๐—”๐—ฅ๐—ข๐—ก ๐—ฆ๐—ง๐—จ๐——๐—ฌ
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ุจุณู… ุงู„ู„ู‡ ุงู„ุฑุญู…ู† ุงู„ุฑุญูŠู…

ุงู„ู„ู‡ู… ุตู„ ุนู„ู‰ ู…ุญู…ุฏ ูˆุขู„ ู…ุญู…ุฏ

ู…ุญุชูˆู‰ ุงู„ู‚ู†ุงุฉ:
ุดุฑูˆุญุงุช ุตูŠุฏู„ุฉ
ุนุถูˆูŠุฉ ู…ุฑุญู„ุฉ ุซุงู†ูŠุฉ ูƒูˆุฑุณ ุซุงู†ูŠ
ูุงุฑู…ุง ู…ุฑุญู„ุฉ ุซุงู„ุซุฉ ูƒูˆุฑุณ ุซุงู†ูŠ
ูุงุฑู…ุง ู…ุฑุญู„ุฉ ุฑุงุจุนุฉ ูƒูˆุฑุณ ุงูˆู„
ูุงุฑู…ุง ู…ุฑุญู„ุฉ ุฑุงุจุนุฉ ูƒูˆุฑุณ ุซุงู†ูŠ
ุนู„ุงุฌูŠุงุช ู…ุฑุญู„ุฉ ุฎุงู…ุณุฉ

ู„ู„ุชูˆุงุตู„:
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Applied Therapeutic ฤฑฤฑ
โ—โ—‹โ—‹โ—โ—‹โ—‹โ—โ—‹โ—‹โ—
ุจุงู„ุงุนุชู…ุงุฏ ุนู„ู‰ ุงู„ู…ู†ู‡ุฌ ุงู„ู…ูˆุญุฏ ูขู ูขูฆ

1. Adrenal Gland Disorders
โ—PDF โ—Explain

2. Thyroid Gland Disorders
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3. Alzheimer Disease
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4. Anxiety Disorders
โ—PDF โ—Explain

5. Depressive Disorders
โ—PDF โ—Explain

6. Schizophrenia
โ—PDF โ—Explain

7. Insomnia
โ—PDF โ—Explain

8. Contraception
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9. Hormone Replacement Therapy
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10. Menstruation Related Disorders
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11. Cancer Chemotherapy & Treatment
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12. Leukemias
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13. Lymphomas
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14. Breast Cancer
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15. Prostate Cancer
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16. Adverse Effects Of Chemotherapy
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๐“„ผ๐“„น๐“„ผ๐“„น๐“„ผ๐“„น๐“„ผ๐“„น๐“„ผ๐“„น๐“„ผ๐“„น๐“„ผ๐“„น๐“„ผ๐“„น๐“„ผ๐“„น๐“„ผ๐“„น๐“„ผ๐“„น๐“„ผ๐“„น๐“„ผ๐“„น๐“„ผ๐“„น๐“„ผ๐“„น๐“„ผ๐“„น๐“„ผ
ุญู„ูˆู„ ุงุณุฆู„ุฉ ุงู„ุนู„ุงุฌูŠุงุช ู„ู„ุฏูˆุฑ ุงู„ุงูˆู„ 2026

#ุดุฎุงุจูŠุท

Notes:
#adrenal_disorders
#thyroid_disorders
#alzheimer
#MDD
#anxiety
#schizophrenia
#insomnia
#contraception
#HRT
#MRD
#Leukemia
#Lymphoma
#Breast_Cancer
#Prostate_Cancer
#ad_effect_CT

๐—”๐—ฅ๐—ข๐—ก ๐—ฆ๐—ง๐—จ๐——๐—ฌ
โค141๐Ÿ™5๐Ÿ’”4๐Ÿ’ฏ2๐Ÿ˜ญ2
R.K is 48 years old man diagnosed to have major depression on antidepressant.


The physician checks blood pressure for this patient on cach visit.

What do you expect the type of antidepressant used by this patient?

