Extras: Summary Sheets Flashcards
sedative drugs major action
increase GABA interactions
two benzos for insomnia + their AE
temazepam, triazolam; cause anterograde amnesia
what sedative class crosses placenta and causes respiratory depression in fetus + are classic CYP3A4 inducers?
barbiturates
barbiturate that treats SZRs
phenobarbital
issue with ramelteon
<50% of pts see results
issue with suvorexant
next-day somnolence, some complex sleep behaviors
which sedative is only for sleep maintenance issues, not sleep onset issues?
doxepin
four classes of opioids
- phenylpiperidines
- diphenylheptanes
- phenanthrenes
- benzomorphans
loperamide targets what receptors?
mu opioid receptors in GI tract
four opioid partial agonists
- pentazocine
- buprenorphine
- nalbuphine
- butorphanol
pentazocine use
pre-op supplement to anesthesia
what strucutral class are naloxone and naltrexone?
phenanthrenes
naltrexone has highest affinity at what receptor?
mu opioid receptor
scheduled drugs: which one is the worst vs the most chill?
schedule I is worst (no medical use, just recreational drug with high abuse potential), schedule 4 is the mildest
two SSRIs with a second function of being partial/full agonists to the 5HT receptors
Vilazodone, Vortioxetine
what SSRI is most anti-cholinergic of the group and what does that mean for its use?
Paroxetene -> dont give to elderly pts
what SNRI also has actions on DA, making it an anti-psychotic?
amoxapine
3 C’s of TCA OD
coma, convulsions, conduction abnlts
TCAs are SNRI’s that also affect what other three receptors?
Histamine, muscarinic, a1 adrenergic
three receptors blocked by SARAs
a1 adrenergics, 5HT, H1
major AE of SARAs
sedation
which SARA causes hepatic toxicity
Nefazodone