Depression Assessment
- Anergia
 - Self Neglect
 - Decreased Libido
 - Vegetative Signs
 - Sad Affect
 - Worthlessness
 - Guilt
 - Anger and Irritability
 - Ineffective Problem Solving
 - Slowed Thinking
 
SIG E CAPS for Major Depressive Disorder (MDD)
- Sleep Problems
 - Interest Deficit
 - Guilt or Worthlessness
 - Energy Loss or Fatigue
 - Concentration Difficulty
 - Appetite Changes
 - Psychomotor Retardation or Agitation
 - Suicidal Ideation
 - 5 Symptoms Including Depressed Mood or Anhedonia for 2 Weeks
 
Tricyclic Antidepressants (TCAs)
- Inhibits Reuptake of Norepinephrine and Serotonin
 - Depression
 - Bipolar Disorder
 - Fibromyalgia
 - Sedation
 - Orthostatic Hypotension
 - Anticholinergic Effects
 - Cardiac Toxicity
 - Delayed Effect
 - Do Not Stop Abruptly
 
Tricyclic Antidepressants (TCAs) Indications
- Major Depression
 - Bedwetting
 - Fibromyalgia
 - OCD
 - -Iptyline or -Ipramine Suffix
 - Amitriptyline
 - Desipramine
 - Clomipramine
 - Imipramine
 - Nortriptyline
 
Tricyclic Antidepressant (TCA) Antidote
- Sodium Bicarbonate (NaHCO3)
 
Selective Serotonin Reuptake Inhibitor (SSRI) Overview
- Depression
 - Anxiety
 - Selective Serotonin Reuptake Inhibitors
 - Paroxetine
 - Sertraline
 - Escitalopram
 - Fluoxetine
 - Sexual Dysfunction
 - Serotonin Syndrome
 - Treat with Cyproheptadine
 
Fluoxetine (Prozac)
- Inhibits Reuptake of Serotonin
 - Depression
 - Sexual Dysfunction
 - CNS Stimulation
 - Weight Changes
 - Serotonin Syndrome
 - No MAO-Is
 - No Anticoagulants / Antiplatelets
 - Suicide Risk
 - Delayed Onset of Action
 
Serotonin Norepinephrine Reuptake Inhibitors (SNRIs)
- Depression
 - Diabetic Peripheral Neuropathy
 - Duloxetine
 - Panic and Anxiety
 - Venlafaxine
 - Inhibits Reuptake of Serotonin and NE
 - Hypertension
 - Insomnia
 - Nausea and Vomiting
 - Decreased Libido
 
Carbamazepine (Tegretol)
- Inactivates Na+ Channels
 - Seizures
 - Bipolar Disorder
 - Trigeminal Neuralgia
 - Nystagmus
 - Ataxia
 - Hepatotoxicity
 - Blood Dyscrasias
 - Water Retention
 - Stevens-Johnson Syndrome
 - Avoid Grapefruit Juice
 
Lamotrigine (Lamictal)
- Blocks Na+ Channels
 - Seizures
 - Bipolar Disorder
 - Diplopia
 - Stevens-Johnson Syndrome
 - Headache
 - Aseptic Meningitis
 - Nausea and Vomiting
 - Screen for Suicide Risk
 
Bupropion
- Depression
 - Smoking Cessation
 - Increase Dopamine and NE
 - Stimulant Side Effects
 - Seizure
 
Trazodone
- Insomnia
 - Depression
 - Inhibit Serotonin Reuptake
 - Alpha-1 Blocker
 - Histamine (H1) Blocker
 - Sedation
 - Orthostatic Hypotension
 - Dry Mouth
 - Priapism
 - Arrhythmias
 
Triazolam (Halcion)
- Rapid-Onset Benzodiazepine
 - Insomnia
 - Rebound Insomnia
 - Respiratory Depression
 - Hypotension
 - Paradoxical Excitement
 - Amnesia
 - Confusion
 - Pregnancy
 - Short-Term Administration
 
Malignant Hyperthermia vs. Neuroleptic Malignant Syndrome vs. Serotonin Syndrome
- Autonomic Instability
 - Muscle Rigidity
 - Ryanodine Receptor 1 Mutation
 - Inhaled Anesthetics
 - Succinylcholine
 - Dantrolene
 - Antidopaminergic Medications
 - Hyporeflexia
 - Myoglobinuria
 - Dantrolene
 - Serotonergic Medications
 - Hyperreflexia
 - Clonus
 - Cyproheptadine
 
Aripiprazole (Abilify)
- 2nd Generation Atypical Antipsychotic
 - Schizophrenia
 - Bipolar Disorder
 - Depression
 - Headache
 - Dizziness
 - Nausea and Vomiting
 - Insomnia
 - Anxiety
 - Low Risk of Extrapyramidal Symptoms
 - Lowest Risk of Weight Gain
 
Bipolar Disorder Interventions
- Lithium
 - Valproic Acid (Valproate)
 - Lamotrigine
 - Hospitalization
 - Nutrition
 - Hygiene
 - Monitor for Vegetative Signs
 - Suicide Precautions
 
Monoamine Oxidase Inhibitors (MAO-Is)
- Atypical Depression
 - Increase Levels of Amine Neurotransmitters
 - "Takes Pride In Shanghai"
 - Tranylcypromine
 - Phenelzine
 - Isocarboxazid
 - Selegiline
 
Lithium
- Mood Stabilizer
 - Unknown Mechanism
 - Bipolar Disorder
 - Nephrogenic Diabetes Insipidus
 - Hypothyroidism
 - Tremor
 - Heart Block
 - Pregnancy
 - Monitor Plasma Levels