Autacoids - Serotonin Flashcards

1
Q

To check for 5-HT levels in the body, check for which metabolite?

A

5-hydroxyindoleacetic acid (primary urinary metabolite of serotonin)

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2
Q

5-HT2C agonist can be used for (hypertension/depression/chemotherapy) _______.

A

hypertension

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3
Q

(Lorcaserin/Dexfenfluramine/Both) ___ are 5-HT2C agonists which can be used for obesity as appetite suppressants.

A

Both

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4
Q

Triptans is a 5-HT(1D/1B/both) ___ agonist which can activate receptors on presynaptic trigeminal nerve endings, inhibiting release of vasodilating peptides and suppressing excessive firings of these nerve endings. This can prevent migraine attacks.

A

Both

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5
Q

5-HT1D/1B agonist (Sumatriptan) is contraindicated for patients at risk for (patients undergoing cardiac surgery/coronary artery disease/both) ____.

A

CAD

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6
Q

5-HT2C agonist (Lorcaserin) activates receptors in the CNS to reduce (migraine/appetite) __.

A

Appetite

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7
Q

Tegaserod is a 5-HT4 partial agonist w/c acts on the colon for chronic constipation but is now not used because of ______ toxicity.

A

Cardiovascular

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8
Q

SSRI is used for what?

A

depression, inhibits serotonin reuptake

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9
Q

Fibanserin is an ____ agonist and ____ antagonist used for hypoactive sexual disorder in women. This lowers serotonin in the brain and increases noerpinerphrine and dopamine NTs.

A

5-HT1A, 5-HT2A

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10
Q

Which serotonin agonists (drugs) have a shorter duration of effect for treating headache?

A

almotriptan, sumatriptan, rizatriptan, and zolmitriptan

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11
Q

Serotonin syndrome is due to an excess of 5-HT____.

A

5-HT2A

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12
Q

Serotonin sydrome happens when MAO inhibitors are given with sertonin agonists (antidepressant corticosteroids). (T/F)

A

TRUE

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13
Q

What is the first line therapy for serotonin syndrome?

A

Benzodiazepines (sedation)

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14
Q

Which agonists produce altered sensations, dizzines, muscle weakness, & neck pain?

A

Serotonin

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15
Q

Ketanserin, phenoxybenzamine, and cyproheptadine are ______ blockers.

A

5-HT2

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16
Q

Ondansetron, granisetron, dolasetron, and alosetron are ____ blockers.

A

5-HT3

17
Q

Ketanserin is used for _____.

A

hypertension

18
Q

Which 5-HT2 blockers may help in treatment of carcinoid tumor (which secretes excess serotonin)?

A

Ketanserin, phenoxybenzamine, cyproheptadine

19
Q

5-HT2 blockers produce diarrhea, bronchoconstriction and flushing (T/F).

A

TRUE

20
Q

Which drug is useful for control of vomiting associated with cancer chemotherapy?

A

Ondansetron

21
Q

What are side effects of Ketanserin?

A

Tachycardia, drowsiness

22
Q

Side effects of ondansetron, granisetron, and dolasetron

A

Diarrhea, headache

23
Q

Dolasetron side effects on ECG; should not be used in patients w/ heart disease

A

QRS, QTc prolongation

24
Q

Alosetron side effects.

A

Constipation, fatal bowel complications

25
Q

What can act as an agonist, partial agonist, and antagonist at alpha
adrenoceptors and serotonin receptors

A

Ergot alkaloids