analgesics 3 Flashcards
1
Q
indications of anti epileptics for analgesia
A
lancinating: stabbing episodic shooting knife like TRIGEMINAL neuralgia pain around the face migrain prof diabetic NP postherapeutic
2
Q
migraine prophylaxes
A
carbamezapine and valproic acid
3
Q
what are the newer drugs
A
pregaballine and gapapentine.. less SE
4
Q
serious SE of old anti epi
A
rash
hematological parameters
liver dysfunction
hypersesitivity
5
Q
antidepressants as analgesics
A
facilitating the descending pathway chronic pain dysesthesia: BURNING pain max effect need higher doses becareful w/ cardio D, HoTN, prolonged QT give nortry for elderly in the morning
6
Q
why antidepressants causes hypotention (from net)
A
by a failure of reflex peripheral vasoconstriction
by blocking cardiovascular reflexes
7
Q
amitryptaline as analgesic
A
given at bedtime
strong sedative
anticholinergic SE
8
Q
doluxatine
A
SNRi
fibromylgia and diabetic NP
less SE that TCA
9
Q
nortryptaline
A
choice for elderly .. if no cardio D c/i
in the morning (insomia)
