Pretend you are a teacher preparing a quiz for the text I will provide. 
            Each quiz question should follow the format below. 
            Ensure that you carefully recheck the questions and answers for accuracy. 
            The output should be a ready-to-use list of dictionaries for the Python eval function:

            [

                    "question": "WRITE THE QUESTION HERE",
                    "options": ["A) OPTION_1", "B) OPTION_2", "C) OPTION_3", "D) OPTION_4"],
                    "answer": INDEX_OF_CORRECT_ANSWER_IN_OPTIONS_LIST,
                    "explanation": "EXPLAIN WHY THE ANSWER IS CORRECT"

            ]

            Text:
            ore, boosting the mood. That also is the main reason why these types 
of medications are called dual re-uptake inhibitors. 
The most common SNRIs drugs are: 
• Desvenlafaxine (Pristiq) 
• Duloxetine (Cymbalta( 
• Milnacipran (Ixel) 
• Venlafaxine (Effexor) 
 
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Indication: 
▪ Major Depressive Disorder.   
▪ Anxiety.  
▪ Diabetic peripheral neuropathic pain and chronic musculoskeletal pain 
▪ Treatment of fibromyalgia.  
▪ Panic disorder.  
▪ Social phobia 
Contraindication: 
▪ 
Pre –existing hypertension.  
▪ 
Patients with chronic alcohol abuse and liver disease.  
▪ 
Hepatic failure.  
▪ 
Coronary artery disease.  
▪ 
Obesity.  
▪ 
Patients with major eating disorders such as anorexia nervosa or bulimia.  
UN controlled narrow angle glaucoma. 
Side effects of SNRIs: 
▪ 
Nausea, Dry Mouth, Constipation 
▪ 
Dizziness, Insomnia (numbness), Sleepiness 
▪ 
Increased Blood Pressure, Excessive Sweating 
▪ 
Tremor, Headache, Agitation 
▪ 
Muscle Weakness 
                               3-Tricyclic antidepressants 
Tricyclic antidepressants are the second oldest class of antidepressant drugs. 
Tricyclic block the reuptake of certain neurotransmitters such as norepinephrine 
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(noradrenaline) and serotonin. They are used less commonly now due to the development 
of more selective and safer drugs. 
Mechanism of action of tricyclic antidepressants: 
TCAs work by preventing this reabsorption of noradrenaline and serotonin back into the 
nerve cells. This prolongs the mood-lightening effect of any released noradrenaline and 
serotonin and in this way helps to relieve depression. Additionally, they block muscarinic M 
histamine H1 and alpha-adrenergic receptor. 
N.B. Clients must take therapeutic doses of TCAs for 10 to 14 days or longer before these 
agents start to work. The full effects many take from 4 to 8 weeks to be seen. 
The most common drugs of (TCAs): 
Generic name 
Trade name 
Amitriptyline 
Elavil 
Amoxapine 
Asendin 
Clomipramine 
Anafranil 
Desipramine 
Norpramin 
Doxepin 
Adapin, Sinequan 
Imipramine 
Tofranil 
Nortriptyline 
Pamelor, Aventyl 
Indication: 
1. Bipolar disorder, dysthymia. 
2. Major depressive disorders. 
3. Anxiety disorders associated with depression 
4. Obsessive-compulsive disorders associated with depression. 
5. Schizo-affective disorders. 
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6. Eating disorders. 
7. Attention deficit hyperactivity disorders. 
Caution should be used, especially in elderly persons; in who slow drug metabolism 
may be a problem. Trimipramine (Surmontil) is a good choice for the elderly because 
of its low side effects profile and it rapid affects no promoting sleep.  
Contraindications: 
1. Myocardial infarction. 
2. Glaucoma. 
3. Seizures. 
4. Pregnant women. 
Common side effects: 
1. The chemical structure of the TCAs is similar to that of the antipsychotic 
medication. Therefore, the anticholinergic actions are similar (e.g., dry 
mouth, blurred vision, tachycardia, constipation, urinary retention, and 
esophageal reflux 
2. Uri

            Quiz: