Lithium - ANS Salt for mania and suicidal patients therapeutic blood level is 0.6-1.2, check renal function and TSH
GI symptoms show toxicity, no NSAIDS
SSRIS - ANS fluoxetine, peroxtine, sertraline, citalopram, escitalopram
SSRI SE - ANS sexual dysfunction due to dec...
Lithium - ANS Salt for mania and suicidal patients therapeutic blood level is 0.6-1.2, check
renal function and TSH
GI symptoms show toxicity, no NSAIDS
SSRIS - ANS fluoxetine, peroxtine, sertraline, citalopram, escitalopram
SSRI SE - ANS sexual dysfunction due to decrease in libido, weight gain, Suicidal ideation
(black box warning)
Fluoxetine - ANS long half life (2 weeks) 10-60 mg is therapeutic range
Sertraline - ANS for pregnant/breastfeeding
Paroxetine - ANS shortest 1/2 life (24 hrs) 10-60 mg is therapeutic range
Can experience withdrawal, needs to be tapered, sedative
Citalopram - ANS Prolongs QTC interval, works for elderly patients, not for cardiac issues
Escitlopram - ANS elderly patients with cardiac issues, best tolerates SSRI 10-40 mg is
therapeutic
Serotonin syndrome - ANS SHITS AND SHIVERS
toxicity excessive stimulation of postsynaptic serotonin receptors
SE: migraine, agitation, confusion hyperthermia, seizure, coma
tricyclic antidepressants - ANS Amitriptyline, dose-in, imipramine, nortiptyline,
poor tolerability, OD- causes coma and seizures, orthostatic htn, anticholinergic, (WIDE QRS)
MAOI - ANS tyramine free diet, can cause HTN crisis SE: headache in back of head, stiff
neck, tremor, fever, bound heart rate and nausea
Atypical antidepressants - ANS Buproprion
Trazadone
buproprion - ANS lowers seizure threshold, not for bullimia, NO SEXUAL SIDE EFFECTS
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