new_n_lost
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A 34-year-old woman is prescribed an antidepressant, which she has taken for the past 3 months. She is on no other medications and is in generally good health. After attending a party, at which she consumed wine and cheese, she is rushed to the emergency room with tachycardia, headache, and a blood pressure of 200/100.
Which antidepressant is she most likely taking?
A. Amitriptyline
B. Fluoxetine
C. Phenelzine
D. Sertraline
E. Trazodone
Edited by new_n_lost on 07/08/07 - 10:39 PM
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| GOGETA
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MAO inhibitor is phenelzine?
Fluoxetina that is SSRI
Amitriptilin that is a tryciclic
sertraline thats another SSRI or is a MAO inhibitor?
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| SILVER
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C. Phenelzine
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| SILVER
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GOGETA wrote:
MAO inhibitor is phenelzine?
Fluoxetina that is SSRI
Amitriptilin that is a tryciclic
sertraline thats another SSRI or is a MAO inhibitor?
Sertraline is SSRI
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| GOGETA
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I just wen to the internet and check
sertraline is also known as Zolof is a SSRI
LOL I got the correct answer 
phenelzine is a MAO inhibitor thats the correct answer 
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| GOGETA
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thanks silver
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| drhouse
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C
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everybody can do it.... its just matter of time
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| new_n_lost
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"never argue with a fool, they'll bring you down to their level and beat you with experience" FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."
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| new_n_lost
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The correct answer is C.
Wine and cheese (and many other fermented foods) contain tyramine, an indirect sympathomimetic that can trigger excess catecholamine release and lead to a hypertensive crisis when ingested by patients taking MAO inhibitors. The only such drug listed among the answer choices is phenelzine. Other MAO inhibitors with similar effects include tranylcypromine, isocarboxazid, and iproniazid. Whenever this particular drug class is mentioned in a question stem, consider the possibility of interactions with foods or other medications the patient may have taken.
Amitriptyline (choice A) is a tricyclic antidepressant. Tricyclic antidepressant drugs (particularly amitriptyline) are known for their anticholinergic side effects. They also produce postural hypotension (because they block alpha-adrenergic receptors) and are sedative.
Fluoxetine and sertraline (choices B and D) are antidepressants that are selective serotonin reuptake inhibitors (SSRIs). Fluoxetine is also useful in treatment of obsessive-compulsive disorders.
Trazodone (choice E) is an atypical antidepressant with substantial sedative side effects. Its most serious side effect is priapism, a medical emergency.
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"never argue with a fool, they'll bring you down to their level and beat you with experience" FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."
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| Ig F
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c.....phenelzine...which along with cheese and wine(contains tyramine) causes hypertensive crisis...
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