Central nervous system
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Central nervous system - Leaderboard
Central nervous system - Details
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81 questions
🇬🇧 | 🇬🇧 |
Amitriptyline | Elavil Tricyclic antidepressant |
Trazodone | Desyrel, Oleptro Serotonin antagonist + reuptake inhibitor |
Bupropion | Wellbutrin, Zyban Norepinephrine-dopamine reuptake inhibitor |
Citalopram | Celexa SSRI |
Desvenlafaxine | Pristiq SNRI |
Doxepin | Silenor Tricyclic antidepressant |
Duloxetine | Cymbalta SNRI |
Escitalopram | Lexapro SSRI |
Fluoxetine | Prozac, Sarafem SSRI |
Mirtazapine | Remeron Tetracyclic antidepressant |
Nortriptyline | Pamelor Tricyclic antidepressant |
Paroxetine | Paxil SSRI |
Sertraline | Zoloft SSRI |
Vilazodone | Viibryd SSRI/5-HT1a receptor partial agonist |
Venlafaxine | Effexor SNRI |
Atomoxetine | Strattera Norepinephrine reptile inhibitor ( ADHD) |
Amphetamine-Dextroamphetamine | Adrenal, Mydaylis CNS stimulant |
Dexmethylphenidate | Focalin CNS stimulants |
Lisdexamfemtamine | Vyvanse CNS stimulant |
Methylphenidate | Ritalin, Concerta, Metadate ER CNS stimulant |
Modafinil | Provigil CNS stimulant |
Phentermine | Adipex-P, Lomaira CNS stimulant + anorexiant |
Atomoxetine | Strattera Norepinephrine reuptake inhibitor (ADHD) |
Amphetamine-dextroamphetamine | Adderall, Mydalis CNS stimulant |
Dexmethylphenidate | Focalin CNS stimulant |
Lisdexamfetamine | Vyvanse CNS stimulant |
Methylphenidate | Ritalin, Concerta, Metadate ER CNS Stimulant |
Modafinil | Provigil CNS Stimulant |
Phentermine | Adipex-P, Lomaira CNS stimulant + anorexiant |
Alprazolam | Xanax Benzodiazepine |
Buspirone | Buspar anti-anxiety agent |
Clonazepam | Klonopin Benzodiazepine |
Diazepam | Valium, Diasts, Valtoco Benzodiazepine |
Hydroxyzine | Atarax, Vistaril H1 antagonist |
Lorazepem | Ativan Benzodiazepine |
Aripiprazole | Abilify Antipsychotic |
Haloperidol | Haldol Antipsychotic |
Lurasidone | Latuda Antipsychotic |
Olanzapine | Zyprexa Antipsychotic |
Quetiapine | Seroquel Antipsychotic |
Risperidone | Risperdal Antipsychotic |
Ziprasidone | Geodon Antipsychotic |
Eszopiclone | Lunesta Hypnotic (sleep) |
Zolpidem | Ambien, Edluar, Intermezzo Hypnotic (sleep) |
Temazepam | Restoril Benzodiazepine |
Carbamazepine | Tegretol, Carbatrol, Epitol, Equetro Anticonvulsant |
Divalproex sodium | Depakote Anticonvulsant |
Gabapentin | Neurontin, Gralise Anticonvulsant |
Lamotrigine | Lamictal Anticonvulsant |
Levetiracetam | Keppra, Elepsia XR, Roweepra, Spritam Anticonvulsant |
Oxcarbazepine | Trileptal Anticonvulsant |
Phenytoin | Dilantin, Phenytek Anticonvulsant |
Pregabalin | Lyrica Anticonvulsant |
Topiramate | Topamax, Qudexy XR, Trokendi XR Anticonvulsant |
Carbidopa-levodopa | Sinemet, Duopa, Rytary Anti-Parkinson's agent |
Donepezil | Aricept Cholinesterase inhibitor |
Lithium carbonate | Lithobid, Eskalith Antimanic |
Memantine | Namenda NMDA receptor antagonist |
Pramipexole | Mirapex Dopamine agonist |
Ropinirole | Requip Dopamine agonist |
Sumatriptan | Imitrex, Onzetra Xsail, Tosymra Serotonin receptor agonist |
Varenicline | Chantix Partial nicotine agonist |
Bimatoprost | Lumigan Prostaglandin analog |
Brimonidine | Alphagan P Alpha2-agonist (opthalmic) |
Dorzolamide-timolol | Cosopt combination carbonic anhydrase inhibitor + β-blocker |
Latanoprost | Xalatan, Xelpros Prostaglandin analog |
Timolol | Timoptic, Betimol, Istalol β1/β2-blocker |
Travoprost | Travatan Z Prostaglandin analog |
MOA of SSRI | Selectively inhibit reuptake of serotonin, may also desensitize presynaptic serotonin receptors in a negative feedback loop that normally inhibits serotonin release// abrupt stopping may result into rebound depression |
MOA of TCA | Inhibit reuptake of NE and serotonin, basically a more potent inhibitor of NE |
Common side effects of TCA | Anti cholinergic, increase IOP, difficulty urinating, dry mouth and constipation |
MOA of SNRI | Inhibits reuptake NE and serotonin, more potent inhibitor of serotonin (similar to TCA but less anti cholinergic) |
Facts for Venlafaxine (Effexor) | Dose dependent effect on BP, substrate (major) 206 and 3A4 and weak inhibitor for 2B6, 2D6, 3A4 |
Facts for Desvenlafaxine | Active metabolite of Venlafaxine and more than 50 mg can confer little benefit |
Facts for duloxetine (Cymbalta) | Can also be used for diabetic neuropathy and fibromyalgia, N/V, use caution with patients with gastroparesis |
Common ADRs with duloxetine (Cymbalta) | Initial changes in BP, lowers seizure threshold, N/V, HA, xerostoma. And sexual dysfunction |
Fact for Citalopram (Celexa) | Max dose of 20mg, racemic mixture, NOT approved for children and caution for hepatic impairment due to conc dependent QT prolongation |
Facts for Escitalopram (Lexapro) | S enantiomer, avoid within 2 weeks of MAOi |
Facts of fluoxetine (Prozac, sarafem) | Metabolized to Norfluoxetine, stop MAOi for 14 WEEKS!, or start MAOi 5 weeks after stopping fluoxetine, also used for fibromyalgia, panic disorder, PTSD, Reynauds phenomena, and social anxiety disorder |
Which antidepressant is contraindicated with Thioridazine or primozide | Fluoxetine (Prozac, sarafem) |
Facts for Paroxetine (Paxil) | One of the most sedating and anti cholinergic SSRI, WEIGHT GAIN, limit dose in hepatic impairment |
Facts for Sertraline (Zoloft) | Reduce dose for liver impairment, may cause FALSE POSITIVE FOR BENZOS, safe for 6 years, more useful in the elderly |
Fact of vilazodone (Viibryd) | Unique mechanism- partial 5HT1A agonist |
Least likely to interact with CYP450 | Citalopram and Escitalopram |
Well known inhibitors of CYP2D6 (antidepressants) | Fluoxetine and paroxetine |