Drugs Used In Parkinsonism Flashcards

0
Q

Parkinsonism is due to

A

Degeneration of dopaminergic neurons in substantia nigra

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1
Q

Parkinsonism is also known as

A

Paralysis agtans

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2
Q

Drug induced parkinsonism is due to

A

Typical antipsychotics, reserpine, MPTP(methylphenyltetrahydropyridine)

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3
Q

Alternating periods of improved mobility and akinesia

A

On-Off phenomena

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4
Q

deterioration of drug effect in betweem medication dosese

A

Wearing off phenomena

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5
Q

Wearing off effect due to

A

destrucion of nigrostriatial neurons

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6
Q

Primary drug for Parkison’s

A

Levodopa Carbidopa

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7
Q

Carbidopa inhibits peripheral metabolism via

A

Dopa carboxylase

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8
Q

Levodopa Carbidopa CI in

A

Psychosis

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9
Q

Bromocriptine is partial agonist of

A

D2 receptors in brain

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10
Q

Used for levodopa intolerance and hyperprolactinemia

A

Bromocriptine

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11
Q

May cause erythromelalgia

A

Bromocriptine

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12
Q

Partial agonist at D3 receptors

A

Pramipexole

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13
Q

SE: Compulsive gambling, overeating

A

Pramipexole

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14
Q

Also for restless leg syndrome

A

Pramipexole

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15
Q

Partial agonist at D3 receptors. Antagonizes 5HT and alpha adrenoreceptors

A

Apomorphine

16
Q

Used for Off Periods

A

Apomorphine

17
Q

Also for alcoholism, Opiate addiction, Erectile dysfunction and Alzheimer’s

A

Apomorphine

18
Q

When giving Apomorphine what premedication is given

A

Trimethobenzamide

19
Q

MAO type B inhibitor, leades to decreased degredation of dopamine; Increases response to dopamine

A

Selegiline

20
Q

Serotonin syndrome when used with SSRI

A

Selegiline

21
Q

COMT inhibitor, thus blocks L dopa metabolism

A

Entacapone

22
Q

For Wearing Off phenomena

A

Entacapone

23
Q

Potentiates dopaminergic action, Influences synhtesis release or reuptake of dopamine at Adenosine 2A receptors

A

Amantadine

24
Blue red lacy pattern at extremities
Livedo reticularis
25
Decrease excitatatory actions of cholinergic neurons on cells in the striatum by blocking muscarinic receptors
Benztropine
26
For extrapyramidal sx caused by antipsychotics
Benztropine
27
Drugs used in Parkinsonism
Bromocriptine, Pramipexole, Apomorphine, Selegiline, Entacapone, Amantadine, Benztropine