Drugs that Affect the CNS Flashcards
CNS stimulants uses
ADHD, drug induced respiratory depression, post anesthesia respiratory depression, narcolepsy, obstructive sleep apnea, exogenous obesity
CNS stimulants SE
headache, dizzy, apprehension, disorientation, hyperactivity, cough, dyspnea, urinary retention, tachycardia, palpitations
CNS stimulants CI
ventilation disorders, cardiac problems, severe hypertension, hyperthyroidism
CNS stimulants precautions
respiratory illness, history of substance abuse, preg/lact
CNS stimulants interact
anesthetics, theophylline, contraceptives
CNS Stimulant types
amphetamines, analeptics, anorexiants
amphetamines ex
-amphetamine, -methylphenidate
analeptics ex
-modafinil, doxapram, caffeine
anorexiants ex
benzphetamine, diethylpropion, lorcaserin, phendimetrazine, phentermine
Cholinesterase inhibitors use
early and moderate stages of dementia associated with Alzheimer
cholinesterase inhibitors SE
anorexia, dizzy, headache
cholinesterase inhibitors CI
preg/lact
cholinesterase inhibitors precautions
bladder obstruction, seizure disorder, sick sinus syndrome, GI bleeding, asthma
cholinesterase inhibitors interact
anticholinergics, NSAIDs, theophylline, thiazide diuretics
cholinesterase inhibitors ex
donepezil, galantamine, rivastigmine, memantine
Benzodiazepines MOA
potentiate GABA
benzodiazepines uses
isolated episodes of intense anxiety, temporary use for those with severe functional impairment, preanesthetic sedation, muscle relaxation, convulsions, seizures, alcohol withdrawal
benzodiazepines SE
sedation, dizzy, headache, apathy, disorientation, anger, restlessness, constipation, dry mouth, visual disturbances
benzodiazepines CI
psychoses, acute narrow angle glaucoma, preg/lact
benzodiazepines precautions
elderly, debilitations
benzodiazepines interact
alcohol, analgesics, TCAs, antipsychotic, digoxin
benzodiazepines ex
-zepam, -zolam
nonbenzodiazepine antianxiety ex
buspirone, doxepin, hydroxyzine, meprobamate
benzodiazepine antidote
flumazenil
Barbiturates MOA
CNS depression
barbiturates uses
insomnia, convulsions, seizures, adjuncts to anesthesia
barbiturates SE
dizzy, drowsy, headache
barbiturates CI
severe respiratory problems, comatose, history of drug/alcohol abuse, preg/lact
barbiturates precautions
habitual alcohol use, mental health problems
barbiturates interact
antidepressants, opioids, phenothiazines, cimetidine, alcohol
barbiturates ex
pentobarbital, secobarbital
nonbenzodiazepine sedatives ex
dexmedetomidine, eszopiclone, ramelteon, suvorexant, tasimelteon, zalepion, zolpidem
SSRIs uses
depressive episodes, anxiety disorders, premenstrual dysphoric disorder, OCD, bulimia
SSRIs SE
somnolence, dizzy, headache, insomnia, tremor, constipation, dry mouth, pharyngitis, runny nose, urinary retention
SSRIs CI
preg/lact, cisapride, pimozide, carbamazepine
SSRIs precautions
type 2 diabetes, cardiac disease, risk for suicide
SSRIs interact
other antidepressants, cimetidine, NSAIDs, lithium
SSRIs ex
fluoxetine, paroxetine, citalopram, escitalopram, sertraline, fluvoxamine, vortioxetine, vilazodone
SNRIs uses
depressive episodes, depression accompanies by anxiety disorders, diabetic peripheral neuropathic pain, fibromyalgia, chronic muscle pain
SNRIs SE
somnolence, headache, dizzy, blurred vision, photosensitivity, insomnia, nervousness, tremor, dry mouth, anorexia, constipation, bitter taste, tachycardia, palpitations, rash, flushing, sweating
SNRIs CI
preg/lact, seizure, MI, cisapride, pimozide, carbamazepine
SNRIs precautions
cardiac disease, hyperthyroid, suicide risk
SNRIS interact
sedatives, warfarin, cimetidine, antihypertensives, MAOIs
SNRIS ex
bupropion, desvenlafaxine, venlafaxine, duloxetine, levomilnacipran, nefazodone, trazodone
TCAs ex
-iptyline, -ipramine, amozapine, doxepin
TCAs MOA
inhibit serotonin or NE reuptake
TCAs uses
depressive episodes, bipolar, OCD, chronic neuropathic pain, depression with anxiety, enuresis
TCAs SE
sedation, dry mouth, visual disturbances, urinary retention, constipation, photosensitivity
TCAs CI
recently took MAOIs, recent MI, children, preg/lact
TCAs precautions
cardiac disease, hyperthyroid, seizure history, narrow angle glaucoma, increased intraocular pressure, urinary retention, suicide risk
TCAs interactions
sedative, analgesics, cimetidine, MAOIs, adrenergics
MAOIs ex
Takes Pride In Shanghai: Tranylcypromine, phenelzine, isocarboxazid, selegiline
MAOIs uses
depressive episodes with therapy
MAOIs SE
orthostatic hypotension, dizzy, headache, blurred vision, constipation, dry mouth, hypertensive crisis
MAOIs CI
elderly, pheochromocytoma, liver/kidney disease, cerebrovascular disease, hypertension, headache history, CHF
MAOIs precautions
seizure history, parkinsons symptoms, diabetes, hyperthyroid, suicide risk
MAOIs interact
sedatives, analgesics, thiazide diuretics, meperidine, adrenergics, antitussives
Lithium use
mood stabilizer for bipolar
antipsychotics MOA
act on dopamine receptors
antipsychotics uses
acute and chronic psychoses, bipolar, agitation, schizophrenia
antipsychotics SE
sedation, headache, hypotension, dry mouth, nasal congestion, urticaria, photosensitivity, agitation, confusion, weight gain, high cholesterol
antipsychotics CI
comatose, severe depression, bone marrow depression, bood dyscrasias, parkinsons, liver impairment, coronary artery disease, severe hypertension or hypotension
antipsychotics precautions
respiratory disorder, glaucoma, prostatic hypertrophy, epilepsy, decreased renal function, peptic ulcer
antipsychotics interact
anticholinergics, immunologics, alcohol
antipsychotics 1st gen ex
chlorpromazine, fluphenazine, haloperidol, loxapine, perphenazine, pimozide, prochlorperazine, perphenazine, thioridazine, thiothixene, trifluoperazine
antipsychotics atypical ex
aripiprazole, asenapine, ziprasidone, bexpiprazole, carlprazine, clozapine, iloperidone, lurasidone, olanzapine, paliperidone, quetiapine, risperidone