25b antimania antianxiety hypnotic muscle relaxants. Flashcards

1
Q

what is the drug fro treament of bipolor disorder?

A

lithium

not bound to plasma

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2
Q

what is teh mech of action for lithium?

A

blocks the conversion of IP2 to IP1

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3
Q

what things effects the level of lithium in the body?

A

the more Na that is excreted the more lithium is in the body.

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4
Q

what is a first line antimania drug that causes sedation?

what does it do in the body?

A

valproic acid (divalproex)

increases GABA and decreases Ca content.

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5
Q

what is a anti mania agent that blocks Na channels?

A

carbamazepine

has some CNs side effects.

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6
Q

what are 2 agonists of the benzodiazapine?

A

diazepam

zolpidem

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7
Q

what is a benzodiazapine antagonist?

A

flumazenil

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8
Q

what does binding to the GABA receptor increase the level of intracellularyl?

A

Cl

increases Cl conductance.

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9
Q

what is a partial agonist for 5-HT1A? that blocks adenylate cyclase and opens K channel.

used for the treatment of anxiety?

A

BUSPIRONE

not a benzo
binds to dopamine channels too.

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10
Q

what do you use for benzodiazapine withdrawls?

A

gradullay lower dose.

use a long acting medication.

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11
Q

what is a benzo that is also used as a muscle relaxer? and for sedation with a long duration.

A

DIAZEPAM

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12
Q

what benzo is used for panic disorder? and is a short duration

A

alprazolam

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13
Q

what 2 benzos are used for sleep

A

lorazepam

flurazepam

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14
Q

what is a non benzo for sleep that still binds to the benzo receptor?
what is an antagonist for it?

A

zolpidem

flumazenil

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15
Q

what is a barbiturate?

A

pentobarbital - for sleep

chloral hydrate -meatabolized to active form.

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16
Q

what is a muscle relaxer that acts on the GABA b receptor?

A

Baclofen

causing hyperpolarizaation and decrease in the release of glutamate.

17
Q

what is a muscle relaxer that is an alpha2 adrenergic agonist

A

tizanidine