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Duke PA Behavioral Health Pharmacology

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Question
Answer
most clinically useful antidepressant drugs potentiate, either directly or indirectly the actions of _______ in the brain   norepinephrine and or serotonin  
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Selective Serotonin Reuptake Inhibitor   Citalopram  
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Selective Serotonin Reuptake Inhibitor   Escitalopram  
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Selective Serotonin Reuptake Inhibitor   Fluoxetine  
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Selective Serotonin Reuptake Inhibitor   Fluvoxamine  
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Selective Serotonin Reuptake Inhibitor   Paroxetine  
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Selective Serotonin Reuptake Inhibitor   Sertaline  
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Serotonin/Norepinephrine re-uptake Inhibitors   Duloxetine  
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Serotonin/Norepinephrine re-uptake Inhibitors   Venlafaxine  
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Atypical Antidepressants   Bupropion  
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Atypical Antidepressants   Mirtazapine  
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Atypical Antidepressants   Nefazodone  
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Tricyclic Antidepressants   Trazodone  
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Tricyclic Antidepressants   Amitriptyline  
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Tricyclic Antidepressants   Clomipramine  
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Tricyclic Antidepressants   Desipramine  
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Tricyclic Antidepressants   Doxepin  
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Tricyclic Antidepressants   Imipramine  
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Tricyclic Antidepressants   Maprotiline  
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Tricyclic Antidepressants   Nortriptyline  
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Tricyclic Antidepressants   Protriptyline  
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Tricyclic Antidepressants   Trimipramine  
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Monoamine Oxidase Inhibitors   Phenelzine  
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Monoamine Oxidase Inhibitors   Selegiline  
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Monoamine Oxidase Inhibitors   Tranylcypromine  
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Drugs used to treat mania and Bipolar disorder   Carbamazepine  
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Drugs used to treat mania and Bipolar disorder   Lithium salts  
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Drugs used to treat mania and Bipolar disorder   Valproic acid  
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Selective Serotonin Reuptake Inhibitor   Have little blocking activity at muscarinic, alpha-adrenergic, and histaminic H1 receptors  
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Selective Serotonin Reuptake Inhibitor   have largely replaced tricyclic antidepressants and monoamine oxidase inhibitors as DOC in treatment of depression  
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antidepressants take ____ weeks to show a significant improvement in mood   2  
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Selective Serotonin Reuptake Inhibitor   about 1/50 adolescents become more suicidal as a result of treatment with this antidepressant  
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Selective Serotonin Reuptake Inhibitor   has a lower adverse effect profile compared to other antidepressants  
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The SSRI with the lowest risk of causing an SSRI discontinuation syndrome   Fluoxetine  
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sometimes effective in relieving neuropathic pain such as diabetic peripheral neuropathy   SNRI's and tricyclics  
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not recommended in patients with end stage renal disease   Duloxetine  
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should not be administered in patients with hepatic insufficiency   Duloxetine  
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is unique in that it assists in decreasing the craving and attenuating the withdrawal symptoms for nicotine   Bupropion  
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Is markedly sedating due to its antihistaminic activity, can also cause increased appatite and weight gain   Mirtazapine  
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has been associated with causing priapism   Trazodone  
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Uncommon side effects for SSRI's   orthostatic hypotension, sedation, dry mouth, and blurred vision  
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TCAs are effective in treating moderate to severe depression. Some patients with ____ also respond to TCAs   panic disorder  
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The TCA Imipramine has been used to control   bed wetting in children  
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The TCA Amitriptyline has been used to treat   migraines  
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Blockade of muscarinic receptors leads to   blurred vision, xerostomia, urinary retention, constipation, and aggravation of narrow angel glaucoma  
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Blockade of alpha-adrenergic receptors leads to   orthostatic hypotension, dizziness, and reflex tachycardia  
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common AE of TCA   weight gain  
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Occurs in a significant minority of patients on TCA's as compared to SSRI's   sexual disfunction  
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TCA's should be used with caution in known manic depressives because they may   cause manic behavior  
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Depressed patients should only be given limited quantities of TCA's because   of their narrow therapuetic window  
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MAOI's have a ____ effect   amphetamine like stimulant  
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MAOI's are idicated for   patients allergic/unresponsive to TCA's  
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TCA's are an important alternative to   SSRI's  
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This limits the widespread use of MAOI's   unpredictable side effects due to food and drug interactions  
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Considered a mood stabilizer, it is not a sedative, euphoriant, or depressant   Lithium salts  
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