A) SSRI
B) MAO inhibitor
C) TCA
D) SNRI
E) Serotonin and a2-adrenergic antagonists

2025 ุฏูˆุฑ 1
ุฑุญูŠู… ุงุจู† ุญุฌูŠ ูƒุฑูŠู… ุนู†ุฏู‡ ุงูƒุชุฆุงุจ ูˆุงู„ุทุจูŠุจ ู…ู†ุทูŠู‡ ุนู„ุงุฌ
ุจุณ ุดู†ูˆ ูƒู„ู…ุง ูŠุฑุงุฌุน ุงู„ุทุจูŠุจ ุŒุงู„ุทุจูŠุจ ูŠฺ†ูŠูƒ ุถุบุทู‡

ุชุชูˆู‚ุนูˆู† ูŠุง ู…ุฌู…ูˆุนุฉ ู…ู†ุทูŠู‡ุง ุงู„ุทุจูŠุจ ุงู„ู‡ ูˆู„ูŠุด ุฏุงุฆู…ุง ูŠฺ†ูŠูƒ ุงู„ุถุบุทุŸ

#MDD
โค8๐Ÿ™1
A 44-year-old woman has been taking fluoxetine 20mg daily for six weeks for Major Depressive Disorder.

She reports only minimal improvement in her mood and continues to experience significant fatigue and difficulty concentrating, what would be the MOST appropriate next step in her treatment?

A) Changing the dose of fluoxetine.
B) Switch to a different antidepressant, such as venlafaxine XR.
C) Add bupropion SR to her existing fluoxetine regimen.
D) Begin psychotherapy in addition to her medication.
E) All of the above are valid therapeutic options


2025 ุฏูˆุฑ 1

ุณุคุงู„ ู…ู…ุชุงุฒ ูˆุงู„ู„ู‡ ูˆู„ูˆ ุงูƒูˆ ุฎู„ู„ ุจูˆุงุญุฏ ู…ู† ุงู„ุงุฎุชูŠุงุฑุงุช ุจุณ ุนุงุฏูŠ ูŠู…ุดูŠ ุญุงู„

ุญุฌูŠุฉ ุนุฏู‡ุง MDD
ุงู„ุทุจูŠุจ ู…ู†ุทูŠู‡ุง Fluxetine ู…ุฏุฉ 6 ุงุณุงุจูŠุน

ูˆุฑู‡ ู‡ุงู„ูุชุฑุฉ ุงู„ุญุฌูŠุฉ ุชู…ุงู… ุชุญุณู† ู…ุฒุงุฌู‡ุง ุจุณ ุจู‚ุช ุนุฏู‡ุง ุงู„ physical symptom ู…ุณุชู…ุฑุฉ
ูŠุนู†ูŠ ุงุณุชุฌุงุจุชู‡ุง ุฌุฒุฆูŠุฉ

ุดู†ูˆ ุงู„ุญู„ ุงู„ู…ู†ุงุณุจ ุงู„ูŠ ู…ู…ูƒู† ูŠุณูˆูŠู‡ ุงู„ุฏูƒุชูˆุฑ

#MDD
โค6
Which of the following is a dose-related adverse effect of venlafaxine?
A) Hypotension
B) Decreased diastolic blood pressure
(C) Increased diastolic blood pressure
D) Hypoglycemia
E) Weight loss

2025 ุฏูˆุฑ 1
#MDD
โค5
A Young man was diagnosed with depression.

What is the major and specific problem that can occur in the first days of starting treatment with antidepressants in young adults?

A) Withdrawal symptoms
B) Delayed response
C) Increase suicide thinking
D) Increase risk of drug side effect
E) Higher risk of drug-drug interaction

ู…ุดูƒู„ุฉ ุฎุงุต ุจู‡ุฐู‡ ุงู„ุนู„ุงุฌุงุช

2025 ุฏูˆุฑ 1
#MDD
โค5
A 30-year-old pregnant woman with a history of depression has been advised by her doctor to continue her antidepressant treatment throughout her pregnancy.

What is a major risk associated with the use of SSRIs during pregnancy?

