*SIGECAPS* of Depression - ANS*S*leep disturbances
*I*nterests are ↓
*G*uilt
*E*nergy is ↓
*C*oncentration is ↓
*A*ppetite is ↓
*P*sychomotor Agitation
*S*uicidal thoughts
Major depressive disease - ANSDepressed Mood or Anhedonia
Dx: five or extra of the SIGECAPS Sxs for *> 2 wks* effecting regular feature
Tx:
*SSRI* or *SNRI* > TCA/MAOi > ECT
S/Es of SSRIs - ANS*Sexual Dysfunction*
Wt advantage
Anxiety
Nausea
1st line Tx of despair in kids - ANSFluoxetine (Prozac)
- Longest Half-life of all SSRIs
- Caution ↑ SI in the 1st 2 weeks of use
SSRI recognised to motive QT c programming language prolongation - ANSCitalopram (Celexa)
Screening device or questionnaire utilized in health center for:
Bipolar Disorder
,Major Depression Disorder - ANSBPD: The Mood Disorder Questionaire
MDD: Beck Depression Inventory
Atypical Antidepressant which inhibits DA reuptake, has less sexual and wt-associated side
outcomes, but decreases *seizure* threshold - ANSBupropion
*smoking cessation*
Side Effects of Lithium
*LMNOP* - ANS*L*ithium Side Effects
*M*ovements (tremors)
*N*ephrotoxicity
hyp*O*thyroid
*P*regnancy troubles (Ebstein's Anomoly)
Mood Stabilizer used to Tx Bipolar I Disorder w/ foremost depressed nation and can purpose an
*itchy rash or SJS* - ANSLamotrigine (Lamictal)
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