CNS Stimulants Flashcards

1
Q

chemical convulsant list

A

strychnine, picrotoxin, pentyl-enetetrazol

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2
Q

mechanism of action of strychnine, picrotoxin, and pentylenetetrazol

A

strychnine: blocks glycine receptors (ligand gated Cl- channels)

picro and pentyl: non-competitive inhiitionof Cl- channels of GABAa recpetors

both do DISinhibition

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3
Q

the methylxanthines

A

caffeine, theophylline, theobromine (all plant products)

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4
Q

dose-dependent CNS effects of methylxanthines

A

nervous mood, possible convulsions

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5
Q

cognitive effects of methylxanthines

A

increased capacity for intellectual effort and decreased reaction time

decreased fine motor coordination, timing skills

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6
Q

respiratory effects of methylxanthines

A

increase sensitivity of medullary centers to CO2

increased ventilation due to chemoreceptors providing increased stimulatory inputs

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7
Q

effects on heart of methylxanthines

A

slight decrease in HR

large doses elicit tachycardia, increased CO

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8
Q

effect of methylxanthines on vasculature

A

dilates peripheral vasculature, increased blood flow to skeletal muscle; constricts cerebral vasculature

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9
Q

mechanism of action of methylxanthines

A

antagonism of adenosine receptors

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10
Q

what increases half life of methylxanthine?

what decreases the half life?

A

hepatic disease, pregnant women, women on the pill

smoking, combo with phenytoin or barbituates

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11
Q

non-nicotine drug for tobacco dependence

A

buproprion

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12
Q

partial agonist at nicotinic receptor, useful for smoking cessation

A

varenicline (Chantix)

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13
Q

antagonist at cannabinoid receptors; pulled from market due to psych effects

A

rimonabant

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14
Q

psychomotor stimulants

A

amphetamine, cocaine, methamphetamine, methylphenidate

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15
Q

therapeutic uses of amphetamines

A

weight control, narcolepsy, ADHD (methylphenidate is Ritalin)

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16
Q

drug for narcolepsy

A

modafinil (military “go pill”)

17
Q

primary effects of MDMA “ectasy” is on which neurotransmitter?

A

5-HT serotonin