FINAL DRUGS Flashcards
Example of a Hydantoin
phenytoin (Dilantin)
Example of a Iminostillbene drug
carbamazepine (Tegretol)
Ending of Iminostillbenes
-azepine
Anti-epileptic drug that causes bone marrow suppression, skin rash, liver toxicity, pancreatitis, and may be given with phenytoin or phenobarbital to increase levels of both meds.
Valproic Acid (Depakote)
Anti-epileptic drug that causes stevens-johnsons skin rash, bone marrow suppression, auto induction and takes more than 2 months to start therapeutic effects.
carbamazepine (Tegretol)
Anti-epileptic drug that can cause gingival hyperplasia, and must be diluted with normal saline in an IV and must be given slow.
phenytoin (Dilantin)
Drugs not to give with hemorrhagic stroke. Must be given within 3 hours of CVA.
Thrombolytic drugs
Anticholinesterase Drugs:
donepezil (Aricept)
rivastigmine (Exelon)
galantamine (Razadyne)
Drugs that treat Alzheimers Disease
Anticholinesterase Drugs
NMDA Receptor Antagonists [memantine (Namenda)]
Drugs that prevent cholinesterase (AChE) from breaking down acetylcholine (ACh) causing increased ACh.
Anticholinesterase Drugs
Drugs that inhibit the activity at NMDA receptors to slow disease process and decrease or stop cognitive degeneration.
NMDA Receptor Antagonists
Drugs that inhibit actions of MAO-B enzymes that break down dopamine resulting in increased dopamine.
Selective MAOI Therapy/ MAO-B Inhibitors
Drugs that cause the release of dopamine from storage in basal ganglia
Dopamine Modulators
Drugs that stimulates dopamine receptors to = the same effect as if dopamine had been bound.
Dopamine Receptor Agonists
The precursor of dopamine that crosses the blood brain barrier before it is broken down into dopamine which increases dopamine in the CNS
Levodopa
drugs that inhibit COMT enzymes from breaking down dopamine
COMT Inhibitors
Drugs that block the effect of Each at cholinergic receptors
Anticholinergics
Example of a NMDA Receptor Antagonists
memantine (Namenda)
Example of Selective MAOI Therapy drugs/ MAO-B Inhibitors
selegiline (Eldeprly)
rasagiline (Azilect)
Dopamine Modulators
amantadine (Symmetrel)
Dopamine Receptor Agonists
pramipexole (Mirapex)
ropinirole (Requip)
Used to treat Parkinson’s Disease int he early stages
amantadine (Symmetrel)
Drug used to treat Restless Leg Syndrome. Drugs to use alone when treating Parkinsons before need to Levodopa or adjunct w/Levodopa.
Dopamine Receptor Agonists: Mirapex + Requip
1 Therapy for Parkinsons Disease
Levodopa
Adjunct with levodopa when on/off phenomenon occurs.
COMT Inhibitors : Comatan + Tasmar
Contraindications of COMT Inhibitors: Comatan + Tasmar
Liver Dysfunction
Alcoholism
Contraindication of Anticholinergics : Cogentin
Glaucoma
Kidney Failure
Constipation
Adverse effects of Anticholinesterase drugs
Bradycardia hypotension fainting pupillary constriction Bronchial Constriction Cholinergic Crisis SLUD
Adverse effects of Selective MAOI Therapy/MAO-B Inhibitors
Hypertensive crisis after consuming tyramine containing foods
Adverse effects of Dopamine Modulators
Dizziness
Insomnia
Nausea
Adverse effects of Dopamine Receptor Agonists
Orthostatic/Postural hypotension
Dark urine/sweat
paranoia, hallucinations
dyskinesia/spasticity
Adverse effects of COMT Inhibitors
Nausea/Vomiting
Dark Urine
Liver Failure
Dyskinesia/Spasticity
adverse effects of anticholinergics
Tachycardia hypertension pupillary dilation bronchial dilation urinary retention dry mouth constipation hyperthermia blurred vision Cant SSSS
Drug interaction of Dopamine Receptor Agonists
Protein
Vit B6
Drug interactions of Selective MAOI Therapy drugs/ MAO-B Inhibitors
Tyramine
Drug interactions of Dopamine Receptor Agonists
CNS Depressants (alcohol + opioids)
Antidote to Anticholinesterase drugs
Atropine
drug of choice for young parkinson’s patients. first or second line therapy for elderly patients.
Dopamine Receptor Agonists (Mirapex + Requip)
this drug can be used as an adjunct to levodopa for “off periods”. Can be used to reduce dyskinesia associated with later stages of Parkinson’s Disease
Dopamine Receptor Agonists (Mirapex + Requip)
Levodopa is no longer effective after how long?
5-10 years of use
drug that prevents the breakdown of levodopa in the PNS to decrease adverse effects
carbidopa-levodopa (Sinemet)