CNS 1: PD and MS Flashcards
6 major neurotransmitters in CNS
glutamate, norepinephrine, serotonin, acetylcholine, dopamine, GABA
Acetylcholine function and clinical relevance
-triggers mus contraction and stimulates the excretion of certain hormones
-Alzheimer’s
Dopamine function and clinical relevance
-involved with movement and posture
-PD and dopamine overactivity causes psychosis (Schizophrenia)
GABA function and clinical relevance
-inhibitory NT; contributes to motor control and vision; regulates anxiety
-treats epilepsy and Huntington’s disease
Glutamate function and clinical relevance
-excitatory NT
-associated w/ AD
Norepinephrine function and clinical relevance
-attentiveness, emotions, sleeping, learning; sympathetic actions
-mania and depression
Serotonin function and clinical relevance
-regulates body temp, sleep, mood, appetite, and pain
-imbalance = depression, suicide, impulsive behavior, aggressiveness
Primary pathological mechanisms and NT associated with PD
loss of nigrostriatal dopamine
loss of dopaminergic neurons presence of Lewy bodies in substantia nigra, reduces activation of motor cortex
Clinical symps of PD
TRAP
SOAP
-sleep disturbances, other misc symps (nausea, fatigue, speech, pain, dysesthesias, vision, seborrhea), autonomic symps, psychological symps
MAD
-motor fluctuations, akathisia, dyskinesia
5 generic names for PD drugs
-dopamine agonists
-dopamine precursor and related agents
-monoamine oxidase (MAO) inhibitors
-catechol-o-methyl-transferase (COMT) inhibitors
-amantadine
5 specific drugs for PD
levodopa, carbidopa, ropinirole, tolcapone, selegiline
Levodopa MOA
dopamine precursor
Levodopa SE
GI upset, arrhythmias, dyskinesias
Carbidopa MOA
Dopa decarboxylase (DDC) inhibitor
Carbidopa SE
GI upset, arrhythmias, dyskinesias