and common side effects

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LLUSM3 Antidepressants

Fluoxetine
Prozac . SSRI . Group SE: Sexual ↓ ND anorexia headache insomnia anxiety akathisia seizures 5HT syndrome. . Safe in pregnancy and kids. Long half life. Inhibits p450
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Definitions

Fluoxetine Prozac . SSRI . Group SE: Sexual ↓ ND anorexia headache insomnia anxiety akathisia seizures 5HT syndrome. . Safe in pregnancy and kids. Long half life. Inhibits p450
Sertraline Zoloft . SSRI . Group SE: Sexual ↓ ND anorexia headache insomnia anxiety akathisia seizures 5HT syndrome. . More GI sfx
Paroxetine Paxil . SSRI . Group SE: Sexual ↓ ND anorexia headache insomnia anxiety akathisia seizures 5HT syndrome. . Short half life--withdrawl if not tapered. Inhibits p450
Fluvoxamine Luvox . SSRI . Group SE: Sexual ↓ ND anorexia headache insomnia anxiety akathisia seizures 5HT syndrome. . More NV. Inhibits p450
Citalopram Celexa . SSRI . Group SE: Sexual ↓ ND anorexia headache insomnia anxiety akathisia seizures 5HT syndrome. . Few sfx and least drug interactions.
Escitalopram Lexapro . SSRI . Group SE: Sexual ↓ ND anorexia headache insomnia anxiety akathisia seizures 5HT syndrome. . S-enantiomer to Citalopram. Least sfx. Expensive
Venlafaxine Effexor . . . 5HT and NE reuptake inhibitor (SNRI). Used for depression anxiety and ADHD. SE like SSRI
Desvenlafaxine Pristiq . . . 5HT and NE reuptake inhibitor (SNRI). Metabolite of Venlafaxine. Expensive. SE like SSRI
Duloxetine Cymbalta . . . 5HT and NE reuptake inhibitor (SNRI). Used for depression and nerve pain. SE like SSRI but more dry mouth and C
Bupropion Wellbutrin . . . NE and DA reuptake inhibitor. Used in smoking cessation. Least sexual sfx. Risk of seizures. Do not use in eating disorder patients or with MAOIs
Mirtazapine Remeron . . . A2 Antagonist for refractory depression. SE sedation Weight Gain dizziness tremor dry mouth constipation
Trazodone Desyrel . . . 5HT partial agonist antidepressant. Useful for insomnia. SE ND orthostatic hypotension Priapism
Nefazodone Serzone . . . 5HT partial agonist antidepressant. Useful for insomnia. Black Box warning hepatotoxic.
Amitriptyline Elavil . TCA ("dirty" 5HT and NE) . Group SE: Sedation Orthostatic hypotension w/ tach Long QT and PR Anticholinergic Weight gain Sexual ↓ Seizures. Lethal in OD . Used for migraines
Nortriptyline Pamelor . TCA ("dirty" 5HT and NE) . Group SE: Sedation Orthostatic hypotension w/ tach Long QT and PR Anticholinergic Weight gain Sexual ↓ Seizures. Lethal in OD . Less hypotension and sedation
Imipramine Tofranil . TCA ("dirty" 5HT and NE) . Group SE: Sedation Orthostatic hypotension w/ tach Long QT and PR Anticholinergic Weight gain Sexual ↓ Seizures. Lethal in OD .
Desipramine Norpramin . TCA ("dirty" 5HT and NE) . Group SE: Sedation Orthostatic hypotension w/ tach Long QT and PR Anticholinergic Weight gain Sexual ↓ Seizures. Lethal in OD . Least sedating.
Clomipramine Anafranil . TCA ("dirty" 5HT and NE) . Group SE: Sedation Orthostatic hypotension w/ tach Long QT and PR Anticholinergic Weight gain Sexual ↓ Seizures. Lethal in OD . Used for OCD
Amoxapine Asendin . TCA ("dirty" 5HT and NE) . . Related to Loxapin--SE like Antipsychotics (EPS etc)
Maprotiline Ludiomil . TCA ("dirty" 5HT and NE) . Group SE: Sedation Orthostatic hypotension w/ tach Long QT and PR Anticholinergic Weight gain Sexual ↓ Seizures. Lethal in OD . More seizures Arrhythmias and more fatal in OD
Doxepin Sinequan . TCA ("dirty" 5HT and NE) . Group SE: Sedation Orthostatic hypotension w/ tach Long QT and PR Anticholinergic Weight gain Sexual ↓ Seizures. Lethal in OD . Useful for insomnia
Phenelzine Nardil . Irreversible MAO inhibitor (↑NE DA and 5HT) . Group SE: Serotonin syndrome Hypertensive crisis Drowsiness Weight gain ↓ Sleep and Sex . Good for refractory depression.
Isocarboxazid Marplan . Irreversible MAO inhibitor (↑NE DA and 5HT) . Group SE: Serotonin syndrome Hypertensive crisis Drowsiness Weight gain ↓ Sleep and Sex . Good for refractory depression.
Tranylcypromine Parnate . Irreversible MAO inhibitor (↑NE DA and 5HT) . Group SE: Serotonin syndrome Hypertensive crisis Drowsiness Weight gain ↓ Sleep and Sex . Good for refractory depression.
Selegiline Emsam . Reversible MAO inhibitor. (↑NE DA and 5HT) . Group SE: Serotonin syndrome Hypertensive crisis Drowsiness Weight gain ↓ Sleep and Sex . Good for refractory depression. Transdermal patch

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