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19 Cards in this Set
- Front
- Back
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Depression treatment
Mild Moderate to severe with psychotic features |
Mild: psychotx or meds
Moderate to severe: antidepressant meds with psychotic features: antidepressants and antipsych |
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Stabilization time
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16-20 wks
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First episode of depression takes meds how long?
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1 year
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Second episode of depression takes meds how long?
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life
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Classes of antidepressants
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TCA, SSRI, SNRI, NDRI, SARI, alpha 2 antagonist noradrenalin seratonin
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SSRI meds in this class
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Fluoxetine
fluvoxamine paraoxetine takes 3-6 wks in depr 3-4 months in OCD |
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s/s of seratonin syndrome
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agitation, n/ diarrhea, disequalibrium, dysphoria, hyper reflex, increase temp, tremors, confusion, increased b/p, seizures, delirium, coma, death
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SNRI
serotonin, norepi reuptake inhibitor |
venlafaxine
duloxatine |
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treatment for seratonine syndrome
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cyproheptadine, sansert, thorazine, anticonvulsants
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venlafaxine
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used for anxiety, ADHD
SE HTN |
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duloxatine
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used for fibromyalgia, chronic pain
SE: increased lfT and HTN |
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SARI
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seratonin 2 antagonist
nefazodone trazedone (priapism) |
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NDRI
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norepinephrin dopamine RI
buproprion |
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Do not use brupropion with who?
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hx of seizures, bulemia, panic
caution with HI, caffeine |
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major side effect of nefazodone
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hepatotoxicity
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major side effect with trazedone
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priaprism and increased QTC
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alpha 2 antagonistic/noradrenalin
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mirtazepine
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hi doses of mirtazepine cause what?
Low doses? |
sedation,
less sedation |
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mirtazepine SE
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increased LFT and wt gain.
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