Medications

Question 1

Carbamazepine (Tegretol)

Answer 1

Anti-convulsant drug used for partial seizures

Question 2

Clonidine

Answer 2

• Spasticity - used for those with spasms and uncontrolled hypertension - side effect: orthostatic hypotension

Question 3

Ambien

Answer 3

Non-benzo, non-barbituate, sedative

Question 4

Gabapentin

Answer 4

-Spasticity - use with SCI and MS patients - side effects: sedation, confusion, fatigue, weight gain

Question 5

Lamotrigine (Lamictal)

Answer 5

Anti-convulsant - used for tonic clonic sz

Question 6

Phenytoin (Dilantin)

Answer 6

Anti-convulsant - used for partial Sz

Question 7

Dantrolene Sodium

Answer 7

Spasticity -used with severe spasms and SC lesions - side effects: weakness, diarrhea, hepatotoxicity

Question 8

Baclofen

Answer 8

Spasticity - used for those without severe mm weakness - side effects: sedation, mm weakness, dyskinesia, confusion, hallucinations

Question 9

Dexmedetomidine (precedex)

Answer 9

Sedative / hypnotic - used in the ICU for sedation, agitation, anxiety, etc - depresses the sympathetic response, leading to bradycardia and hypotension

Question 10

Chlorpromazine

Answer 10

First generation “typical” anti-psychotic drug

Question 11

tetrabenazine

Answer 11

Used for huntington’s disease to suppress chorea

Question 12

Topiramate (Topamax)

Answer 12

Anti-convulsant - used for generalized tonic clonic sz

Question 13

Perphenazine

Answer 13

First generation “typical” anti-psychotic drug

Question 14

Diazepam (Valium)

Answer 14

Benzodiazepine, used to reduce anxiety related to vestibular conditions

Question 15

Diazepam

Answer 15

Spasticity - used for painful mm spasms especially at night - side effects: sedation and habituation

Question 16

Haloperiodol

Answer 16

First generation “typical” anti-psychotic drug

Question 17

Meclizine (antivert)

Answer 17

Vestibular sedative

Question 18

Tizanidine

Answer 18

Spasticity - used with patients with marked mm weakness - side effects: hypotension, elevated liver enzymes, sedation, and hallucinations

Question 19

COMT inhibitors

Answer 19

used for PD

prevents the degradation of levodopa in the periphery similar to carbidopa

Question 20

Anticholingerics

Answer 20

used for PD

reduces over activity of acetylocholine and inhibits dipamine reuptake in the striatum

used maily to treat tremors and rigidity

Question 21

Gentamicin

Answer 21

An antibiotic that causes damage to hair cells. Causes bilateral vestibular loss

Question 22

Methylphenidate (Ritalin)

Answer 22

Neurostimulant

Question 23

Valproic Acid (Valproate)

Answer 23

Anti-convulsant - used for BOTH partial sz and for generalized tonic-clonic sz

Question 24

Oxcarbazepine (Trileptal)

Answer 24

Anti-convulsant - used for partial sz

Question 25

Corticosteroids

Answer 25

used for patients with MS to decrease the inflammatory response to help control symptoms during a relapse/exacerbation and end the relapse more quickly. No long term benefit for MS

-usually 3-5 days of IV, may be followed with a slow taper of oral prednisone

Question 26

Eszopiclone (Lunesta)

Answer 26

Non-benzo, non-barbituate, sedative

Question 27

Fluphenazine

Answer 27

First generation “typical” anti-psychotic drug

Question 28

Zaleplon (Sonata)

Answer 28

Non-benzo, non-barbituate, sedative

Question 29

Amphetamines

Answer 29

Neurostimulant

Question 30

Dopamine agonists

Answer 30

• Used as a neurostimulant
• also used for PD. May be Rx before sinemet or for during off times (as an adjunct to sinemet) to delay or reduce motor fluctuations and dyskinesia

Question 31

Riluzole

Answer 31

used for ALS -disease modifying drug that decreases glutamate release increasing survival 2-9 months

Question 32

MAO type B inhibitors

Answer 32

used in PD

blocks the breakdown of dopamine in the brain

Question 33

Ondansetron (Zofran)

Answer 33

anti-emetics (nausea) used with vestibular impairments

Question 34

Sinemet

Answer 34

gold standard for treating PD.

Combination of levodopa and carbidopa. Levodopa can cross Blood brain barrier and carbidopa prevents levodopa from converting into dopamine in the periphery.

Question 35

Amantadine

Answer 35

used for PD

dopamine agonist and dopamine reuptake inhibitor

used to treatdyskinesia