☹️depression

Anafranil

Clomipramine

Novartis

Tab 25 mg /

Tab 75 SR …بتنقسم الحبة

TCA

Deprexan

Desipramine

Unipharm

25 mg tablet

TCA

Elatrol

Amitriptyline 25 mg for teva

Elatrolet 10 mg for teva

TCA

Amitryptyline

For abotex

TCA

Gilex

Doxepin ….TCA

For Rekah

10, 25 mg

Note a about TCA

Anticholenergic effect

Can cause arrithmia

Cause sedation

For neuropathic pain …مش اول خيار

For bed wetting >6 years

Migraine إذا الوجع مش معروف سببه

بزيدو الوزن

Sex distinction

Low TI

Citalopram teva

SSRI

Teva tab 20

S.E prolongation QTc

Max dose 20/day with cyp I

Cipramil

Citalopram SSRI

20 mg

Lundbeck

Sitram

Citalopram

20 mg

بيت جالا

Ceroton

Escitalopram

SSRI

القدس

Tab 10, 20 mg

Escitslopram teva

Tab 10 mg

SsRI

Cipralex

Escitalopram SSRI

Tab 10,15,20

Lundback

ESTO مش بالقائمة

Escitalopram

Unipharm

What counselling of flouxetin????

T1/2 of 4-6 days

Tends to be stimulating, may cause insomnia, administer in morning

-prolongation QTc

-inhipitor of CYP

Fluxicare

Fluoxetine SSRI 20 mg

دار الشفا

Prozac

Flutin

Fluoxetine 20 mg for teva

SSRI, in morning bc it’s stimulant

Favoxil

Fluvoxamine SSRI

Only one can use in OCD

شركة perrigo

Seroxat

SSRI

Paxxet

Paroxetin… Unipharm

Paroxetine-teva

Sertralin teva

Sertraline SSRI

Teva

Tab 50,100

Solosert

Lustral

Sertralin HCH,,,,, SSRA

Tab 50,100

فايزر

Seraline

Sertralin

بيرزيت

Serenda

Sertralin

Unipharm

Viepax

Efexor

Venlafaxin

XR 75 &150

فايزر //neopharm!!!!

Symbalta

Wellbutrin

• a weak dopamine and norepinephrine reuptake inhibitor.

• Associated with less sexual dysfunction than SSRIs

• Contraindicated in patients with seizure disorders

• Contraindicated in patients with eating disorde : Anorexia or bulimia

• Adverse effects

– Stimulation, N/V, insomnia, dry mouth

– Bupropion is unique in that it assists in decreasing the craving and attenuating the withdrawal symptoms for nicotine in tobacco users trying to quit smoking

Trazodil

Trazodone for Unipharm company

These drug cause sedation and priapism

Trittico (( new))

Trazodone hydro

S.E .. sedation, priaism

Miro

Mirtazapine

Atypical anti depression, Block presynaptic α2 receptors, does not interfere with sexual functioning

For patients neeed to Sedation, Weight gain effect

Selgin

Selegeline

CTS

MAO I …… • Tyramine food interaction

Last choice for experience strong anxiety

Jumex

Sanofi

Selegeline

Another MAO I

– Phenelzine- sedation

– Tranlcypromine- stimulation, insomniaTherap

Antidepressants during pregnancy

Paroxetine → known teratogenic effect

Antidepressant counseling

fluoxetine should be avoided if your patient is anxious (fluoxetine is the most anxiety provoking SSRI)

 Avoid using citalopram and escitalopram with omeprazol given drug-drug interaction with omeprazole (increases risk for QT prolongation) Change omeprazole

 Avoid SNRIs use in patients with uncontrolled hypertension

 Avoid bupropion in patients with hx of seizures (as lowers seizure threshold)

 Mirtazapine not indicated as first line therapy unless insomnia + anorexia is needed.

venlafaxine preferred if concurrent peripheral neuropathy exist.

CYP 2D6 inhibitors (paroxetine, fluoxetine,sertraline, duloxetine)