Anti-Parkinsonism, Psychotics, Depressants Flashcards
[Antiparkinsonism]
Type of dopa precursor that inhibits deopa decarboxylase
Carbidopa
[Antiparkinsonism]
what drug is given to prolong the DOA of Levodopa-Carbidopa
COMT
[Antiparkinsonism]
combination of levodopa ang MAOIs can cause ___ crisis
hypertensive crisis
[Antiparkinsonism]
what is the drug of choice for parkinsons disease
Levodopa-Carbidopa
[Antiparkinsonism]
What drug can result to inhibition of prolactin release?
- Bromocriptine
- Cabergoline
- Pergolide
- Piribedil
[Antiparkinsonism]
can also be used in levodopa intolerance and intermittent claudication
- Bromocriptine
[Antiparkinsonism]
An ergot agonist that can act as D3 agonist and alpha 2 adrenergic antagonis
Bromocriptine
[Antiparkinsonism]
A non-ergot agonist that is used in restless leg syndrome
Pramipexole
[Antiparkinsonism]
drug that has a side effect of compulsive gambling, hypersexuality
Pramipexole (Ropinirole)
[Antiparkinsonism]
partial D3 receptor agonist
antagonist at 5HT3
antagonist alpha adrenergic
Apomorphine
[Antiparkinsonism]
drug used to treat opiate addiction and erectile dysfunction
apomorphine
[Antiparkinsonism]
apomorphine is combined with this drug to prevent severe nausea
Trimethobenzamide
[Antiparkinsonism]
This inhibits COMT in the periphery prolonging L-dopa response
- Entacapone
2. Tolcapone
[Antiparkinsonism]
can also cause orange urine as SE
Entacapone
Tolcapone
[Antiparkinsonism]
Tolcapone is a COMT inhibitor at ___
CNS and periphery
[Antiparkinsonism]
used as adjunct to antisychotics and adjunct treatment for PES caused by antipsychotics
- Benztropine
- Procyclidine
- Trihexyphenidyl
[Antiparkinsonism]
anticholinergics given to patients with parkinsons can lead to exacerbation of
tardive dyskinesia
[Antiparkinsonism]
anticholinergics can also ne given to patients with parkinsons since it improves ___
tremor and rigidity
[Antiparkinsonism]
an anti influenza drug that can be given to patients with parkinson since it potentiates dopaminergic function
amantadine
[Antiparkinsonism]
used once a day as transdermal patch, this dopamine antagonist is used to treat restless leg syndrome
Rotigotine
[Antiparkinsonism]
can cause livedo reticularis
- Amantadine
- Hydroxyurea
- Minocycline
- Gemtacibine
- Quinidine
[Huntington’s Disease]
What are the drugs can you give for huntington’s disease
- Tetrabenzamine
2. Reserpine
What are you dopamine derivatives?
- NE
- Adrenaline
- DOPAC
- HVA
- Methoxytyramine
[Antipsychotics: typical]
can cause corneal and lens deposits
- Chlorpromazine
[Antipsychotics: typical]
Can cause retinal deposits
Fluphenazine
[Antipsychotics: typical]
Only antipsychotic with fata overdose
Fluphenazine
[Antipsychotics: typical]
causes the most EPS
haloperidol
[Antipsychotics: typical]
can cause hyperprolactinemia
- Fluphenazine
2. Chlorpromazine
[Antipsychotics: atypical]
Reduces suicide risk
Clozapine
[Antipsychotics: atypical]
causes agranulocytosis
[Antipsychotics: atypical]
[Antipsychotics: atypical]
can be used in pregnancy,
- Quetiapine
2. Olanzapine
[Antipsychotics: atypical]
increases mortality in elderly with dementia related psychosis
Ziprazidone
[Antipsychotics: atypical]
used for anorexia
Olanzapine
[Antipsychotics: atypical]
the only antipsychotic used for the youth and elderly
Risperidone
[Antipsychotics: atypical]
used to treat intractable hiccups
Risperidone
[Antipsychotics: atypical]
least sedating among all atypicals
aripiprazole
[Antipsychotics: atypical]
used to treat cocaine dependence
aripiprazole
What is the MOA of lithium
decreases cAMP
What disease is contraindicated with intake of lithium
sick sinus syndrome
[Antidepressants]
What is the MOA of your tricyclic antidepressants?
