Chapter 17: Analgesics Flashcards

1
Q

Morphine

A

Natural or semisynthetic agonists of the μ-opioid receptor that result in inhibition of neurotransmission

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2
Q

Codeine

A

Natural or semisynthetic agonists of the μ-opioid receptor that result in inhibition of neurotransmission

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3
Q

Oxycodone

A

Natural or semisynthetic agonists of the μ-opioid receptor that result in inhibition of neurotransmission

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4
Q

Hydrocodone

A

Natural or semisynthetic agonists of the μ-opioid receptor that result in inhibition of neurotransmission

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5
Q

Tramadol

A

Natural or semisynthetic agonists of the μ-opioid receptor that result in inhibition of neurotransmission

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6
Q

Methadone

A

Synthetic agonists of the μ-opioid receptor that result in inhibition of neurotransmission

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7
Q

Fentanyl

A

Synthetic agonists of the μ-opioid receptor that result in inhibition of neurotransmission

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8
Q

Alfentanil

A

Synthetic agonists of the μ-opioid receptor that result in inhibition of neurotransmission

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9
Q

Sufentanil

A

Synthetic agonists of the μ-opioid receptor that result in inhibition of neurotransmission

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10
Q

Ramifentanil

A

Synthetic agonists of the μ-opioid receptor that result in inhibition of neurotransmission

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11
Q

Meperidine

A

Synthetic agonists of the μ-opioid receptor that result in inhibition of neurotransmission

midriasis - pupils big and wide

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12
Q

Levorphanol

A

Synthetic agonists of the μ-opioid receptor that result in inhibition of neurotransmission

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13
Q

Propoxyphene

A

Synthetic agonists of the μ-opioid receptor that result in inhibition of neurotransmission

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14
Q

Butorphanol

A

Partial μ-receptor agonist

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15
Q

Buprenorphine

A

Partial μ-receptor agonist

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16
Q

Nalbuphine

A

κ-agonist with partial μ-antagonist activity

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17
Q

Naloxone

A

Antagonists of μ-opioid receptor, thereby blocking endogenous or exogenous opioid effects

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18
Q

Naltrexone

A

Antagonists of μ-opioid receptor, thereby blocking endogenous or exogenous opioid effects

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19
Q

Alvimopan

A

Antagonists of μ-opioid receptor, thereby blocking endogenous or exogenous opioid effects

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20
Q

Methylnaltrexone

A

Antagonists of μ-opioid receptor, thereby blocking endogenous or exogenous opioid effects

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21
Q

Acetaminophen

A

NSAID - Affect prostaglandin synthetic pathway

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22
Q

Aspirin

A

NSAID - Affect prostaglandin synthetic pathway

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23
Q

Naproxen

A

NSAID - Affect prostaglandin synthetic pathway

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24
Q

Ibuprofen

A

NSAID - Affect prostaglandin synthetic pathway

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25
Q

Indomethacin

A

NSAID - Affect prostaglandin synthetic pathway

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26
Q

Diclofenac

A

NSAID - Affect prostaglandin synthetic pathway

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27
Q

Piroxicam

A

NSAID - Affect prostaglandin synthetic pathway

28
Q

Celecoxib

A

NSAID - Affect prostaglandin synthetic pathway

29
Q

Diclofenac

A

NSAID - Affect prostaglandin synthetic pathway

30
Q

Keterolac

A

NSAID - Affect prostaglandin synthetic pathway

31
Q

Amitirptyline

A

Tricyclic Antodepressant - Promote serotonergic and nonadrenergic neurotransmission by inhibiting neurotransmitter reuptake

32
Q

Nortriptyline

A

Tricyclic Antodepressant - Promote serotonergic and nonadrenergic neurotransmission by inhibiting neurotransmitter reuptake

33
Q

Imipramine

A

Tricyclic Antodepressant - Promote serotonergic and nonadrenergic neurotransmission by inhibiting neurotransmitter reuptake

34
Q

Desipramine

A

Tricyclic Antodepressant - Promote serotonergic and nonadrenergic neurotransmission by inhibiting neurotransmitter reuptake

