Drugs Used in Mood Disorders Part 8 PDF

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leichnam

Uploaded by leichnam

Emory & Henry College

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antidepressants mood disorders psychiatry mental health

Summary

This document details information on antidepressants, including the best method to choose these, how long they take, drug interactions, and an overview of the serotonin syndrome. It's a great resource for students of medicine and psychology.

Full Transcript

\#\#\# \*\*Slide 61: Antidepressant Selection and Considerations\*\* 1\. \*\*What is the primary consideration when selecting an antidepressant for a patient?\*\* \- A. Cost and availability only \- B. Indication, cost, availability, adverse effects, drug interactions, and history of response \-...

\#\#\# \*\*Slide 61: Antidepressant Selection and Considerations\*\* 1\. \*\*What is the primary consideration when selecting an antidepressant for a patient?\*\* \- A. Cost and availability only \- B. Indication, cost, availability, adverse effects, drug interactions, and history of response \- C. Weight of the patient \- D. Age of the patient \*\*Answer:\*\* B. Indication, cost, availability, adverse effects, drug interactions, and history of response【75:0†source】 2\. \*\*Which antidepressants are known to have the lowest sexual side effects?\*\* \- A. SSRIs \- B. Bupropion, mirtazapine, and nefazodone \- C. SNRIs \- D. Tricyclic antidepressants (TCAs) \*\*Answer:\*\* B. Bupropion, mirtazapine, and nefazodone【75:0†source】 3\. \*\*Which antidepressants are most commonly prescribed for major depressive disorder (MDD) and anxiety disorders?\*\* \- A. Monoamine oxidase inhibitors (MAOIs) \- B. Selective serotonin reuptake inhibitors (SSRIs) \- C. Tricyclic antidepressants (TCAs) \- D. Bupropion and nefazodone \*\*Answer:\*\* B. Selective serotonin reuptake inhibitors (SSRIs)【75:0†source】 \-\-- \#\#\# \*\*Slide 62: Clinical Indications for Antidepressants\*\* 1\. \*\*What is the goal of acute treatment with antidepressants in patients with depression?\*\* \- A. Reduce symptoms by 50% \- B. Achieve full remission of depressive symptoms \- C. Manage symptoms to a tolerable level \- D. Maintain the patient on therapy for life \*\*Answer:\*\* B. Achieve full remission of depressive symptoms【75:0†source】 2\. \*\*How long does it typically take to see maximum benefit from antidepressants?\*\* \- A. 1 week \- B. 2-3 weeks \- C. 1-2 months \- D. 4 months \*\*Answer:\*\* C. 1-2 months【75:0†source】 3\. \*\*For patients with two or more serious episodes of major depressive disorder (MDD) in the last 5 years, what is recommended?\*\* \- A. Short-term therapy for 3 months \- B. Long-term antidepressant therapy \- C. Discontinue medication after symptoms improve \- D. Use only psychotherapy \*\*Answer:\*\* B. Long-term antidepressant therapy【75:0†source】 \-\-- \#\#\# \*\*Slide 63: Antidepressant Drug Interactions\*\* 1\. \*\*Which antidepressants are potent inhibitors of CYP2D6, leading to significant drug interactions?\*\* \- A. Citalopram and sertraline \- B. Paroxetine and fluoxetine \- C. Venlafaxine and duloxetine \- D. Bupropion and mirtazapine \*\*Answer:\*\* B. Paroxetine and fluoxetine【75:0†source】 2\. \*\*Which antidepressants are relatively free from significant drug interactions?\*\* \- A. Paroxetine and fluoxetine \- B. Citalopram and sertraline \- C. Venlafaxine and duloxetine \- D. Bupropion and mirtazapine \*\*Answer:\*\* B. Citalopram and sertraline【75:0†source】 3\. \*\*What is a serious contraindication when using SSRIs due to the risk of serotonin syndrome?\*\* \- A. Use with beta-blockers \- B. Use with MAOIs \- C. Use with benzodiazepines \- D. Use with NSAIDs \*\*Answer:\*\* B. Use with MAOIs【75:0†source】 \-\-- \#\#\# \*\*Slide 64: Serotonin Syndrome\*\* 1\. \*\*What are the hallmark signs of serotonin syndrome?\*\* \- A. Hypotension and bradycardia \- B. Hyperthermia, autonomic instability, and neuromuscular abnormalities \- C. Hypoglycemia and confusion \- D. Hyperactivity and tremors \*\*Answer:\*\* B. Hyperthermia, autonomic instability, and neuromuscular abnormalities【75:0†source】 2\. \*\*Which medication is commonly used to treat serotonin syndrome by blocking serotonin receptors?\*\* \- A. Cyproheptadine \- B. Diazepam \- C. Fluoxetine \- D. Lorazepam \*\*Answer:\*\* A. Cyproheptadine【75:0†source】 3\. \*\*Which drug class is most commonly associated with causing serotonin syndrome?\*\* \- A. Antipsychotics \- B. Antidepressants (SSRIs, SNRIs) \- C. Beta-blockers \- D. Benzodiazepines \*\*Answer:\*\* B. Antidepressants (SSRIs, SNRIs)【75:0†source】

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