Drug list Flashcards
Phenelzine
MAOb inhibitor (irreversible) Aytpical depression
Buspirone
Partial agonist of 5HT1 receptor
Anxiolytic
Phenytoin
Na+ channel agonist Zero-order kinetics AED Liver enzyme induction - increase dose NOT to be used in absence seizures
Chlorpromazine
Typical antipsychotic
Post-synapytic dopamine antagonist
Treatment of schizophrenia
Clozapine
Atypical antipsychotic
Dopamine and 5-HT antagonist
D4 (and 5-HT)
Selegiline
MAO inhibitor (irreversible) Treatment of PD
Rasagiline
MAO inhibitor (irrevervsible)
Early stage PD
Can be used as adjunct therapy at a later stage
Diclofenac
NSAID
Cox1 and Cox2 inhibitor (non-selective)
Analgesic and anti-inflammatory
NOT to be used in those with heart conditions
Tramadol
Pain
Opioid Mu receptor antagonist (Ach m3 and 5-HT2 antagonist
Pregabalin
GABA-ergic anticonvulsant - acts on Ca2+ channels to increase extracellular concentration of GABA in the brain
CNS depressant
Epilepsy
Neuropathic pain
Phenobarbitone
Anticonvulsant
Phenobarbitone
Anticonvulsant
Epilepsy
Increase Cl- into the neurone to cause hyperpolarisation and increase the refractory period - reduced excitability of the neurone
Diazepam
Benzodiazepine
Positive allosteric modulator of GABAa - causes them to open more frequently
Epilepsy
Anxiolytic
Restless legs syndrome
Sodium valproate
Anticonvulsant
Blockage of Na+ channels to increase the levels of GABA (inhibitory)
Epilepsy
Bipolar
Domperidone !
Peripherally selective dopamine D2 antagonist - used to treat the peripheral side effects of D2 agonists when e.g. benzeraside is ineffective (nausea, vomiting)
PD
Moclobemide
MAO inhibitor - reversible
Selective for MAOa
Depression
Olanzapine
Atypical antipsychotic
SO dopamine and 5-HT antagonist with higher affinity for 5-HT
Schizophrenia
Bipolar
Alemtuzumab
MS
Amphetamine
CNS stimulant - increased release of monoamines from nerve terminals - prevents reuptake of monoamines
MDMA
Aphetamine - prevents reuptake of monoamines
Rotigotine
Dopamine agonist - transdermal patch
Not effective in later stages of PD
Fluoxetine
SSRI
Depression
Safe in overdose
Used in diabetics with depression - improvements in HBA1c
Mirtazapine
Noradrenaline and serotonin antagonist
Depression
Benzotropine
Anticholinergic muscarinic antagnoist
PD - hyperactivity of cholinergic neurones
Orphenadrine
Anticholinergic muscarinic antagonist (like benztropine)
Amantadine
Release of dopamine from presynaptic stores
PD
Entacapone
Inhibitor of COMT (used with L-dopa)
PD
Sumatriptan
Treatment of migraines
Selective agonist of 5-HT1
Ondandsteron
Selective 5-HT3 antagonist
Anti-emetic - nausea and vomiting
Carbamazepine
Sodium channel antagonist
Liver enzyme induction
Not to be used in absence seizures
AED
Lamotrogine
Sodium channel antagonist (and calcium channel) - inhibition of glutamate release
AED
Ethusuximide
Calcium channel antagonist
Can be used in absence seizures
AED
Gabapentin
Act on calcium channels to increase GABA levels
AED
Memantine
NMDA glutamate antagonist
Prevention of hyper-excitability of neurones
Treatment of moderate AD
Rivastigmine
Acetylcholinesterase inhibitor
Treatment of AD
Galantamine
Acetylcholinesterase inhibitor
Treatment of AD
Donepezil
Acetylcholinesterase inhibitor
Treatment of AD
Caffeine
CNS stimulant
Adenosine receptor antagonist
Fingolimod
MS
Glatiramer acetate
MS
Natalizumab
MS
Risperidone
Atypical antipsychotic - antagonist at dopamine and 5-HT receptors
Tetrabenzine
Huntington’s chorea
Synaptic vesicle amine transporter inhibitor
Zolpidem
Z-drug
Treatment of insomnia
Flumazenil
GABAa antagonist
Treatment of benzodiazepine overdose - short half life
Madopar
Contains L-dopa and benserazide
Treatment of PD
L-dopa
Dopamine precursor
L-dopa –> Dopamine via DOPA decarboxylase
Amitriptyline
Tricyclic antidepressant - inhibits the reuptake of amines
Depression
Neuropathic pain
Dangerous in overdose
Citalopram
SSTI
Depression
Safe in overdose
Paracetamol
Selective cox-2 inhibitor
Arachodonic acid –> prostaglandins via COX enzymes
Analgesic, treatment of fever
Ibuprofen
Cox-1 and cox-2 inhibitor
NSAID
Analgesic and anti-inflammatory
Beta-interferons
MS
Lorazepam
Benzodiazepine
Anxiety, status epilepticus, sleep disorders
Benzeraside
Peripherally acting DOPA decarboxylase inhibitor
Cannot cross BBB
Carbamazepine
GABA receptor agonist and Na+ channel antagonist
Inhibits hepatic enzymes
AED
Neuropathic pain
Cocaine
Increased monoamine levels
Accumulation of dopamine in synaptic cleft
CNS stimulant
Nicotine
Agonist at nicotinic Ach receptors
Temazepam
Benzodiazepine - short term
Anxilytic
Hypnotic
Amantadine
Inhibits dopamine reuptake and increases dopamine release
Ariprazole
Atypical antipsychotic
Baclofen
GABAb agonist for spasticity
Busproprion
Weak noradrenaline dopamine reuptake inhibitor
Antidepressant
Carbidopa
DOPA decarboxylase inhibitor
PD
Disulfiram
Inhibits alchohol metabolism
Induces an acute sensitivity to alcohol for the treatment of chronic alcoholism
Flupenazine
Typical antipsychotic
Flupenthixol
Typical antipsychotic
Imipramine
TCA
Methysergide
Migraine and cluster headache
Phenobarbitone
GABAa agonist
Anticonvulsant
Pramipexole
Dopamine agonist
PD
Ropinirole
Dopamine agonist
PD
Sertraline
SSRI
Deltra-tetrahydrocannabinol
CB1 receptor (partial agonist) for anorexia
Tiagabine (aka. gabatril)
Blocks GAT1 transporter to increase GABA
Anticonvulsant - epilepsy
Tolcapone
COMT inhibitor
PD
Agranulocytosis is the main adverse effect with usage of which drug?
Clozapine - atypical antipsychotic