drug names Flashcards
1
Q
morphine
A
- acts on all opioid receptors
2
Q
hydromorphone
A
acts on all opioid receptors
3
Q
Methadone
A
- Mu agonist
- blocks NMDA
4
Q
Meperidine
A
- Mu agonist
- NE/5HT reuptake inhibitor
- anticholinergic
5
Q
Fentanyl
A
- lipid soluble
- highly potent opioid
6
Q
hydrocodone
A
- opioid used for moderate to severe pain
- met by CYP2D6
7
Q
Oxycodone
A
- opioid used for moderate to severe pain
- met by CYP2D6 to active form
8
Q
tramadol
A
- weak mu agonist
- inhibits NE/5HT reuptake
9
Q
Pentazocine
A
- Kappa agonist
- partial Mu agonist
10
Q
Buprenorphine
A
- Mu partial agonist
- combined with naloxone
11
Q
Nalaxone
A
opioid antagonist
12
Q
Naltrexone
A
- opioid antagonist
- PO, long acting
13
Q
Dextromethorphan
A
- blocks NMDA
- decrease 5HT reuptake
- cough
14
Q
codeine
A
- converted by 2D6 to morphine
- cough suppressant
15
Q
Fomepizole
A
- alcohol dehydrogenase inhibitor
- used for methanol poisoning
16
Q
Disulfiram
A
- inhibits aldehyde dehydrogenase
17
Q
Acamprosate
A
- GABA analog
- restores normal balance of GABA and glutamate
- decreases craving
18
Q
Diazepam
A
- long acting BZ
- binds to GABAA, needs GABA
- DOC: status epilepticus
- muscle relaxant
19
Q
Chlordiazepoxide
A
- long acting BZ
- binds to GABAA, needs GABA
20
Q
Flurazepam
A
- long acting BZ
- binds to GABAA, needs GABA
21
Q
Midazolam
A
- short acting BZ
- binds to GABAA, needs GABA
22
Q
Alprazolam
A
- intermediate acting BZ
- binds to GABAA, needs GABA
23
Q
Lorazepam
A
- intermediate acting BZ
- binds to GABAA, needs GABA
24
Q
Oxazepam
A
- intermediate acting BZ
- binds to GABAA, needs GABA
25
Flumazenil
BZ antagonist
26
Pentobarbital
* Barbituate
* GABAA agonist
* independent of GABA
27
Phenobarbital
* Barbituate
* GABAA agonist, independent of GABA
* anticonvulsant
28
Thiopental
* Barbituate
* GABAA agonist, independent of GABA
* short acting, induction of anesthesia
29
zolpidem
* "Z drug"
* bind to BZ GABA receptor
30
Zaleplon
* "Z drug"
* bind to BZ GABA receptor
31
Eszopiclone
* "Z drug"
* bind to BZ GABA receptor
* long half life, long term tx
32
ramelteon
* melatonin analogue
* resets sleep wake cycle, good for addicts
33
Buspirone
* acts on **5HT** receptor
* **relieves anxiety** with no sedation
* good for addicts
34
Chloral hydrate
* converts to metabolite that acts on GABAa
* cheap
35
Phenytoin
* prolongs inactivation of Na channels
* partial/TC sz
36
Fosphenytoin
* prolongs inactivation of Na channels
* partial/TC sz
* injectable form
37
Carbamazepine
* blocks Na channels (dec glutamate)
* DOC: partial sz
* trigeminal neuralgia
* Refractory bipolar
38
Gabapentin
* GABA analog
* adjunct partial/TC sz
* neuropathic pain
39
Levetricetam
* binds to SV2A
* partial sz
40
Lamotrigine
* inactivate voltage dependent Na channels
* partial sz
* bipolar
* half life doubled with valproic acid
41
Topiramate
* blocks Na channels
* partial and TC sz
42
Tiagabine
* inhibits reuptake of GABA via GAT-1
43
Vigabatrin
* irreversibely inhibits GABA transaminases
* refractory complex partial sz
44
Ethosuximide
* inhibit T type Ca2+ channels
* DOC: absence
45
Valproic acid
* blocks Ca+ channels and Na+ channels
* second choice for absence, mixed sz
* rapid cycling manic/depressive phases
46
Clonazepam
* BZ
* absence seizures
47
Amitriptyline
* Tricyclic antidepressant
* tertiary amine, inhibits 5HT reuptake
48
Imipramine
* Tricyclic antidepressant
* tertiary amine, inhibits 5HT reuptake
49
Nortriptyline
* Tricyclic antidepressant
* secondary amine, inhibits NE reuptake
50
Desipramine
* Tricyclic antidepressant
* secondary amine, inhibits NE reuptake
51
Fluoxetine
* SSRI
* inhibit 5HT reuptake
52
Paroxetine
* SSRI
* inhibit 5HT reuptake
* OCD, social anxiety
53
Sertaline
* SSRI
* inhibit 5HT reuptake
54
Citalopram
* SSRI
* inhibit 5HT reuptake
* DOC: depression
55
Venlaxfaxine
* SNRI
* inhibit NE and 5HT reuptake
56
Duloxetine
* SNRI
* inhibit NE and 5HT reuptake
57
Phenelzine
* MAOI
* inhibits MAO A (DA, NE, 5HT in CNS, peripheral) and B (DA in CNS)
58
Selegiline
* inhibits MAO B
* increases dopamine
59
Buproprion
* inhibits DA reuptake
* ADHD, alcoholism, smoking
60
Metratazpine
* blocks presynaptic a2 -\> enhances release of NE and 5HT
* blocks 5HT in other places
* blocks histamine
* use: depression and insomnia
61
Trazodone
* 5HT receptor antagonist
* sleep aid
62
st johns wart
* increases 5HT
* mild depression
63
