Drugs Acting on CNS Flashcards

1
Q

Dantrolene

A

Ryanodine receptor antagonist

Used for tx of malignant hyperthemia primarily

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2
Q

Guafenesin

A

Injectable or IV infusion
Centrally acting muscle relaxant
Used to help equines with intubation, smooth anesthetic induction and recovery and anesthetic sparing effect.
Phlebitis and hemolysis, concurrent use of physiostimine contraindicated

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3
Q

Methocarbamol

A
Centrally acting muscle relaxant 
exact mechanism is unknown 
oral tablets or inj 
used to reduce muscle spasm 
IV only can be irritating
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4
Q

Phenothiazines primarily work as

A

dopamine receptor antagonists

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5
Q

Acepromazine

A

effective sedative with some muscle relaxation, no analgesia
Hypotension adverse effect
Boxers are sensitive to cv effects
extrapyrimidal signs may be seen

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6
Q

Butyrophenones are _____ similar to ______

A

Dopamine antagonists similar to phenothiazines

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7
Q

Azaperone

A

reduces aggression in swine, often combined with Butrophanol and Medetomidine (BAM)

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8
Q

Benzodiazepines MoA

A

potentiate GABAa receptors (GABA is the primary inhibitory neurotransmitter and anything that potentiates in decreases neural firing).

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9
Q

What drug causes hepatic necrosis in cats?

A

Oral Diazepam

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10
Q

Pharmacologic actions of benzodiazepines

A
generally mild sedation
good skeletal muscle relaxation 
sedation more effective in ruminants 
anticonvulsant 
minimal cardiac and respiratory effects
no analgesia
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11
Q

What are the benzodiazepine drugs?

A

Diazepam
Midazolam
Alprazolam

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12
Q

Flumazenil

A

reversal agent for benzodiazepines

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13
Q

MoA for a-2 agonists

A

activate a-2 adrenergic and non-adreneric receptors which causes negative feedback in the adrenergic system thus decreasing sympathetic outflow

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14
Q

Human experience profound hypotension if accidentally poked with

A

a-2 agonists, xylazine

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15
Q

Pharmacokinetics of a-2 agonists

A

IV, IM, CRI, epidurally, transmucosal

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16
Q

a-2 agonist drugs

A

Xylazine, Dexmetatomadine/Metetomidine, Detomidine

17
Q

a-2 antagonists

A

tolazoline
yohimbine
atipamezole

18
Q

What is the most selective A-2 antagonist and what is it used to reverse?

A

Atipamezole used to reverse dexmedetomidine