35
Q

Duloxetine

A

Tricyclic Antodepressant - Promote serotonergic and nonadrenergic neurotransmission by inhibiting neurotransmitter reuptake

36
Q

Venlafaxine

A

Tricyclic Antodepressant - Promote serotonergic and nonadrenergic neurotransmission by inhibiting neurotransmitter reuptake

37
Q

Carbamazepine

A

Antiepileptic Drug or Antiarrythmic - Inhibit action potantial initiation or conduction

38
Q

Oxcarbazepine

A

Antiepileptic Drug or Antiarrythmic - Inhibit action potantial initiation or conduction

39
Q

Gabapentin

A

Antiepileptic Drug or Antiarrythmic - Inhibit action potantial initiation or conduction

40
Q

Pregabalin

A

Antiepileptic Drug or Antiarrythmic - Inhibit action potantial initiation or conduction

41
Q

Lamotrigine

A

Antiepileptic Drug or Antiarrythmic - Inhibit action potantial initiation or conduction

42
Q

Mexiletine

A

Antiepileptic Drug or Antiarrythmic - Inhibit action potantial initiation or conduction

43
Q

Ketamine

A

Blocks NMDA receptor-dependent postsynaptic depolariztion

44
Q

Dextromethorphan

A

Blocks NMDA receptor-dependent postsynaptic depolariztion

45
Q

Sumatriptan

A

5-HT10 Seretonin Receptor Agonist - Induce cerebrovascular vasoconstriction, reduce nociceptive transmission

46
Q

Rizatriptan

A

5-HT10 Seretonin Receptor Agonist - Induce cerebrovascular vasoconstriction, reduce nociceptive transmission

47
Q

Naratriptan

A

5-HT10 Seretonin Receptor Agonist - Induce cerebrovascular vasoconstriction, reduce nociceptive transmission

48
Q

Zolmitriptan

A

5-HT10 Seretonin Receptor Agonist - Induce cerebrovascular vasoconstriction, reduce nociceptive transmission

49
Q

Almotriptan

A

5-HT10 Seretonin Receptor Agonist - Induce cerebrovascular vasoconstriction, reduce nociceptive transmission

50
Q

Eletriptan

A

5-HT10 Seretonin Receptor Agonist - Induce cerebrovascular vasoconstriction, reduce nociceptive transmission

51
Q

Which drugs prevent morphine induced constipation, but have no effect on morphine analgesia?

A

Alvimopan and Methylnaltrexone

52
Q

Which drugs do you have to avoid if there is use of a MOAI, in order to avoid seretonin syndrome?

A

Dextromethorphan and Meperidine

53
Q

Which drugs active metabolite, M6G, is excreted in the kidney?

A

Morphine

54
Q

Which of these drugs is the most potent: Fentanyl, Alfentanil, Sufentanil?

A

Sufentanil

55
Q

Which of these drugs is the least potent: Fentanyl, Alfentanil, Sufentanil?

A

Alfentanil

56
Q

Due to its long duration of action, which drug is used to achieve long lasting pain relief in cancer patients?

A

Methadone

57
Q

Which opioid causes mydriasis rather than miosis?

A

Meperidine

58
Q

Which pain control drug may precipitate withdrawl in patients who have received opioids chronically?

A

Nalbuphine

59
Q

Which u-opioid receptor agonist has minimal abuse potential?

A

Tramadol

60
Q

Which drug has an unusually rapid metabolism and elimination rate?

A

Ramifentanil

61
Q

Which drug cannot be given via an epidural or intrathecally, because the glycine in the formulation may cause neurotoxicity?

A

Ramifentanil

62
Q

Which drugs produce morphine-like analgesia with milder euphoric effects?

A

Butorphanol and Buprenorphine

63
Q

Which drug’s usage is limited due to it’s psychomimetic effects?

A

Ketamine

64
Q

Which drug is used for anesthesia, that has minimal risk of respiratory depression?

A

Ketamine

65
Q

Which drug is used to treat neuropathic pain as well as the cough?

A

Dextromethorphan

66
Q

Which drug can be used to treat opioid and alcohol addiction?

A

Naltrexone

67
Q

Which drug can only be used to treat acute oipoid toxicity?

A

Naloxone