CNS Drugs Flashcards

1
Q

Acetaminophen (Tylenol)

A

-analgesic
-no anti-inflammatory properties
-safe in all ages
-hepatoxoxicity (liver)

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2
Q

Cyclobenzaprine (Flexeril)

A

-treats muscle spasms
-anticholinergic effects (caution in narrow angle glaucoma)

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3
Q

Tramadol (Ultram)

A

-More potent than acetaminophen but less potent than opiates
-acts on Mu receptors

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4
Q

Opiate Analgesics

A

Demerol and Oxycodone
-Mu, Kappa, and Delta opiate receptor
-Adverse Effects: miosis, papilledema

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5
Q

Sumatriptan (Imitrex)

A

-migraine therapy
-5HT1B and 1D receptor agonist
-NAION, Retinal artery occlusions and vein thromboses

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6
Q

Antipsychotics

A

Phenothiazines: Chloropromazine and thioridazine
-dopamine receptor antagonists
-high dosage=Parkinson-like side effects
-pigment effect: on corneal endothelium, anterior stellate cataract, and hyperpigmentation of RPE
-Oculogyric Crisis

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7
Q

Antiparkinsonian Meds

A

Amantadine and Bromocriptine
-dopamine agonists
-TRAP

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8
Q

ADHD Meds

A

Ritalin and Dexedrine
-increase re uptake of dopamine
-mydriasis and dry eyes
-caution with narrow anterior chamber angles

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9
Q

Donepezil (Aricept)

A

CNS anti cholinesterase inhibitor
-Alzheimers dementia treatment
-lower IOP

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10
Q

SSRIs

A

Prozac and Lexapro
-inhibits serotonin reuptake

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11
Q

SNRIs

A

Effexor and Cymbalta
-inhibit serotonin and norepinephrine reuptake

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12
Q

Wellbutrin

A

NDRI
-depression and smoking cessation

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13
Q

TCAs

A

Elavil and Tofranil
-inhibit serotonin and norepinephrine reuptake
-NOT FOR SUICIDAL PATIENTS

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14
Q

MAOIs

A

Nardil
-inhibits MAO
-glaucoma and nystagmus
-foods with tyramine (wine, cheese, dry meat) contraindicated due to lethal hypertensive crisis

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15
Q

Diazepam

A

opens chloride channels by binding to GABA receptors

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16
Q

Anticonvulsants

A

phenytoin/phenobarbital/topiramate
topiramate: acute secondary angle closure