Maryville Exam 3 2024
Psychopharmacology
Sertraline (Zoloft)
Major Side Effects - ANS -insomnia, somnolence, HA, dry mouth, sex
dysfunction, nausea & diarrhea
Fluoxetine (Prozac)
Major Side Effect - ANS -Activating (UPPER); AGITATION, INSOMNIA,
nausea, vomiting, sex dysfunction, GI, serotonin syndrome
Paraoxetine (Paxil)
,Major Side Effects - ANS -Anticholinergic (can't see, can't sleep, can't
shit, can't spit), CYP2D6 inhibitor, increases TCA, phenothiazines,
Type 1C antiarrhythmics, weight gain, GI, sex dysfunction, insomnia,
serotonin syndrome
Lithium
Major Side Effects - ANS -increased thirst & urination, impaired
concentration/memory, fatigue, tremor, weight gain.
Toxicity: cramps, v/d, kidney dysfunction, coarse tremor,
confusion, irritability. Severe toxicity: seizures, coma, death.
Fluvoxamine (Luvox)
,Major Side Effects - ANS -nausea, vomiting, weight gain, sex
dysfunction; BIG BBW for SI on this drug
Major side effects for sertraline, fluoxetine, paroxetine, and
fluvoxamine (generals for all)
•Most side effects are immediate and go away with time - ANS -
sexual dysfunction (dose dependent- men: delayed ejaculation, ED;
men and women: decreased sexual desire, anorgasmia)
GI: decreased appetite, nausea, diarrhea, constipation, dry mouth
Mostly CNS: insomnia, sedation, agitation, tremors, headache,
dizziness
, Autonomic: sweating
Bruising and rare bleeding
Rare hyponatremia (mostly in elderly)
Rare hypotension
SIADH
Weight gain