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Pharmacology C.N.S 628532d9

Tricyclic antidepressants

A
increase the antihypertensive effect of guanethidine
B
have anticonvulsant activity
C
should not be used in patients with glaucoma
D
may increase oral absorption of levodopa
High-Yield Explanation
In addition to blocking reuptake of NE and 5HT, pharmacodynamic actions of the tricyclic antidepressants include block of peripheral adrenergic and muscarinic receptors--the former resulting in postural hypotension and the latter, via mydriasis, exacerbating glaucoma. TCAs block the uptake of guanethidine into sympathetic nerve endings, decreasing its antihypertensive effects, and they may cause arrhythmias in overdose. They have no effect on the absorption of levodopa.

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