Drugs for Addiction Flashcards

1
Q

What is Disulfiram’s mode of action?

A

Blocks the oxidation of ethanol by inhibiting aldehyde dehydrogenase.

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2
Q

What is Naltrexone’s mode of action?

A

𝜇-opioid receptor antagonist blocks the reinforcing effects of alcohol on the opioid system and so decreases the craving for alcohol.

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3
Q

What is Acamprosate’s mode of action?

A

Agonist at GABA-A and antagonist activity at NMDA - mimics the action of alcohol at these receptors.

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4
Q

What 3 drugs are used in alcohol relapse and abstinence?

A

Disulfiram, Naltrexone and Acamprosate.

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5
Q

What 2 drugs can be combined for increased beneficial effects in alcohol relapse and abstinence?

A

Naltrexone and Acamprosate.

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6
Q

Which drug causes hangover-like effects when taken with alcohol?

A

Disulfiram.

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7
Q

Disulfiram should be prescribed in adjunct to what two types of therapy?

A

Cognitive-behavioural therapy (CBT) and abstinence-based rehab (ARB).

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8
Q

Naltrexone acts on what receptors?

A

𝜇-opioid.

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9
Q

What type of addiction or withdrawal are Methadone and Buprenorphine for?

A

Heroin.

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10
Q

When is Methadone given after discontinuation of heroin? (Hours)

A

8 hours.

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11
Q

When is Buprenorphine given after discontinuation of heroin? (Hours)

A

6-12 hours.

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12
Q

Buprenorphine acts on what type of receptors?

A

𝜇-opioid and k-opioid.

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13
Q

Methadone acts on what type of receptors?

A

𝜇-opioid.

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14
Q

Methadone is given as what formulation?

A

Oral solution - 15-40mg.

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