Indirect and Mixed-Acting Sympathomimetics Flashcards

1
Q

What type of drug is Amphetamine (Adderall)?

A

Indirect sympathomimetic

Increases release of NE, DA, and 5-HT; inhibits reuptake.

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2
Q

What conditions is Amphetamine (Adderall) used to treat?

A

ADHD, narcolepsy

CNS stimulant to treat narcolepsy; stimulant in elderly.

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3
Q

What are some side effects of Amphetamine (Adderall)?

A

Insomnia, appetite suppression, hypertension, potential for abuse

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4
Q

What is the MoA of adderall?

A

Increases release of NE, DA, and 5-HT; inhibits reuptake

displaces catecholamines from storage vesicles and results in increased NE in the synapse

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5
Q

What type of drug is Dextroamphetamine (Dexedrine)?

A

Indirect sympathomimetic

Increases release of NE, DA, and 5-HT.

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6
Q

What conditions is Dextroamphetamine (Dexedrine) used to treat?

A

ADHD, narcolepsy

Increases release of NE, DA, and 5-HT.

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7
Q

What should be monitored when using Dextroamphetamine (Dexedrine)?

A

Cardiovascular status and risk for abuse

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8
Q

What type of drug is Methylphenidate (Ritalin)?

A

Indirect sympathomimetic

Increases catecholamine availability by blocking reuptake.

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9
Q

What conditions is Methylphenidate (Ritalin) used to treat?

A

ADHD, narcolepsy

Increases catecholamine availability by blocking reuptake.

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10
Q

What are some side effects of Methylphenidate (Ritalin)?

A

Insomnia, decreased appetite, increased heart rate, potential for abuse

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11
Q

What type of drug is Atomoxetine (Strattera®)?

A

NE reuptake inhibitor (NRI/NERI)

Inhibits norepinephrine reuptake, increasing synaptic NE levels.

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12
Q

What condition is Atomoxetine (Strattera®) used to treat?

A

ADHD

Inhibits norepinephrine reuptake, increasing synaptic NE levels.

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13
Q

What are some side effects of Atomoxetine (Strattera®)?

A

Gastrointestinal upset, decreased appetite, potential suicidal ideation in pediatric/adolescent populations

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14
Q

What type of drug is Ephedrine?

A

Indirect acting sympathomimetic and weak a1 and b2 AR agonist (mixed actions)

Increases release of NE into synapses and directly stimulates α1 and β2 receptors.

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15
Q

What is the MoA of Ephedrine?

A

Increases release of NE into synapses and directly stimulates α1 and β2 receptors.

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16
Q

What condition is Ephedrine commonly used to treat?

A

Nasal congestion, mild hypotension

17
Q

What are some potential side effects of Ephedrine?

A

Insomnia, tachycardia, hypertension; caution in patients with cardiovascular disease

18
Q

Fill in the blank: Amphetamine (Adderall) increases release of _______.

A

NE, DA, and 5-HT

19
Q

True or False: Atomoxetine (Strattera®) has a potential for abuse.

20
Q

Fill in the blank: Methylphenidate (Ritalin) increases catecholamine availability by _________.

A

blocking reuptake