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Pharm 1
Depression
50
Health Care
Graduate
05/03/2009

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Cards

Term
Antidepressant effect
Definition
Inhibition of reuptake transporters for norepinephrine or serotonin
Term
Action of MAO inhibitors
Definition
Increase vesicular stores of both NE ad 5-HT, increase in activation of pre- and postsynaptic receptors, and desensitization or down-regulation of transmitter synthesis from an AA, receptor numbers, or postreceptor mechanisms
Term
Metabolism MAO-A is responsible for
Definition
NE, serotonin, tyramine
Term
Metabolism MAO-B is responsible for
Definition
Dopamine
Term
Irreversible block of MAO causes
Definition
Tyramine accumulation and loss of first-pass metabolism, causing hypotension
Term
MAO Discovery
Definition
Reversal of action of reserpine by iproniazid
Term
Non-reversible non-selective MAOI
Definition
Phenelzine (Nardil)
Term
Reversible MAOI (30 days)
Definition
Tranylcypromine (Parnate)
Term
Elevates levels of GABA to tx anxiety
Definition
Phenelzine
Term
MAOI S/E
Definition
Enhance blood pressure-elevating action of food amines such as tyramine = cheese rxn, hepatic necrosis
Term
Increases cerebral catechol & 5-HT in synaptic clefts via inhibition of reuptake into storage sites
Definition
trycyclic antidepressants
Term
Increases cerebral catechol & 5-HT in synaptic clefts via inhibition of breakdown
Definition
MAOI
Term
Chlorpromazine
Definition
Tricyclic (reuptake inhibitor)
Term
Imipramine
Definition
Tricyclics (reuptake inhibitor of serotonin & NE)
Term
Gold std antidepressant with high rate of manic & hypomanic rxns in bipolar dz
Definition
Imipramine (Tofranil)
Term
Tricyclic that inhibits reuptake of serotonin & NE
Definition
Amitriptyline (Elavil)
Term
Desipramine (Norpramin)
Definition
Tricyclic
Term
Tricyclic for obsessive-compulsive disorder
Definition
Clomipramine (Anafranil)
Term
Amoxapine
Definition
2nd gen tricyclic
Term
Maprotiline
Definition
2nd gen tricyclic
Term
Trazodone (Desyrel)
Definition
2nd gen tricyclic
Term
Affects Dopamine Reuptake, can cause seizures so use at low dose
Definition
Bupropion (Welbutrin for dep, Zyban for smoking)
Term
3rd gen tricyclics
Definition
nefazodone, venlafaxine, duloxetine, mirtazapine
Term
Less sedating than trazodone, fewer sexual effects than SSRIs, but potent inhibitor of CYP3A4
Definition
nefazodone (Serzone)
Term
Inhibitor of CYP3A4
Definition
Fluvoxamine (Luvox)
Term
Potent inhibitor of serotonin transport & weaker inhibitor of NE transport, behaves as SSRI at lower doses; at high doses > 225 mg/d increase hr, bp dt NE transporter inhibition
Definition
Venlafaxine (Effexor)
Term
Potent antihistaminic w/ greater sedating effects than 2nd or 3rd gen; causes wt gain
Definition
Mirtazapine (Remeron)
Term
Combines 5-HT2 receptor and -adrenoceptor antagonism; sedative; alt for SSRIs which have sexual adverse effect
Definition
Mirtazapine (Remeron)
Term
High ratios of SERT vs. NET inhibition of 300-7000
Definition
Serotonin selective uptake inhibitors
Term
Serotonin selective uptake inhibitors
Definition
fluoxetine (Prozac), paroxetine (Paxil), sertraline (Zoloft)
Term
Shorter half-lives and different potencies as inhibitors of P450 isoenyzmes
Definition
Paroxetine (Paxil) and sertraline
Term
Most selective SSRIs
Definition
Racemic citalopram (Lexapro) & (S)-citralopram (escitalopram)
Term
Less toxic than tricyclic & heterocyclic antidep
Definition
SSRIs
Term
5HT2 & Cat Reup Inhibitor
Definition
Mirtazapine (Remeron)
Term
Potently inhibits neuronal serotonin & NE reuptake
Definition
Duloxetine (Cymbalta)
Term
More effective anti-dep
Definition
Mirtazapine, escitalopram, venlafaxine, and sertraline
Term
Better tolerated antidep
Definition
Escitalopram, sertraline, citalopram, buproprion
Term
Least efficacious anti-dep
Definition
reboxetine, fluvoxamine, paroxetine, duloxetine
Term
Tricyclics
Definition
Amitriptyline (Elavil), Amoxapine, Clomipramine (Anafranil), Desipramine (Norpramin), Imipramine (Tofranil)
Term
2nd gen anti-dep
Definition
Bupropion (Wellbutrin), Duloxetine (Cymbalta, Mirtazapine (Remeron), Nefazodone (Serzone), Trazodone (Desyrel), Venlafaxine (Effexor)
Term
Selective Serotonin Reuptake Inhibitors
Definition
Citalopram (Celexa), Escitalopram (Lexapro), Fluoxetine (Prozac), Fluvaxamine, Paroxetine (Paxil), Sertraline (Zoloft)
Term
Labeled only for OCD
Definition
Fluvoxamine
Term
MAOI
Definition
Phenelzine (Nardil), Tranylcypromine (Parnate)
Term
Serotonin not inhibited by endproducts so can give
Definition
tryptophan
Term
Dual selectivity
Definition
Imipramine
Term
360 SE Transporter affinity
Definition
Clomipramine
Term
800 SE Transporter affinity
Definition
Paroxetine (Paxil)
Term
Inhibit Serotonin & NE reuptake
Definition
Cymbalta
Term
long half-life
Definition
Fluoxetine (Prozac)
Term
Not more effective but less S/E
Definition
Citalopram
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