Drugs in Ex3 Flashcards
Lamotrigine
- MoA
- Used for
State Dependent blocker of NA channels
Used in epilepsy (focal, tonic-clonic, Lennox Gastaut syndrome, BPD)
Carbamazepine
- MoA
- Used for
State Dependent blocker of NA channels (low efficacy inhibitor of 5HT Reup)
Used in epilepsy (partial, tonic-clonic, mixed, trigeminal neuralgia, BPD-mania)
Depakote
- MoA
- Used for
Ehances sodium channel inactivation (Low efficacy block on Ca channels)
Used in epilepsy (many clinical seizure types)
Vimpat
- MoA
- Used for
Enhances sodium channel inactivation (binds to collapse-in response mediator 2 CRMP2)
Used as an adjunct in epilepsy
Levetiracetam
- MoA
- Used for
Stereoselective blocker of SV2A vesicle protein
Used in epilepsy (partial, myoclonic, tonic-clonic)
Brivaracetam
- MoA
- Used for
Stereoselective blocker of SV2A vesicle protein
Used in epilepsy (partial, alt of levetracetam)
Gabapentin
- MoA
- Used for
Antagonist at a2s subunit of VG Ca channels
Used in epilepsy (partial, neuropathic pain, and trigeminal neuralgia)
Perampanel
- MoA
- Used for
Non-competative antagonists at post synaptic AMPA receptors, reducing glutamatergic ions
Used in epilepsy (partial, tonic clonic)
Retigabine
- MoA
- Used for
M-Current activator, increases K+ Flux
Used in epilepsy (partial)
Benzodiazepines (general)
- MoA
- Used for
Allosteric Modulators at GABA
Used in epilepsy, anxiolytics, sedative, hypnotic
Barbiturates (general)
- MoA
- Used for
PAM, Agonist at GABA
Antagonists at AMPA/kianate
Used in epilepsy, anxiolytics, sedative, hypnotic
Clonazepam (in epilepsy)
-MoA
Low efficacy block of CA channels
Used in: absence and myoclonic seizures
HM1A Toxin
Used in dravets, selectively enhances NAv 1.1/1.3 currents
CBD
- MoA
- Used for
Blocks NAv channels (antagonist at GPR55, allosteric modulators at mu and kappa OR)
Used in epilepsy (LG, Dravets)
Stiripentol
- MoA
- Used for
Increases Gabaergic signaling, increased release of GABA
Used in Dravets as an addative
Chloroprociane
- MoA
- Used for
State dependant block of Na channels
LA: epidural
Amino-ester
Lidocaine
- MoA
- Used for
State dependant block of Na channels
LA: Infiltration, Surface
Amino-amide
Bupivicaine
- MoA
- Used for
State dependant block of Na channels
LA: Infiltration, epidural, nerveblocking
Amino-amide
Black Mamba
Venom contains a-dendrotoxin (acts on K+ channels) and Mambaglins which block ASIC channels
Zinconotide (Prialt)
Ca 2.2 blocker used for chronic pain
NO
- MoA
- Used for
Weak PAM at GABA, Glycine
Antagonist at NMDA and NA
Activates K Channels
GA: Bad MAC
Halothane/Isoflurane
- MoA
- Used for
Agonist at GABA, and Glycine
Antagonist at NMDA and NA
Activates K2P Channels
GA: Good MAC/BG Halo=toxic
Sevoflurane
- MoA
- Used for
PAM at GABA, Glycine
Antagonist at NMDA
Activates K2P channels
GA: Good MAC and BG, widely used
Thiopental
- MoA
- Used for
Increases open time of GABA
Rarely used due to capital punishment
Methohexital
- MoA
- Used for
Increases open time of GABA
Used in ECT
Propofol
- MoA
- Used for
PAM at GABA
NAv channel blocker
Common enducing agent
Etomidate
- MoA
- Used for
PAM at GABA, agonist at higher concentrations
Used in pts with unclear history or unstable BP
Ketamine
- MoA
- Used for
NMDA receptor antagonist
Used in trauma
Xenon
- MoA
- Used for
NMDA receptor antagonist
GA: high mac
Meprobamate
- MoA
- Used for
Full Agonist at GABA - low TI
Sedative/Tranq/Hypnotic/Anxiolytic
Busprione
- MoA
- Used for
Agonist at 5HT Receptors (GPCR)Gai
GAD/Social phobia
Zolpidem
- MoA
- Used for
PAM at GABA
Insomnia
Melatonin
- MoA
- Used for
Agonist at melatonin receptor 1/2 (GPCR)Gai
Insomnia
Morphine
Analgesic dose: 10mg/70kg
PO- 1/6th oral availability
Codeine
Lower analgesic potency than morphine (can + aspirin)
Antitussive- less abuse potential.
Oral potency is stronger, and more practical than morphine
Tramadol
Synthetic- codeine analog. For moderate, acute pain.
Weak u agonism, blocks serotonin reuptake. Do not admin with SSRI’s
Hydromorphone
5-10x more potent than morphine
High respiratory depression possible, high abuse potential
Oxycodone
ER- for management of chronic pain; widespread abuse. Combined with asprin or acetaminophen
Meperidine
Atropine like drug. Possesses opioid activity. Less potent than morphine, but rapid onset- short duration.
Fentanyl
Potent opioid- management of severe, chronic pain in cancer patients. Can be delivered TD, or as a lozenge as well.
Sufentanil
5-10x more potent than fentanyl!!
Diphenoxylate
Constipating effect, combined with atropine for less abuse potential
Loperamide
Antidiarrheal
Methadone
Similar potency, RD, as morphine. Maintenance therapy use in OUD
Dextromethorphan
Cough suppression like codeine- no analgesia or RD. Non addicting.
Naloxone- Narcan
Pure antagonist
Naltrexone- Vivitrol
longer duration, greater PO potency than naloxone.
Pentazocine
Mixed agonist-antagoist- low abuse potential analgesiac
Buprenorphine- Suboxone
Partial agonist- subject to abuse tho.