Nervous system PHARM Flashcards
AChE inhibitors: indirect cholinergic agonists
increasing acetylcholine
ANTI ALZHEIMERS
DONEPEZIL : AChE inhibitor
dementia symptom control`
RIVASTIGMINE : AChE inhibitor
parkinsons AND dementia
MEMANTINE
- *blocks NMDA-type glutamate receptors
- modest effect on moderate to severe alzheimers
- slows down nerve cell loss
dopamine precursors
levocopa-carbodopa
dopamine agonists - bind to dopamine receptors
BROMOCRIPTINE
PRAMIPEXOLE
BROMOCRIPTINE
dopamine agonist also acts on pituitary gland
can cause pulmonary fibrosis
PRAMIPEXOLE
can be used in cojmbo with levodopa
ANTICHOLINERG for parkinsons
benztropine :
use diphenhydramine if cants use benztropine
SCOPOLAMINE
anticholinergic
muscle problems
motion sickness
AMANTADINE
parkinsons - NMDA glutamate receptor antagonist (LIKE MEMANTINE-alzheimers)
levodopa induced dyskinesia LATE IN DISEASE
can exacerbate mental illness
muscle spasticity in MS
botulinum toxin
baclofen (taper off if discontinuing)
tizanidine
immune modulator for MS RELAPSING FORM
GLATIRAMER ACETATE
- L-GLUTAMINE, LYSINE, ARGININE
- PREG B
FINGOLIMOD
MS RELAPSING FORM
do not use with class I (NA+)or III (K+) antiarrythmias
LAMOTRIGINE
epilepsy and bipolar I
SE: serious skin rash
suicidal behavior and ideation
TOPIRAMATE
EPILEPSY AND MIGRAINES
suicidal behavior and ideation
unexplained death in epilepsy
**lots of probs
PREG D: DONT! !!
VALPROATE (merci)
epilepsy, mania, migraine
suicidal behavior
birth defects
HALOPERIDOL AND PROCHLORPERAZINE
CLASSICAL ANTIPSYCHOTICS
PROCHLOROPERAZINE (USED MORE FOR VOMITING)
C/I IN PARKINSONS
CLONODINE
A2
PHENTERMINE
FASTIN :WEIGHT LOSS
AUGMENT DOPAMINE
PREG CATEGORY X
ZOLPIDEM
AMBIEN
PERFORM COMPLEX NATURAL BEHAVIORS
SUMATRIPTAN
MIGRAINE RELIEF
BOTULINUM TOXIN
OVERACTIVE BLADDER, CHRONIC MIGRAINE
SPASTICITY
CAN GET PARALYSIS IN OTHER AREAS
ANTI-SEIZURE
CARBAMAZEPINE
PHENYTOIN: can cause
PHENYLZINE: MAOI
- ONLY USE WHEN OTHER ANTIDEPRESSANTS HAVE FAILED
**CAN CAUSE TYRAMINE TOXICITY
DON’T EAT CHOCOLATE / COFFEE
MODANAFIL
get in the mode: dont fall asleep: anti narcopleptic
CARBAMAZAPINE
anti convulsant and anti neurologic for epilepsy and neuralgias