Exam 3 Drugs Flashcards
Acetaminophen
Liver toxic
3 NSAIDS
Aspirin, celecoxib, ibuprofen
Aspirin
Not for children, Reye’s syndrome
Baclofen
Muscle relaxant
Causes seizure w/o taper
Bentropine
Parkinson’s
Impacts AcH
Buprenorphine
Partial opioid agonist
Bupropion
Smoking cessation and anti-depressant
Disulfiram
Alcohol abstinence
Donepezil
Alzheimers,
AcH-esterase inhibitor
Entacapone
Parkinson’s
Increase dopamin
Levodopa/carbidopa
Parkinson’s
Increase dopamine
Memantine
Alzheimers
Morphine
Opioid
AE: pin point pupils, sedation, constipation, peritus, Nausea
Naloxone
Opioid overdose
Pramipexole
Parkinson’s
Increase dopamine
Pregabalin
Nerve pain
Selegiline
Parkinson’s
Increase dopamine
Sumatriptan
Migraine
AE: chest pain
Tramaol
Increase serotonin and opioid agonist
Varenicline
Smoking cessation
Alprazolam
Benzodiazepine,
For insominia
Atomoxetine
ADHD
Buspirone
For anxiety
Non-sedating
Carbamazepine
Bipolar and epilepsy
Monitor: Fever, BMS
Clozapine
2nd gen anti-psychotic
Monitor: leukocytes
Diazepam
Benzodiazepine
Insomnia
Fluozetine
SSRI
AE: nausea, fatigue, sexual dysfunction, Sleep change
Gabapentin
Sedation and diziness
Ketamine
Sedation, pain control (amnesia), avoid in substance abuse and mental health
Lamotrigine
Bipolar and epilepsy
AE: Rash (steven-johnsons)
Lidocaine
Altered mental status, slurred speech
Lidocaine toxicity
GI upset, Intoxicating appearance
Lithium
Bipolar
Monitor: Na+, serum, creatine, TSH
Methylphenidate
ADHD
AE: insomnia, weight loss, appetite loss
Phenelzine
MAOI
Avoid tyramines
Phenytoin
AE: hepititis, confusion, nystagmis
Pregabalin
Anti-convulsive,
Neuropathic pain
Propofol
Sleep anesthesia
Risperidone and olanzapine
2nd gen antipsychotics
Increase in metabolic disorders
Valproic acid
Bipolar and epilepsy
Monitor LFT, pancreatic enzyme, drug concentrations
Venlafaxine
SNRI
AE: hypertention
Zolpidem
Insomnia only
Short term use
Cloprozapine
1st gen anti-psychotics
Anti-cholinergic effects
Serotonin syndrome
Increase in temp, gi upset, agitation, hyperflexia
Can lead to coma.
Adverse effects of opioid agonists?
M yosis (pinpoint pupils)
O ut of it (sedation)
R espiratory depression*
P rurtisis (itching)*
H ypotension
I nfrequency (constipation etc)*
N ausea
E mesis (vomiting)
Adverse effects of Non-steroidal anti-inflammatory drugs (NSAIDs)?
Impaired kidney function, gi bleed
Acute treatment of Migraine?
NSAID, acetaminophen caffeine
Sumatriptan
Ergotamine
Prophylactic treatment of migraine
Propranolol
Tricyclic antidepressants
Amitriptyline
Treatments for Anxiety?
Alprazolam
Diazepam
Busipirone
S/S of serotonin syndrome?
Hyperthermia
Anticognitive
Reflexes
Myoclonus
Fast heart rate
Unconsciousness
Loss of gi control
HARMFUL
S/S of serotonin withdrawal?
Flu like
Insomnia
Nausea
Imbalance
Sensory distrubance
Hyperarousal
FINISH
Extrapyramidal symptoms -EPS
Dystonia
EPS
Parkinsonism
Akathisia
Restlessness
Tardive dyskinesia
DEPART
S/S of neuroleptic malignant syndrome
Fever
Agitation
Sweating
Tachycardia
LEad pipe
HypoReflexia
FASTER
Differences between 1st and 2nd gen anti-psychotics
1st gen: EPS, NMS, Anticholinergic
2nd gen: metabilolic dysfunction (diabetes etc.) Less adverse
Treatments for schizophrenia
1st gen antipsychotics - Chlorpromazine, haloperidol
2nd gen antipsychotics- risperidone, olanzapine, clozapine
Treatments for bipolar and seizure disorders
Carbamazepine
Valproic acid
Lamotrigine
Anesthesia for sedation
Propofol
Ketamine
Anesthesia for pain
Ketamine
Lidocaine (local)