Anti depressants I

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Questions and Answers

What is the primary focus of the biogenic theory of depression?

  • Intense mood swings
  • Long-lasting sadness
  • Emotional responses to the environment
  • Deficiency of neurotransmitters in the brain (correct)

Which neurotransmitters are believed to be deficient in key brain areas in individuals with depression?

  • GABA and acetylcholine
  • Epinephrine and cortisol
  • Endorphins and glutamate
  • Norepinephrine, serotonin, and dopamine (correct)

What defines depression as an affective disorder?

  • Brief episodes of extreme happiness
  • Experiencing intense sadness beyond the event's impact (correct)
  • Sudden mood changes
  • Overwhelming excitement

Why are neurotransmitters like norepinephrine, serotonin, and dopamine crucial in preventing depression?

<p>Their deficiency is linked to depression (D)</p> Signup and view all the answers

Which action is NOT associated with antidepressants?

<p>Enhancing the breakdown of neurotransmitters (A)</p> Signup and view all the answers

In terms of antidepressants, what is a drug–drug interaction?

<p>The way different medications interact with each other in the body (C)</p> Signup and view all the answers

What differentiates a therapeutic indication from a contraindication in antidepressant use?

<p>Indications refer to positive effects while contraindications refer to side effects. (B)</p> Signup and view all the answers

What is the pharmacological action of tricyclic antidepressants (TCAs) in the central nervous system (CNS)?

<p>Mood elevation (A)</p> Signup and view all the answers

Which receptor blockade is associated with TCAs' effects on the central nervous system?

<p>H1-receptor (B)</p> Signup and view all the answers

What is a common cardiovascular side effect associated with tricyclic antidepressants (TCAs)?

<p>Orthostatic hypotension (D)</p> Signup and view all the answers

Which of the following TCAs is a secondary amine?

<p>Nortriptyline (B)</p> Signup and view all the answers

What is the most potent anticholinergic action associated with tricyclic antidepressants (TCAs)?

<p>Desipramine (D)</p> Signup and view all the answers

Which neurotransmitter system is mainly affected by tricyclic antidepressants (TCAs) in the autonomic nervous system (ANS)?

<p>Cholinergic system (A)</p> Signup and view all the answers

Which TCA is commonly used for the treatment of depression and neuropathic pain?

<p>Nortriptyline (A)</p> Signup and view all the answers

Which type of drug specifically blocks the reuptake of serotonin and increases its concentration in the synaptic cleft?

<p>Selective serotonin reuptake inhibitor (SSRI) (A)</p> Signup and view all the answers

What is the primary effect of ingesting foods high in tyramine while taking an MAOI?

<p>Severe hypertensive crisis (C)</p> Signup and view all the answers

Which drug prevents the enzyme monoamine oxidase from breaking down norepinephrine, leading to increased NE levels in the synaptic cleft?

<p>Monoamine oxidase inhibitor (MAOI) (B)</p> Signup and view all the answers

What distinguishes SSRIs from TCAs in terms of adverse effects?

<p>SSRIs are not associated with anticholinergic effects (A)</p> Signup and view all the answers

What is a common symptom experienced by patients who are depressed?

<p>Lack of energy (A)</p> Signup and view all the answers

Which drug blocks the reuptake of norepinephrine and serotonin, causing anticholinergic and sedative effects?

<p>Tricyclic antidepressant (TCA) (C)</p> Signup and view all the answers

What can ingesting foods high in tyramine while on an MAOI lead to?

<p>Severe hypertensive crisis (D)</p> Signup and view all the answers

How do deficiencies of neurotransmitters like NE and 5HT develop according to the text?

<p>By rapid fire of the neurons leading to depletion (D)</p> Signup and view all the answers

Which neurotransmitters are mentioned in the text as being deficient in depression?

<p>Norepinephrine (NE), dopamine, and serotonin (5HT) (D)</p> Signup and view all the answers

What physical problems can untreated clinical depression lead to?

<p>Multiple physical problems that can lead to further depression or suicide (B)</p> Signup and view all the answers

What theory of depression is discussed in the text?

<p>Biogenic Amine Theory (A)</p> Signup and view all the answers

Why might depression occur as mentioned in the text?

<p>As a result of unknown causes (A)</p> Signup and view all the answers

What functions are regulated by neurotransmitters like NE and 5HT, according to the text?

<p>Arousal, alertness, attention, moods, appetite, and sensory processing (A)</p> Signup and view all the answers

How might rapid fire of neurons lead to depletion of neurotransmitters like NE and 5HT?

<p>By exhausting the available neurotransmitter stores (C)</p> Signup and view all the answers

What is the principal mechanism of action of Tricyclic Antidepressants (TCAs)?

<p>Blocking reuptake of monoamine neurotransmitters (D)</p> Signup and view all the answers

What effect do Tricyclic Antidepressants (TCAs) have on dopamine system?

<p>Have no impact on dopamine system (A)</p> Signup and view all the answers

What was the original intended use of Tricyclic Antidepressants (TCAs) when they were first developed in 1949?

<p>Antipsychotics (C)</p> Signup and view all the answers

How do Tricyclic Antidepressants (TCAs) lead to increased neurotransmitter levels in the synaptic cleft?

<p>By blocking reuptake by the releasing nerve (B)</p> Signup and view all the answers

Which neurotransmitters are primarily affected by Tricyclic Antidepressants (TCAs)?

<p>Noradrenaline and serotonin (B)</p> Signup and view all the answers

What is the characteristic chemical structure of Tricyclic Antidepressants (TCAs)?

<p>Three-ring nucleus (B)</p> Signup and view all the answers

In comparison to cocaine, how important is the effect of Tricyclic Antidepressants (TCAs) on the dopamine system?

<p>Less important (D)</p> Signup and view all the answers

Besides blocking reuptake, what other mechanism may Tricyclic Antidepressants (TCAs) use to increase neurotransmitter levels in the synaptic cleft?

<p>Regulating receptor sites (C)</p> Signup and view all the answers

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