Drugs used in Parkinsonism Flashcards
Parkinsons disease is caused by degeneration of dopaminergic neurons in the amygdala (T/F)
False. It is in substancia nigra
What are the primary signs of Parkinsons Disease
Remember TRAP (Tremor, Rigidity, Akinesia, Postural Instability)
Causes of drug induced parkinsonism.
Typical antipsychotics, reserpine, MPTP (Methylphenyltetrahydropyridine)
Primary Drug of choice for parkinsonism.
Levodopa-Carbidopa
Levidopa-carbidopa is contraindicated in patients with known history of;
Psychosis
What will happen if Levodopa is used with MAOI’s
Hypertensive crisis
Deterioration of drug effect in between medication doses
Wearing off phenomenon
Alternating periods of improved mobility and akinesia occuring over few hours to days during a treatment
On and Off Phenomenon
Bromocriptine acts on what dopaminergic receptor?
Dopamine D2
A notable side effect of bromocriptine characterized by swollen and red extremities
Erythromelalgia
Used for hyperprolactinemia
Bromocriptine