Drugs Flashcards
How does Levodopa become DA?
L-aromatic amino acid decarboxylase
Sinemet
Levodopa + Carbidopa
Entacapone
COMT inhibitor –> stops metabolism of Levodopa in periphery
Selegiline
Mono-amine oxidase (MAO) inhibitor
Blocks MAO-A and MAO-B (this metabs. DA):
smooths “on-off”
Pramipexole
DA receptor agonist (D2 specific)
Trihexyphenidyl
muscarinic antagonist
used to treat Parkinson’s
Corrects ACh:DA balance… mech unclear
Symmetrel (Amantadine)
NMDA receptor antagonist
Pentamidine
binds DNA
does not cross BBB
use for trypanosoma brucei stage 1
Suramin
(mech unknown)
does not cross BBB
toxic!!
Stage 1 Trypanosoma brucei
Benznidazole and Nifurtimox
mech: increases ROS, via NADH-dependent dehydrogenase
does not cross BBB
Stage 1 trypanosoma brucei
Arsenicals (Melarsoprol)
Use for stage 2 rhodesiense trypanosoma brucei (ASS)
very toxic/death!
crosses BBB
Eflornithine
inhibits ornithine decarboxylase
–static (doesn’t kill)
less toxic
Stage 2 trypanosoma brucei
Eflornithine + Nifurtimox
Eflornithine (-static) crosses BBB
Nifurtimox (-cidal) does not cross BBB
Late stage 2 trypanosoma brucei
Sodium stibogluconate + Meglumine antimonate
used for trypanosoma cruzi = Chagas disease (leishmaniasis)
stops glycolysis and FA beta-ox
Liposomal Amphotericin B
Use for tyrpanosoma cruzi = Chagas disease
Only visceral leishmasiasis (splenomegaly)
use for resistant strains