A) High birth weight
B) Down syndrome
C) Diabetes insipidus
D) Respiratory distress
E) Congestive heart disease

2025 ุฏูˆุฑ 1

ุงู…ุฑุฃุฉ ุญุงู…ู„ ุชุนุงู†ูŠ ู…ู† ุงู„ MDD
ุงู„ุทุจูŠุจ ู†ุตุญู‡ุง ุงู†ู‡ ุชูƒู…ู„ ุนู„ู‰ ุนู„ุงุฌู‡ุง ุงู„ูŠ ู‡ูˆ SSRI

ุจุณ ู‡ุฐุง ุดุงููˆุง ุงู†ู‡ ู…ู…ูƒู† ูŠุณุจุจ ุจุนุถ ุงู„ู…ุดุงูƒู„ุŒ ู…ุซู„ ุดู†ูˆุŸ

#MDD
โค6
Which of the following adverse effect that may occurs with the use of trazodone?

A) Hypertension
B) Priapism
C) Seizures
D) Hepatotoxicity
E) Weight loss

ู…ู…ูŠุฒ ู…ุน ู‡ุฐุง ุงู„ุฏูˆุงุก
2025 ุฏูˆุฑ 1
#MDD
โค7
Ahmedโ€š 19 years old with 110 kg weight patient and had heart disease for 16 years.

He is suffering from mood depression with less energyโ€š guilt and increased blood pressure for more than 2 weeks.
Physician advised to give him

a. fluoxetine
b. amitriptyline
c. desipramine
d. venlafaxine
e. mirtazapine

2024 ุฏูˆุฑ 2

ุงุญู…ุฏ ูŠุนุงู†ูŠ ู…ู† ู…ุฑุถ ุงู„ุงูƒุชุฆุงุจ
ูกูฆ ุณู†ุฉ ูŠุนุงู†ูŠ ู…ู† ู…ุฑุถ ุจุงู„ู‚ู„ุจ
ุณู…ูŠู† 110 ูƒูŠู„ูˆ
ูˆุงุฎุฑ ุงุณุจูˆุนูŠู† ุถุบุทู‡ ุตุงุนุฏ


ุงู„ุฏูˆุงุก ุงู„ู…ู†ุงุณุจ ู…ู†ูˆ ู„ุนู„ุงุฌ ุงู„ุงูƒุชุฆุงุจุŸ

B and C
ู…ู…ู†ูˆุนุฉ ู„ู…ุฑุถู‰ ุงู„ู‚ู„ุจ ูˆุฐูƒุฑุช ุจุงู„ู…ุญุงุถุฑุฉ ุงู†ู‡ ุฏุงุฆู…ุง ูŠุญุชุงุฌ ู†ุณูˆูŠ ECG ู‚ุจู„ ูˆุจุนุฏ ุงุณุชุฎุฏุงู… ุงุฏูˆูŠุฉ ุงู„ TCA ููƒูŠู ุงุณุชุฎุฏู…ู‡ ู„ุงุญู…ุฏ ูˆู‡ูˆ ุงุตู„ุง ุนู†ุฏู‡ ู…ุดูƒู„ุฉ ุจุงู„ู‚ู„ุจ

D
ู‡ู… ู…ุง ุงูƒุฏุฑ ู„ุงู† ูŠุฑูุน ุงู„ุถุบุท ูˆู‡ูˆ ุงุฎุฑ ุงุณุจูˆุนูŠู† ุถุบุทู‡ ุตุงุนุฏ ูู…ุง ุงุณุชุฎุฏู…ู‡

E
ุงู„ูˆู„ุฏ ุณู…ูŠู† ูˆุฒู†ู‡ 110 ูƒูŠู„ูˆ
ุงู†ุทูŠู‡ ุนู„ุงุฌ ูŠูุชุญ ุงู„ุดู‡ูŠุฉ ูˆูŠุฑูุน ุงู„ูˆุฒู†ุŒ ู‡ู… ู„ุง

ุงู„ุณุคุงู„ ุณู‡ู„ ุจุณ ุงุณุชุบู„ูŠุชู‡ ุญุชู‰ ุงุฐูƒุฑูƒู… ุจ ุงู‡ู… ู…ู„ุงุญุธุงุช ู‡ุงูŠ ุงู„ุงุฏูˆูŠุฉ

#MDD
โค12
Samarโ€š a 18 y o student that failed to enter bachelor exam and underwent bad mood
with severe depression for several months.

