BS Stim abuse Flashcards

1. List the prototype methylxanthines, describe their mechanism of action and pharmacological effects, and list their major side effects. 2. List the prototype psychomotor stimulants, cocaine, and nicotine, describe their mechanism of action and pharmacological effects, and list their major side effects. 3. Describe the pattern and nature of abuse observed with psychomotor stimulants, cocaine and nicotine, the degree of tolerance and dependence, and the treatment of the abuse. 4. Describe the

1
Q

meds for ADHD

A

methylphenidate, dextroamphetamine, mixed amphetamine salts

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2
Q

t 1/2 of cocaine

A

60-90 minutes

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3
Q

most intense/addictive route of amphetamine admin

A

IV

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4
Q

sx of acute amphetaminbe withdrawal

A

depression, feeling let down

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5
Q

MOA of cocaine

A

blocks catchecolamine reuptake

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6
Q

amphetamine MOA

A

taken up by pre-synaptic nerve endings and exchanged for catchecolamine NTs. Catchecolamine NTs released into synaptic cleft

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7
Q

medical uses for amphetamines

A

narcolepsy, ADHD,

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8
Q

drug of choice for blacks

A

Cocaine

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9
Q

drug of choice for whites

A

amphetamines

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10
Q

effects of very high doses of stimulants

A

suspicoisness, repetitive stereotyped behaviors, bruxism, sterotypy

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11
Q

treatment for stimulant OD

A

ABC, control the temp, dantroline, control seziures with diazepam

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12
Q

med for stim OD HBP

A

phentolamine

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13
Q

meds for stim OD agitation

A

diazepam, lorazepam

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14
Q

meds for stim OD psychosis

A

atypical antipsycotics (haldol)

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15
Q

sx of stimulant WD

A

sleepy, depressed, hungry, low concentration, craving

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16
Q

lenght of time of stim WD

A

sx lower over 3-4 days, can last over 2 months

17
Q

treatment for stimulant induced psychosis

A

stop the stimulant

18
Q

med to avoid in stimulant psychosis

A

benzo (disinhibition)

19
Q

meds to try in stimulant WD

A

TCAs, dopamine agonists, disulfram, anticonvulsants,