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Depression notes
Stack #70363
| Question | Answer |
|---|---|
| Treatments for unipolar depression and bipolar depression are the same. | False |
| Name three symptoms of unipolar dpression | Loss of interest or pleasure in most or all activites, sleep disturbance, decreased energy, low self esteem, recurrent thoughts of death or suicide |
| name two symptoms of bipolar depression | Episodes of depression followed by periods of mania, inflated self esteem, decreased need for sleep, flights of ideas or racing thoughts, lack of focus |
| Depressive illness is thought to be caused by | Environmental factors, genetics and biological/physiological elements |
| The combination of psychotherapy and pharmacotherapy does not benefit depressed patients | False |
| How many more times prevalent is depression in women than in men? | 2-3 times more prevalent |
| Do race and social class have an effect on the rates of depression? | Yes |
| Name the four types/classes of edications used to treat depression | Tricyclic antidepressants (TCAs), Monoamine Oxidase Inhibitors (MAOIs), Selective Serotonin Reuptake Inhibitors, New generation antidepressants |
| Name several common adverse reactions to antidepressant medications | Anticholinergic effects, weight gain, weight loss, cardiovascular effects, sleep disturbance, sexual dysfunction, elevated hypertension, orthostatic hypotension, sedation |
| A major concern in the use of TCAs, especially disipramine,with children or adolescents is? | Cardiac toxicity |
| Name the major symptom of atypical depression | Prominent anxiety or panic symptoms |
| What type of depressive mood disorder are MAOIs effective in treating? | Atypical depression with anxiety and panic symptoms |
| What types of foods can trigger a hypertensive crisis when consumbed by a patient on MAOIs? | Tyramine ingestion-beers & ales, cheese, cholocate, fish, liver, sauerkraut, wine, bean curd, caffine |
| Interaction with what drug can provoke fatal hyperthermia when ingested with MAOIs? | Meperidine |
| Is hyperthermia a severe reaction with MAOIs and dextromethorphan taken together? | Yes |
| What precent of all antidepressant prescriptions in the US written for SSRIs? | Greater than 80% |
| Name several "activation" effects noted by people starting SSRIs | Anxiety, agitation, restlessness, insomnia |
| In what timeframe are the "activation" effects noted to dissapate? | 4-8 weeks after beginning SSRI therapy |
| Which of the SSRIs causes the most "activation" effects? | Fluoxetine |
| Which SSRI does not appear to cause "activating" side effects? | Citalopram |
| The most sedating SSRI is | Fluvoxamine |
| Which drug of the new generation antidepressants has the highest sedation effect? | Trazadone |
| Name two other adverse effects of Trazadone | Serious orthostatic hypotension and ventricular arrhythmia |
| Which next generation drug does not effect serotonin levels? | Buproprion |
| Sexual dysfunction is a side effect of Buproprion? | No |
| Which nest generation antidepressant promotes sleep restoration? | Mirtazapine |
| Which drug is associated with an elevation of supine diastolic blood pressure? | Venlafaxine |
| Which next generation antidepressant does not appear to suppress REM sleep? | Nefazodone |
Created by:
bocespharmacytech
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