L 22 CNS Stimulants Flashcards
“Psychomotor” stimulants MOA?
indirect-acting (presynaptic) sympathomimetics
Stimulants that serve as Transporter Substrates?
(release catecholamines)
amphetamine
dextrose-amphetamine
ephedrine
methamphetamine
methylphenidate
pemoline
pseudoephedrine
tyramine
Non selective transporter inhibitors?
cocaine
sibutramine
Atypical transporter inhibitors?
modafinil
bupropion
Modafinil MOA?
effects diff than cocaine
may bind to another site on DAT & SERT
Bupropion MOA?
blocks reuptake of both NE & DA
Selective reuptake inhibitors/ blockers for NET?
atomoxetine
Atomoxetine MOA?
selective NE uptake inhibitor
1st non stimulant for ADHD
Non Psychomotor stimulants?
Methylxanthines:
caffeine
theophylline – tea
Non Psychomotor stimulants MOA?
Adenosine antagonists
Misc. Stimulants drugs?
Pargyline (MOA -)
Entacapone (COMT -)
Amphetamine SE?
Inc systolic & diastolic Pressure
HR reflexively DEC
Arrythmias
CNS SE of stimulants?
wakefulness
alertness
elevation of mood
elation/ euphoria
Inc motor/ speech
Contraindications?
anorexia
insomnia
asthenia
psychopathic personality
hx of homicidal or suicidal