Академический Документы
Профессиональный Документы
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A. Classical Antidepressants
1. MAOIs : Monoamine Oxidase Inhibitors
2. TCAs : Tricyclic Antidepressants
• MAOIs:
1st antidepressants
Side effects: can cause hypertensive crisis
restricts tyramine-containing foods
drugs: Moclobemide (Aurorix)
Deprenyl (Selegiline)
• Tricyclic Antidepressants
drugs: Clomipramine (Anafranil)
Imipramine (Tofranil)
Maprotiline (Ludiomil)
Trimipramine (Surmontil)
May have cardiac side effects
• Others: Benzodiazepines
Antipsychotics
• Electroconvulsive Therapy (ECT)
Anxiolytics and Sedative-Hypnotics
• Benzodiazepines
Alprazolam (Xanor)
Clonazepam (Rivotril)
Diazepam ( Valium)
Lorazepam (Ativan)
Midazolam (Dalmane, Dormicum)
• Natural products
Melatonin
• Older sedative-hypnotic
> Chloral hydrate
Antipsychotic Agents
• neuroleptics
• typical or conventional
• Atypical or serotonin-dopamine antagonist or
dopamine-receptor antagonist
• Typical antipsychotics:
Chlorpromazine (Thorazine, Laractyl, Zycloran,
Proma, Psynor)
Haloperidol (Haldol, Seranace, Seredol)
Thioridazine (Melleril)
Trifluoperazine (Stelazine)
Depot preparation: Haloperidol decanoate
Fluphenazine decanoate
Fluphentixol decanoate
• Acts more on the positive symptoms
• Side effects: acute dystonia
tardive dyskinesia
NMS (neuroleptic malignant
syndrome)
galactorrhea
amenorrhea
cognitive blunting and social
withdrawal
dry mouth, blurred vision,
constipation
hypotension
• Atypical Antipsychotic : Serotonin-Dopamine
Antagonist
> Low EPS and efficacy for negative symptoms
Drugs: Clozapine (leponex, Ziproc, Syclop)
Risperidone (Risperdal, Zysda, Risdin)
Olanzapine (Zyprexa, Olanzapro)
Quetiapine (Seroquel, Ketilept)
Ziprasidone (Zeldox)
Aripiprazole (Abilify)
Sertindole (Serdolect)
Side effects: weight gain, hypotension, seizure and
agranulocytosis
Cognitive Enhancers
• ADHD
Methyphenidate (Concerta)
Atomoxetine (Stattera)
• Dementia
Tacrine
Rivastigmine
Galantamine
Donepezil
Memantine
Vitamins and hormones – ginkgo biloba, Vit B12,
thiamine and zinc