Antiparkinsonism And Other Movement Disorders Flashcards
Known as paralysis agitans
Shaking palsy
Resting tremors
Parkinsonism
Positive symptoms of parkinsonism
Tremors
Athetosis
Ballismus
Chorea
Negative symptoms of parkinsonism
Bradykinesia
Akinesia
Loss of postural reflexes
Main pathologic cause of parkinsonism
Dopaminergic nigrostriatal pathway
Replaces dopamine
Levodopa
Peripherally acting decarboxylase inhibitors
Carbidopa
Benzeraside
Dopamine agonist
Ergot derivative
Bromocriptine
Pergolide
Lesuride
Dopamine agonist
Non ergot
Pramipexole
Ropinirole
Rotigotine
Mao-B inhibitors
Selegiline
Rasagiline
COMT inhibitors
Tolcapone
Entacapone
What are the main metabolites of levodopa
HVA
DOPAC
Drug interaction of Levodopa
B6 pyridoxine
MAO A inhibitors
CI of Levodopa
Psychoses Angle closure glaucoma Cardiac dysrhythmia PUD Melanoma
First line for parkinsonism
Dopamine agonist
Dopamine D2 receptor
Bromocriptine
Stimulates D1 and D2 receptor
Pergolide
Potent dopamine agonist
Temporary relief
Apomorphine
Apokyn
What is given before administering apomorphine
Trimethonenzamide
Given to prevent mptp induced parkinsonisn
Rasagline
CI of MAO B inhibitors
Analgesics
Comt that has central and peripheral metabolism
Tolcapone
Antiviral agent used for parkinsonism
Amantadine