University:
West Coast University
Course:
NURS 180 | Pharmacology
Academic year:

2021
Views:

111

Pages:

1
Author:

esfredint7qo

CLASS SSRIÕs SNRIÕs TCAÕs DRUG SIDE EFFECTS CONSIDERATIONS ¨ ¨ ¨ 1st line therapy in depression/ anxiety May take 4-6 weeks to reach effectiveness Do not stop abruptly Increased BP/ HR Insomnia/ sedation ¨ Do not mix with TCAÕs or MAOIÕs (can cause serotonin syndrome) ¨ ¨ ¨ ¨ Anxiety/ agitation Dry mouth Constipation Dry mouth ¨ ¨ May take 4-6 weeks to reach effectiveness Do not stop abruptly Amitriptyline (Elavil) Amoxapine (Asendin) ¨ ¨ Blurred vision Orthostatic hypotension ¨ Cardiotoxic (should not be taken in those with heart conditions) Clomipramine (Anafranil) Desipramine (Norpramin) Doxepin (Sinequan) Imipramine (Tofranil) Nortriptyline (Pamelor) ¨ ¨ ¨ ¨ Tachycardia Weight gain/ loss Constipation Dry mouth ¨ ¨ ¨ Lethal in overdose May take 2-4 weeks to reach effectiveness Do not stop abruptly Isocarboxazid (Marplan) ¨ N/V/D/ constipation ¨ Avoid tyramine Ð can cause hypertensive crisis (aged Phenelzine (Nardil) Selegiline (Emsam) Tranylcypromine (Parnate) ¨ ¨ ¨ ¨ Headache Insomnia Dizziness Dry mouth ¨ meat, cheese, beer/ wine, pickled/ fermented foods, dried/ overripe fruits) May take 4-6 weeks to reach effectiveness Buproprion (Wellbutrin) Fluoxetine/olanzapine (Symbax) Mirtazapine (Remeron) Trazodone (Oleptro) ¨ ¨ ¨ ¨ Insomnia/ sedation Dizziness Weight gain/ loss Dry mouth ¨ ¨ ¨ Avoid bupropion in anorexia, bulimia, and seizures Mirtazapine may cause ^lipids and weight gain May take 4-6 weeks to reach effectiveness Citalopram (Celexa) Escitalopram (Lexapro) Fluoxetine (Prozac) ¨ ¨ ¨ N/V/D Insomnia/ sedation Weight gain Fluvoxamine (Luvox) Paroxetine (Paxil) Sertraline (Zoloft) Vilazodone (Viibryd) ¨ Sexual dysfunction Desvenlafaxine (Savella) Duloxetine (Cymbalta) ¨ ¨ Levomilnacipran (Fetzima) Venlafaxine (Effexor) Protriptyline (Surmontil) MAOIÕs ATYPICALS