Creado por Bhavi Mistry
hace más de 11 años
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Pregunta | Respuesta |
Iproniazid | Irreversible non-selective MAO inhibitor |
Moclobemide | Reversible MAO Inhibitor Depression and social anxiety |
Phenelzine | Non-selective irreversible MAO inhibitor |
Amitriptyline | TCA |
Clomipramine | TCA |
Desipramine | TCA |
Desipramine | TCA |
Fluoxetine | SSRI |
Paroxetine | SSRI |
Citalopram | SSRI |
Reboxitine | NRI |
Venflaxine | serotonin-norepinephrine reuptake inhibitor (SNRI) |
Trazodine | serotonin antagonist and reuptake inhibitor (SARI) |
Agomelatine | MT2 antagonist 5HT2 antagonist |
Stress - depression progression | Leads to an increase in GLU transmission and cortisol, but decreases Dopamine/monoamine transmission Decrease in neurogenesis, increase in neural apoptosis Increase in depressive symptoms |
MAOA Is | Degrade 5HT |
MaOB Is | Degrade DA and NA |
Side effects of MAO Is | Muscarinic (M1) Postural hypertension (A1) Sedation (H1) weight gain (5ht2) |
Tricyclic antidepressants | Inhibits ma reuptake (5ht and na) Some alpha 2 adrenoceptor antagonism |
Side effects of tricyclic antidepressants | Histamine Muscarininc Alpha 1 5HT2 Cardiotoxicity (binding site on heart) |
NARIs + SSRIs + SNRIs (Selective reuptake inhibitors) | prevent 5HT and NA reputake Lack/reduced TCA side effects |
NARIs + SSRIs + SNRIs (Selective reuptake inhibitors) | prevent 5HT and NA reputake Lack/reduced TCA side effects |
5HT3 side effects of selective re-uptake inhibitors | Nausea Anorexia |
5HT2 side effects of selective re-uptake inhibitors | Insomnia Sexual dysfunction 5HT syndrome (suicide - adolescents only) |
NA related side effects of selective re-uptake inhibitors | Insomnia Constipation Sweating Tachycardia Anxiety, irritability, aggression |
Mirtazipine | alpha 2 antagonist 5HT 2 + 3 antagonist Does not antagonise 5HT1 (beneficial effects still present - TCA usually block 5HT1 --> negative side effects) |
Atypical drugs | SNRI (Serotonin - NA RI) SSRI + 5HT2 antagonist SNRI + 5HT2 antagonist Alpha 2 and 5HT antagonist |
Lithium | Replaces Sodium decreasing excitability Alters signalling via 2nd messengers Gene expression first line therapy in bipolar disorders Mood stabiliser |
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