Time：2023-02-06 05:08:52 source：psychiatricethics.com author：Relax Read：185次

What are antidepressants? What is the adverse reaction?

With the development of society, due to various reasons such as life pressure, unsatisfactory work, and emotional setbacks, there are more and more patients with depression. Next, I will introduce antidepressant drugs. Monoamine oxidase inhibitor: moclobemide; tricyclic presynaptic serotonin reuptake inhibitor, norepinephrine reuptake inhibitor: amitriptyline, imipramine, clomipramine, doxepin. The formula, the first three meters is more, the front refers to the presynaptic membrane, the three meters refers to amitriptyline, imipramine, clomipramine, and most refers to doxepin. Tetracyclic presynaptic serotonin reuptake inhibitor: maprotiline. Serotonin reuptake inhibitors, norepinephrine reuptake inhibitors: venlafaxine, duloxetine. Serotonin reuptake inhibitors: fluvaroxamine, fluoxetine, sertraline, paroxetine, citalopram. Norepinephrine reuptake inhibitor, selective serotonin reuptake inhibitor: mirtazapine. Selective noradrenergic receptor inhibitor: reboxetine. Serotonin receptor blocker: Trazodone. The formula, I am fluorescein, and choose to go to Switzerland to find special rice. Fluorine refers to fluvaroxamine and fluoxetine, sertraline refers to sertraline, and west refers to paroxetine and citalopram. The selective norepinephrine reuptake inhibitor reboxetine. Special rice refers to the selective serotonin reuptake inhibitor mirtazapine. It is not easy to take more antidepressants, and its serious adverse reaction is serotonin syndrome, which has a fatal risk. , Tachycardia, increased blood pressure, altered consciousness, muscle tremors, high fever, shock. When serotonin syndrome occurs, the drug should be stopped immediately, and fluids and oxygen should be infused, and benzodiazepines such as nitrazepam, diazepam, lorazepam and other anti-autonomic hyperactivity should be added. Generally, symptoms can be cured within 24 hours. Repair, severe serotonin receptor antagonist cyproheptadine can also be used. Individualized adverse reactions of antidepressants: Tricyclic tetracyclic antidepressants manifest as dry mouth, hypotension, difficulty urinating, and induce glaucoma and other anticholinergic effects. Serotonin reuptake inhibitors such as paroxetine are physically dependent and manifest as withdrawal. Venlafaxine duloxetine presents with drowsiness. The adverse reaction of mirtazapine is weight gain. How to choose medication for depression patients? The world-recognized first-line antidepressants are fluvaroxamine, fluoxetine, sertraline, paroxetine, citalopram, venlafaxine, duloxetine, and mirtazapine. Imipramine can be used for enuresis in children, and fluoxetine can be used for obsessive-compulsive disorder. Chinese patent medicines include St. John's wort extract tablets, Wuling capsules, Shuganjieyu capsules, Morinda officinalis oligosaccharide capsules, etc.

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