Neuro Flashcards
Drug class for Lamotrigine
anti-seizure drug
MoA for Lamotrigine
blocks sustained repetitive neurone firing & prolongs inactivations of Na channels & probably Ca channels
Indications for Lamotrigine
mono or add-on therapy for generalized or partial seizures
Drug class for Carbamazepine
anti-seizure drug
MoA for Carbamazepine
decrease synaptic release glutamate, inhibits Na channels
Indications for Carbamazepine
generalized tonic-clonic & partial seizures
Drug class for Phenytoin
anti-seizure drug
MoA for Phenytoin
limits repetitive firing of neurons, inhibits Na channels
Indications for Phenytoin
partial & generalized tonic-clonic seizures
Drug class for Ethosuximide
anti-seizure drug
MoA for Ethosuximide
reduces low threshold Ca currents
Indications for Ethosuximide
petit mal or absence seizures in children
Drug class for Topiramate
anti-seizure drug
MoA for Topiramate
reduces voltage-gated Na currents, enhancesGABAa receptor currents, inhibits glutamate receptor
Indications for Topiramate
generalized tonic-clonic, partial, absence, migraines, HAs
Drug class for Valproic Acid
anti-seizure drug
MoA for Valproic Acid
increase concentration GABA pre & post-synaptive sites
Indications for Valproic Acid
seizures, primary generalized tonic-clonic, absence, myoclonic, tonic, mania, mood stabilization, migraine Px
Drug class for Lorazepam
benzodiazepine
MoA for Lorazepam
potentiates GABAa receptor
Indications for Lorazepam
anxiety, operative amnesia, status epilepticus
Drug class for Donepezil
alzheimer’s disease: AChE inhibitors
MoA for Donepezil
inhibits activity of acetylcholinesterase thereby raising acetylcholine concentration in hippocampus
Indications for Donepezil
mild to moderate dementia of the Alzheimers type
Drug class for Memantine
alzheimer’s disease: NMDA receptor antagonist
MoA for Memantine
blocks NMDA receptor prevention Ca ion influx via the NMDA receptor
Indications for Memantine
moderate to severe dementia of the Alzheimers type
Drug class for Levodopa/Carbidopa
dopamine
MoA for Levodopa/Carbidopa
elevates CNS dopamine levels
Indications for Levodopa/Carbidopa
Parkinson’s disease
Drug class for Benztropine
anticholinergic
MoA for Benztropine
ACh receptor inhibition
Indications for Benztropine
Parkinson’s disease, extrapyramidal symptoms
Drug class for Amantadine
NMDA receptor antagonist
MoA for Amantadine
decreases Levodopa injury to NMDA receptor
Indications for Amantadine
mild PD symptoms
Drug class for Selegiline
MAO-B Inhibitors
MoA for Selegiline
at therapeutic doses for PD, inhibits MAO-B enzyme w/ resulting rise in available dopamine in CNS
Indications for Selegiline
Parkinson’s disease, depression
Drug class for Ropinirole
dopamine agonists
MoA for Ropinirole
stimulates D3 receptor directly
Indications for Ropinirole
Parkinson’s disease, restless leg syndrome
Drug class for Entacapone
COMT inhibitors
MoA for Entacapone
COMT enzyme inhibition resulting in higher concentration dopamine in CNS; used in combo w/ Levodopa
Indications for Entacapone
Parkinson’s disease
Drug class for Glatiramer Acetate
glatiramir
MoA for Glatiramer Acetate
blocks activation of T cells, activates Th2 cells
Indications for Glatiramer Acetate
RR MS
Drug class for Interferon B-1a
beta interferon
MoA for Interferon B-1a
decrease T cell activation; promotion of Th2 cells; decrease microglial proliferation; suppress of MMPs maintaining BBB
Indications for Interferon B-1a
RR MS
Drug class for Fingolimod
S1P receptor modulator
MoA for Fingolimod
acts to retain T cells in lymphoid tissues depleting peripheral blood & CNS lymphocytes
Indications for Fingolimod
relapsing forms of MS
Drug class for Natalizumab
Selective adhesion molecule inhibitor
MoA for Natalizumab
prevents lymphocyte migration into CNS & decreases activation of lymphocytes already in CNS
Indications for Natalizumab
relapsing forms of MS; moderate to severe Crohn’s disease
Drug class for Dimethyl Fumerate
MS meds: Nrf2 activator
MoA for Dimethyl Fumerate
unknown but believed to arise form activation of anti-oxidative stress pathways
Indications for Dimethyl Fumerate
RR MS
Drug class for Baclofen
MS meds: antispasticity
MoA for Baclofen
agonist at GABA receptors producing hyperpolarization & pre-synaptic inhibition
Indications for Baclofen
muscle spasticity in MS or spinal cord lesions
Drug class for Dantrolene
MS meds: antispasticity
MoA for Dantrolene
blocks RyR1 Ca channel in sarcoplasmic reticulum of muscle fiber; especially rapid contraction fibers
Indications for Dantrolene
upper motor neuron muscle spasticity; malignant hyperthermia
Drug class for Elitriptatn and Sumatriptan
migraine meds: triptans
MoA for Elitriptan and Sumatriptan
activation of trigeminal pre-synaptic 5HT1D/1B receptors inhibits release of CGRP & is vasoconstriction
Indications for Elitriptan and Sumatriptan
migraine HA with or without aura
Drug class for Propanolol
migraine med: prophylaxis
MoA for Propanolol
nonselective B1 & B2 blocker
Indications for Propanolol
migraine prophylaxis; multiple others