Atomoxetine
* selective NE reuptake inhibitor
* ADHD, good for addicts
64
Chlorpromazine
* classic antipsychotic
* blocks DA D2 receptor
* anticholinergic activity -\> low EPS
65
Haloperidol
* classic antipsychotic
* blocks DA D2 receptor
* no anticholingeric -\> high EPS
66
Clozapine
* atypical antipsychotic
* blocks 5HT, DA D4 and some D2
* agranulocytosis
67
Olanzapine
* atypical antipsychotic
* blocks 5HT, DA D4 and D2
* hyperglycemia
68
Quetiapine
* atypical antipsychotic
* blocks 5HT, DA D4 and D2
* sedating
69
Aripiprazole
* DA system stabilizer
* atypical antipsychotic
70
Risperidone
* atypical antipsychotic
* blocks 5HT, DA D2
* First line: psychosis
71
Ziprisadone
* atypical antipsychotic
* blocks 5HT, DA D2
* some antidepressant
72
Lithium
* DOC: bipolar
* mood stabilizer
* no metabolism
73
Donepezil
* cholinesterase inhibitor
* tx alzheimers
74
Rivastigmine
* cholinesterase inhibitor
* tx alzheimers
75
Galantamine
* cholinesterase inhibitor
* tx alzheimers
76
Memantine
* NMDA receptor antagonist (reduces excitatory effects of glutamate)
* tx late stages alzheimers
77
Levodopa
* converts to DA, 1-3% gets into CNS
* bradykinesia
78
Carbidopa
* inhibits dopa decarboxylase in periphery
79
Entacapone
* COMT inhibitor in periphery
* increases pool of L-dopa for transport into brain
80
Bromocriptine
* DA D2 agonist-ergot derivative
81
Pramipexole
* DA D2 agonist
* monotherapy in mild parkinsons
82
Ropinirole
* DA D2 agonist
* monotherapy in mild parkinsons
83
Apomorphine
* DA D2 agonist
* rescue for on/off phenomenon in parkinsons
84
Amantadine
* antiviral for flu
* increases DA neurotransmission
* tx early parkinsons
85
Benzotropine
* muscarinic receptor antagonist
* restores DA and ACh balance
* tx: parkinsons: rigidity and tremor
86
Trihexphenidyl
* muscarinic receptor antagonist
* restores DA and ACh balance
* tx: parkinsons: rigidity and tremor
87
Procaine
* local anesthetic: ester
* infiltration anesthesia, diagnostic nerve blocks
88
Tetracaine
* local anesthetic: ester
* long duration of action
* ophthalmologic use
89
Benzocaine
* local anesthetic: ester
* topical
* always nonionized form
90
Cocaine
* local anesthetic: ester - topical
* CNS stimulant: inhibits DA reuptake
91
Lidocaine
* local anesthetic: amide
* intermediate duration of action
* not for spinal: risk of TNS
92
Prilocaine
* local anesthetic: amide
* highest rate of clearance
93
Bupivacaine
* local anesthetic: amide
* long duration of action
* epidural
* more potent sensory than motor
* cardiotoxicity
94
Ropivacaine
* local anesthetic: amide
* long duration of action
* S enantiomer of bupivacaine, cleared better
* vasoconstriction
95
Etidocaine
* local anesthetic: amide
* inverse differential block: blocks motor
96
Mepivacaine
* local anesthetic: amide
* medium duration of action
97
Articaine
* local anesthetic: amide but also has ester group
* dental
98
Dibucaine
* local anesthetic: amide
* dibucaine number: measures butyrylcholinesterase activity
99
Baclofen
* GABAB agonist
* muscle relaxant
100
Tizanidine
* a2 receptor agonist
* muscle relaxant
* sedation
101
Dantrolene
* inhibits Ca release from SR
* tx: neuroleptic malignant syndrome and malignant hyperthermia
102
Botulinum toxin
* inhibits ACh release at NMJ
* tx local muscle spasms following stroke
103
Cyclobenzaprine
* acts at brain stem to decrease neuronal activity
* tx: acute local muscle spasm
104
Carisoprodol
* acts at brain stem to decrease neuronal activity
* tx: acute local muscle spasm
105
Metaxalone
* acts at brain stem to decrease neuronal activity
* tx: acute local muscle spasm
106
Methocarbamol
* acts at brain stem to decrease neuronal activity
* tx: acute local muscle spasm
107
Amphetamine
* increase release of DA
* reverse DA transport through DAT
108
Methamphetamine
* increase release of DA
* reverse DA transport through DAT
* CNS stimulant
109
Nicotine
* activates nicotinic receptors to increase release of 5HT and DA
110
MDMA (ecstasy)
* increases 5HT by blocking reuptake and stimulating 5HT receptors
111
Marijuana
* bind to presynaptic cannabinoid receptors
* inhibit release of ACh and glutamate
112
Bath salts
* synthetic cannabinoid agonist
113
LSD
* act on 5HT receptors on brain
114
PCP (angel dust, ketamine)
* NMDA receptor antagonist
115
GMH
* GABA receptor weak agonist
116
Nitrous oxide
* inhaled drug
* causes peripheral neuropathy with chronic use