analgesics Flashcards

1
Q

examples of analgesic drug categories?

A

opiates, anti-depressants, anti-epileptics and anti-emetics

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2
Q

describe nociceptive/ acute pain?

A

short term, identifiable cause, a warning of present tissue damage/disease which responds well to medication

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3
Q

describe chronic/ neuropathic pain?

A

persistent, constant and intermittent. no longer has benefit to the body, outlived its purpose

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4
Q

describe allodynia?

A

pain from a stimulus that does not normally cause pain

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5
Q

describe parathesis?

A

painful feelings e.g. pins and needles with no apparent stimulus.

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6
Q

where is pain perceived?

A

in the thalamus, and localised in the somatosensory cortex

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7
Q

function of opioid analgesics?

A

modify the transmission of pain signals and the subjective perception of pain

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8
Q

what do antidepressants / antiepileptics treat?

A

treat neuropathic pain that is resistant to opioids

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9
Q

function of local anaesthetic?

A

effective for severe, neuropathic pain - it is also an emergency medicine

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10
Q

where do opioids act?

A

spinal cord and CNS

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11
Q

side effects of opioids?

A

nausea, vomiting, constipation, respiratory depression, drowsiness, hypotension, sedation, dependency

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12
Q

examples of opioids?

A

morphine, diamorphine, methadone, codeine, tramadol and more.

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13
Q

main classes of antidepressant drugs?

A

serotonin and noradrenaline reuptake inhibitors (SNRI), selective serotonin reuptake inhibitors (SSRI)

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14
Q

examples of, and action of SNRI’s?

A

neuropathic pain, e.g. duloxetine, venlafaxine

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15
Q

examples of SSRI’s and actions?

A

not effective as general analgesics. e.g. paroxetine, citalopram

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16
Q

action of antiepileptic agents?

A

inhibit voltage gated Na+ channels and Ca2+ channels ; inhibits action potential firing and prevents impulse transmission.

17
Q

examples of anti-epileptic agents?

A

gabapentin (drug of choice) and carbamazepine

18
Q

action of local anaesthetics?

A

inhibit voltage gated sodium channels or NMDA receptors and prevent nerve-nerve cell communication

19
Q

examples of local anaesthetics?

A

lidocaine, ketamine