Physician prescribed her paroxetine but there is
no actual improvement.

As a pharmacistโ€š what will you advise physician to prescribe for Samar.

a- imipramine
b- desipramine
c- bupropion
d- escitalopram
e- buspiron

2024 ุฏูˆุฑ 2
ุงู…ุง ุจุงู„ู†ุณุจุฉ ู„ุณู…ุฑ ู…ุง ุฌุงูˆุจุช ุจ ุงู…ุชุญุงู† ุงู„ุจูƒู„ูˆุฑูŠุง ูˆุตุงุฑ ุนุฏู‡ุง ุงูƒุชุฆุงุจ

ุงู„ุทุจูŠุจ ุนุงุดุช ุงูŠุฏู‡ ุตุฑู ุงู„ู‡ุง ุงู„ุฎุท ุงู„ุนู„ุงุฌูŠ ุงู„ุงูˆู„ ู…ู† ุงุฏูˆูŠุฉ ุงู„ SSRI ุงู„ูŠ ู‡ูˆ paroxetine

ุจุณ ู…ุง ุดุงู ุงูƒูˆ ุงุณุชุฌุงุจุฉ!

ูŠุฌูŠ ุฏูˆุฑู†ุง ุงู„ุตูŠุงุฏู„ุฉ
ุดู†ูˆ ู†ู†ุตุญ ุงู„ุทุจูŠุจ ูŠุบูŠุฑ ุงู„ู…ุฌู…ูˆุนุฉ ู„ูˆ ุนุงุฏูŠ ุงุฐุง ู…ุง ุตุงุฑุช ุงุณุชุฌุงุจุฉ ู„ู‡ุฐุง ุงู„ุฏูˆุงุก ูŠู†ุทูŠ ู…ู† ู†ูุณ ุงู„ุนุงุฆู„ุฉ ุฏูˆุงุก ุซุงู†ูŠุŸ

ูˆู‡ู…ูŠู†ู‡ ู…ุนู„ูˆู…ุฉ ุงู†ู‡ fluxetine ูˆุงู„ escitalopram ู…ู†ุงุณุจ ู„ู‡ูŠุฌ ุงุนู…ุงุฑ ุงูƒุซุฑ ู…ู† ุจู‚ูŠุฉ ุงู„ุนู„ุงุฌุงุช

#MDD
โค7
๐—”๐—ฅ๐—ข๐—ก ๐—ฆ๐—ง๐—จ๐——๐—ฌ
Depressive Disorders.pdf
Levomilnacipran is a single isomer, extended-release form of milnacipran (FDA approved to treat
fibromyalgia).

ุงู„ milnacipran ูŠุณุชุฎุฏู… ู„ู„ fibromyalgia

ูˆุงู†ุง ุงุฑุงุฌุน ุงู„ููŠุฏูŠูˆ
ุฐูƒุฑุช ุงู„ู„ูŠููˆ ุŒ ุจุณ ู‡ูˆ milnacipran
ุฎุงู ูŠุฌูŠ ุจุงู„ุงุฎุชูŠุงุฑุงุช ุชุฎุชุงุฑูˆู† ุงู„ milnacipran

ุงู…ุง ุงู„ู„ูŠููˆ ูŠุณุชุฎุฏู… ู„ุนู„ุงุฌ ุงู„ู€ MDD


ุงู…ุง ุงุฐุง ุงุฌู‡ ุณุคุงู„ ูŠุฎุต fibromyalgia ูˆู…ูˆุฌูˆุฏ ุงู„ู„ูŠููˆ
ู ุงุฎุชุงุฑูˆ ุจุดุฑุท ุนุฏู… ูˆุฌูˆุฏ ุงู„ milnacipran

#MDD
โค32