module 4 opioid characteristics Flashcards

1
Q

opiate

A

naturally occurring drugs

  • morphine
  • codeine
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2
Q

opioid

A

anything at acts like an opiate

- therapeutic agents

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3
Q

mu 1 Rc

A

when agonized

  • supraspinal analgesia
  • bradycardia
  • sedation
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4
Q

mu 2 Rc

A

when agonized

  • respiratory depression
  • euphoria
  • physical dependence
  • dec. GI motility
  • pupil constriction
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5
Q

delta Rc

A

when agonized

  • spinal analgesia
  • respiratory depression
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6
Q

K (kappa) Rc

A

when agonized

  • spinal analgesia
  • respiratory depression
  • sedation
  • dysphoria
  • pupil constriction
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7
Q

sigma Rc

A

dysphoria
delirium
hallucinations
pupil dilation

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8
Q

Drugs that mainly act on Mu receptors, but some actions on other receptors

A

morphine
heroin
codeine
fentanyl

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9
Q

agonist action at K receptors with partial antagonist action at mu receptors

A

pentazocine

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10
Q

antagonists at mu, K, and sigma Rc

A

naloxone

naltrexone

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11
Q

opioid characteristics

A
moderate to severe pain 
agonists vs. partial agonists vs. antagonists
partial agonist: ceiling effect
Hepatically metabolized 
tolerance and cross-tolerance
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12
Q

physical tolerance

A

same dose has less effect

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13
Q

full agonist drugs

A
morphine
oxycodone
hydromorphone
methadone
meperidine
fetanyl
oxymorphone 
codeine
hydrocodone
propoxyphene
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14
Q

partial agonist and mixed agonist/antagonist drugs

A

pentazocine
butorphanol
nalbuphine
buprenorphine

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15
Q

antagonist drug

A

naloxone

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