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CNS 1
BDK
| Pharmacologic Category | Generic Name | Brand Name | Common Indications | Essential Knowledge |
|---|---|---|---|---|
| Tricyclic antidepressant (TCA | doxepin (PO) | Silenor | Insomnia | Key Side Effects: somnolence, sedation, nausea US Boxed Warnings: increased risk of suicidal thinking and behavior in children, adolescents, and young adults Other Notes: CI within 14 days of MAOI; do not discontinue abruptly |
| Tricyclic antidepressant (TCA | nortriptyline (PO) | Pamelor | MDD, diabetic neuropathy, migraine prophylaxis | dizziness, drowsiness, orthostatic hypotension, sexual dysfunction, xerostomia, blurred vision, constipation BW: increased risk of suicidal thinking and behavior in youth CI within 14 days of MAOI; do not discontinue abruptly |
| Tricyclic antidepressant (TCA | amitriptyline (PO) | Elavil | MDD, diabetic neuropathy, migraine prophylaxis | dizziness, drowsiness, orthostatic hypotension, sexual dysfunction, xerostomia, blurred vision, constipation BW: increased risk of suicidal thinking and behavior in youth CI within 14 days of MAOI; do not discontinue abruptly |
| Serotonin reuptake inhibitor | trazodone (PO) | Desyrel | Insomnia, MDD | Key Side Effects: sedation, headache, dizziness, xerostomia, nausea, priapism US Boxed Warnings: increased risk of suicidal thinking and behavior in children, adolescents and young adults |
| Selective serotonin reuptake inhibitor (SSRI) | citalopram (PO) fluoxetine(PO) escitalopram (PO) paroxetine (PO) sertraline (PO) | Celexa Prozac Lexapro Paxil Zoloft | MDD | drowsiness, insomnia, nausea, vomiting, xerostomia, sexual dysfunction, headache, diaphoresis BW: increased risk of suicidal thinking and behavior in youth : CI within 14 days of MAOI do not discontinue abruptly (all except fluoxetine) |
| Serotonin- norepinephrine reuptake inhibitor (SNRI) | desvenlafaxine (PO) venlafaxine (PO) | Pristiq Effexor XR | MDD | headache, xerostomia, nausea, vomiting, constipation, decreased appetite, insomnia. diaphoresis, hypertension, sexual dysfunction BW: increased risk of suicidal thinking and behavior in youthj CI within 14 days of MAOI; do not discontinue abruptly |
| Serotonin- norepinephrine reuptake inhibitor (SNRI) | duloxetine (PO) | Cymbalta | MDD, neuropathic pain | headache, xerostomia, nausea, vomiting, constipation, decreased appetite, insomnia. diaphoresis, hypertension, sexual dysfunction BW: increased risk of suicidal thinking and behavior in youthj CI within 14 days of MAOI; do not discontinue abruptly |
| Selective norepinephrine reuptake inhibitor | atomoxetine (PO) | Strattera | ADHD | Key Side Effects: hypertension, tachycardia, headache, xerostomia, nausea, vomiting, constipation, decreased appetite, insomnia US Boxed Warnings: increased risk of suicidal ideation in children or adolescents Other Notes: CI within 14 days of MAOI |
| Norepinephrine- dopamine reuptake inhibitor | bupropion (PO) | Wellbutrin SR, Wellbutrin XL | MDD | tachycardia, headache, agitation, dizziness, insomnia, weight loss, xerostomia, increased risk of seizures BW: increase suicidal thinking in the youth, |
| Alpha2 antagonist | mirtazapine (PO) | Remeron | MDD | Key Side Effects: drowsiness, weight gain, xerostomia, increased appetite, constipation US Boxed Warnings: increased risk of suicidal thinking and behavior in children, adolescents, and young adults |