SYMPATHOMIMETIC
S
USE
Improvement within 1 week and are
indicated in closely monitored situations
CHOICE OF DRUG
Based on
History of good response to the agent
Adverse effect of the drug
SSRI
Preferred as the 1st line drugs
SSRI
Fluoxetine Sertraline
1st clinically may cause:
available SSRI Transient
less likely to produce stomach pain
sedation Loose stools
may cause: Paroxetine
transient agitation May cause sedation
insomnia Fluvoxamine
Anorexia
May cause
transient nausea
ALTERNATIVE TX
TCA alternative if patient complains of
adverse effects
MAOIs less frequently chosen because it
may cause hypotensive crisis when
patient ingest food high in TYRAMINE
content
ADVERSE REACTIONS
based on the lethality
TCA and teracyclines are the
most lethal
SSRIs and MAOIs are safer but can be
lethal when taken in overdose in
combination with alcohol and drugs
Cardiac safety
TCA least safe
SSRI less hypotension