:) Flashcards
Morphine
Mu agonist - inhibits GABA inhibition of descending pathway, blocks ca channels, blocks post synaptic k channels Causes miosis (pinpoint pupils)
Triptan
5-ht 1b and 1d agonist (stop production signal)
Tx: migraines
Methadone
Mu agonist
Oxycodone
Mu agonist
Heroin
Mu agonist, very lipophillic
Naloxone
Mu antagonist
Also naltrexone
Codeine
Partial mu agonist
Buprenorphine
Partial mu agonist
Other opioid receptor antagonists
Celecoxib
Selective cox 2 inhibitor
Cox 1 is normal physiologically
Tubocurarine
Nicotinic antagonist
Procaine
Tetracaine
Cocaine
(Pet co)
Ester type local anesthetics (more rapid metabolism than amide type)
Blocks sodium channels
Lidocaine
Bupivacaine
Ropivacaine
(Bladder)
Amide type local anesthetics
Block sodium channels
Lower pk drugs have more rapid onset because uncharged at physiologic ph
Phenylephrine
Sympathomimetic (alpha 1 agonist)
Used to dialate pupil (myriadsis)
Also reverses ptosis in horners syndrome
Cocaine
Ne and da reuptake inhibitor
Absence of pupillary dilation means horners syndrome
Amphetamine
Reverses axoplamic pump of ne reuptake (spits ne out)
Absence of response to cocaine or amphetamine means postganglionic horners