DOA (feel ko lang lalabas hahaha) Flashcards
Antidote used for benzodiazepine toxicity
Flumazenil
Benzodiazepines bind to what GABA receptor?
GABA A
This pyrazolopyrimidine is used for sleep disorder
Zaleplon
Nonselective opioid antagonist and partial agonist used for treating addiction
Naltrexone
naloxone is for opioid overdose
A serotonin receptor partial agonist
LSD
A CB1R agonist
cannabinoids
Drug used for treatment of alcoholism and opioid addiction
Naltrexone
ANTAGONIST/MIXED/STRONG/MODERATE/WEAK AGONIST?
Methadone
Strong
ANTAGONIST/MIXED/STRONG/MODERATE/WEAK AGONIST?
Oxycodone
Moderate
ANTAGONIST/MIXED/STRONG/MODERATE/WEAK AGONIST?
Nalbuphine
Mixed
ANTAGONIST/MIXED/STRONG/MODERATE/WEAK AGONIST?
Kratom
Mixed
ANTAGONIST/MIXED/STRONG/MODERATE/WEAK AGONIST?
Naloxone
Antagonist
ANTAGONIST/MIXED/STRONG/MODERATE/WEAK AGONIST?
Tramadol
Moderate
Affinity to MU/KAPPA/DELTA:
endorphins > enkephalins
Mu receptors
Affinity to MU/KAPPA/DELTA:
endorphins < enkephalins
Delta receptors
DELTA/MU/KAPPA:
endorphins = enkephalins
Kappa receptors
G-PROTEIN/IONOTROPIC/BIOGENIC AMINES?
Alcohol
Ionotropic
G-PROTEIN/IONOTROPIC/BIOGENIC AMINES?
Amphetamine
Biogenic Amines
G-PROTEIN/IONOTROPIC/BIOGENIC AMINES?
Cannabinoids
G-protein
G-PROTEIN/IONOTROPIC/BIOGENIC AMINES?
Ketamine
Ionotropic
G-PROTEIN/IONOTROPIC/BIOGENIC AMINES?
Mescaline
G-protein
G-PROTEIN/IONOTROPIC/BIOGENIC AMINES?
Psilocybin
G-protein
G-PROTEIN/IONOTROPIC/BIOGENIC AMINES?
Ecstasy
Biogenic Amines
G-PROTEIN/IONOTROPIC/BIOGENIC AMINES?
Phencyclidine
Ionotropic
Acetylcholine receptor agonist
(nAChR agonist)
Nicotine
NMDA receptor antagonist
- phencyclidine
- ketamine
Dopamine transporter blocker
Cocaine
reverses serotonin transport
Ecstasy
GABAa receptor (positive) modulator
Benzodiazepine
Blocks orexins that promote sleep onset & duration
Suvorexant
Partial serotonin agonist is used for generalized anxiety states
Buspirone
Activates the melatonin receptors in suprachiasmatic nuclei
Ramelteon
Barbiturates/Benzodiazepines/Both/Neither
Has high affinity to GABA-B receptors
Neither
GABA-A only
Barbiturates/Benzodiazepines/Both/Neither
Crosses the placental barrier
Both
all sedative-hypnotics cross the placental barrier
Partial agonist of nicotinic acetylcholine receptor used in smoking cessation
Varenicline
Enumerate:
Endogenous cannabinoids
- 2-arachidonyl glycerol
- anandamine
Enumerate:
Exogenous cannabinoids
- THC
- marijuana
- nabilone
- dronabinol
- nabiximol
Barbiturates/Benzodiazepines/Both/Neither
Steeper dose-response curve
Barbiturates
ANTAGONIST/MIXED/STRONG/MODERATE/WEAK AGONIST?
Propoxyphene
Moderate
Barbiturates/Benzodiazepines/Both/Neither
Binds to GABA-A receptors
Both
MU/KAPPA/DELTA/ALL:
Analgesic mechanism
ALL
MU/KAPPA/DELTA/ALL:
Respiratory depressant action
Mu receptor
MU/KAPPA/DELTA/ALL:
Sedative actions
Mu receptor
MU/KAPPA/DELTA/ALL:
Psychotomimetic effects
Kappa receptor
A benzodiazepine for** delirium tremens**
Oxazepam
NMDA ANTAGONIST
for treatment of alcoholism
Acamprosate
THIOPENTAL/SECOBARBITAL/PHENOBARBITAL
For anesthesia
Thiopental
THIOPENTAL/SECOBARBITAL/PHENOBARBITAL
Insomnia
Secobarbital
THIOPENTAL/SECOBARBITAL/PHENOBARBITAL
Seizure disorders
requires a loading dose
Phenobarbital
Partial agonist at 5-HT
Buspirone
Excessive or unreasonable anxiety about life circumstances
generalized anxiety disorder
What type of sedation is more common with benzodiazepines that have slow elimination rates?
daytime sedation
Newer hypnotics that act like benzodiazepines (3)
- eszopiclone
- zaleplon
- zolpidem