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Subjects/Psychiatry/MAO Inhibitors
MAO Inhibitors
medium
brain Psychiatry

A 45-year-old patient is prescribed phenelzine for treatment-resistant depression. Which of the following best describes the mechanism of action of phenelzine?

A. A. Selective and reversible inhibition of MAO-A.
B. B. Selective and irreversible inhibition of MAO-B.
C. C. Non-selective and reversible inhibition of MAO-A and MAO-B.
D. D. Non-selective and irreversible inhibition of MAO-A and MAO-B.

Explanation

Phenelzine is a classic example of an irreversible, non-selective monoamine oxidase inhibitor (MAOI). It inhibits both MAO-A and MAO-B enzymes, leading to increased levels of serotonin, norepinephrine, and dopamine in the synaptic cleft. This broad inhibition contributes to its antidepressant effects but also to its significant side effect profile and drug/food interactions.

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