Blocks the NE and 5HT transporters
[Antidepressants: tricyclic antidepressants]
Can be used to treat OCD
Clomipramine
[Antidepressants: tricyclic antidepressants]
What are the signs of overdose
Coma
Convulsions
Cardiotoxicity
[Antidepressants: tricyclic antidepressants]
Imipramine is metabolized to what ____
Despiramine
[Antidepressants: tricyclic antidepressants]
Amitriptyline is metabolized to
Nortryptylin
What is the MOA of SSRI
Inhibit neuronal reuptake of serotonin transporter
[Antidepressants: SSRI]
DOC for OCD
Fluoxetine
[Antidepressants: SSRI]
First line drug for MDD
Escitalopram
Sertaline
[Antidepressants: SSRI]
Can cause QT prolongation
Citalopram
[Antidepressants: SSRI]
What are examples of you SSRIs
- Fluoxetine
- Paroxetine
- Citalopram
- Escitalopram
- Sertraline
- Fluvoxamine
- Vilazodone
[Antidepressants: SNRI]
What is the MOA of your SNRI?
inhibit neuronal reuptake of serotonin and NE by binding to both transporter
[Antidepressants: SNRI]
Can be used to treat DM neuropathy
- Venlafaxine
[Antidepressants: SNRI]
Cite examples of SNRI
- Venlafaxine
- Duloxetine
- Desvenlafaxine
- Milnacipran
[Antidepressants: SNRI]
SE : Hypertension and CNS stimulation
Venlafaxine
[Antidepressants: SNRI]
more selective for NE reuptake
Milnacipram
[Antidepressants: SNRI]
Less affinity for NE transporters
Venlafaxine
[Antidepressants: Tetracyclic]
Lowers seizure threshold
Amoxapine
[Antidepressants: Tetracyclic]
SE: amenorrhea-galactorrhea syndrome
Amoxapine
[Antidepressants: Tetracyclic]
increases amine release from nerve endings by antagonism of presynaptic alpha 2 adrenoceptors
Mirtazapine
[Antidepressants: Tetracyclic]
appetite stimulation
Mirtazapine
[Antidepressants: Tetracyclic]
used to treat alcohol depression
Buproprion
[Antidepressants: Tetracyclic]
used for smoking cessation
Bupropion
[Antidepressants: Serotonin Antagonist]
Cite examples of your serotonin antagonists
- Trazodone
- Nefazodone
- Vortioxetine
[Antidepressants: Serotonin Antagonist]
Used for hypnosis/ sleeping aid
Trazodone
[Antidepressants: Serotonin Antagonist]
blocks 5HT2 receptors
Trazodone
[Antidepressants: Serotonin Antagonist]
blocks SERT
Nefazodone
[Antidepressants: Serotonin Antagonist]
cause priapism
Trazodone
[Antidepressants: MAOI]
Intake with ___ alongside a MAOI can cause hypertensive crisis
Tryramine
[Antidepressants: MAOI]
Serotonin syndrome can be due to a MAO + ____
SSRI
[Antidepressants: MAOI]
MAO-B selective
Selegline
[Antidepressants: MAOI]
non-selective MAO
Tranycyclopramine
[Diagnose]
Fever Acidosis Rhabdomyolysis Trismus Clonus Hypertension
malignant hyperthermia
FART CH
[Diagnose]
Fever Agitation Tremor Clonus Hyperreflexia Diaphoresis
Serotonin Syndrome
FAT CHiLD
[Diagnose]
Fever Encephalopathy Vitals unstable Elevated CPK Rigidity
Neuroleptic Malignant syndrome
FEVER
What are the drugs you can use to treat Neuroleptic Malignant Syndrome
- Dantrolene
- Bromocriptine
- Amantadine
- Diazepam
Drugs that cause Priapism
- Trazodone
- Papaverine
- Sildenafil
- Quetiapine
- Alprostadil
- Warfarin
- Bupoprion
Drugs that cause erectile dysfunction
- SSRI
- Opiates
- Risperidone
- Ethanol
- Estrogen
- Spironolactone
- Propranolol
- Finasteride
- Hydrochlorothiazide