DRUGS Flashcards

1
Q

what drugs can cause delirium?

A

anti-cholinergics
-benzodiazepines
-opiates
-steroids

(antihistamines, mm relaxants, antibiotics can too)

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2
Q

cholinergic inhibitors for Alzheimers

A

Cholinesterase inhibitors
1. Donepezil (Aricept)
2. Galantamine (Razadyne)
3. Rivastigmine (Exelon)

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3
Q

what med costs 26,500$ per year, approved in 2023, slows decline by 27% over 18 months for early stage alzheimers?
*EARLY STAGE

A

Lecanemab: IV medication every 2 weeks

side effects: ARIA, infusion related reaction, HEADACHE

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4
Q

what is aducanumab-avwa/aduhelm for?

A

IV infusion for alzheimers
(shows amyloid related edema in MRI: ARIA-E)

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5
Q

NMDA partial antagonist for alzheimer

A

namenda/memantine

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6
Q

LEWY BODY DEMENTIA MEDS

A

ACH inhibitor: rivastigmine
parkinsons sympt: levodopa-carbidopa

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7
Q

treatments for essential tremor

A

antiepileptics:
1. primidone
2. topirimate

beta-blockers:
-propranolol

or wrist weights

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8
Q

what meds help with CP spasticity?

A

diazepma
tizanidne
baclofen
injection: botox (botulism A)

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9
Q

what drugs are given to Muscular dystrophy

A

Gene therapy: elevidys
ASOs
Corticosteroids: prednisone, deflazacort, DEXA

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10
Q

drugs for essential tremors

A

primidone (antiepileptic)
– propranolol (Beta-blocker) – topirimate- an antiepileptic

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11
Q

parkinson’s meds in progression

A
  1. levodopa (sinemet)
  2. dopamine agonists: requip, mirapex, apokyn, neupro
  3. COMT-inhibitor: comtan to prevent levodopa breakdown
    MAO inhibitor: prevent levodopa breakdown

deep brain stimulation: advanced PD

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12
Q

camped decormia and inverted foot are symptoms of

A

parkinsons
foot invert: dystonia
camped decormia: leaning tower of pisa syndrome

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13
Q

what is vascular parkinsonism

A

lower body parkinsonism
(freezing, gait, postural instability)
*extensive subcortical white matter ischemic disease
*step wise deterioration
*half have weakness

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14
Q

what is progressive supranuclear palsy

A

can’t look up or down
axial rigidity
early falls
*atypical parkinsonism

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15
Q

corticobasal degeneration is what

A

asymmetric limb dysfunction, alien limb/apraxia
*atypical parkinsonism

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16
Q

multisystem atrophy

A

OHTN
hyperreflexia
*atyp parkinsonism