Neuro Drugs Flashcards
Pyridostigmine
Myasthenia gravis. Acetycholinesterase inhibitor
Neostigmine
myasthenia gravis. Acetylcholinesterase inhibitor
Acetylcholinesterase inhibitor ADR
Cholinergic crisis, rash, NVD, adb cramps, increased salivation, increased bronchial secretions, muscle cramps, weakness
Riluzole
ALS
Riluzole ADR
NVD, asthenia, dizziness, decreased lung function, abd pain, pneumonia, vertigo, parasthesia, anorexia, somnolence
Tetrabenazine
Chorea
Tetrabenazine ADR
depression, fatigue, insomnia, dizziness, akathisia
Interferon Beta
Multiple sclerosis
Glatiramer acetate
MS.
Dimethyl fumurate
MS.
IVIg
MS.
Mitoxantrone
MS.
Natalizumab
MS.
Fingolimod
MS.
Teriflunomide
MS.
Dalfampridine
walking in MS.
Dantrolene
muscle relaxant for MS and malignant hyperthermia
Nuedexta
pseudobulbar affect in MS
Oral MS drugs
Dimethyl fumurate, Fingolimod, Teriflunomide, dalfampridine
Injectable MS
Interferon beta, IVIg, Mitoxantrone, Natalizumab, dantrolene, neudexta
interferon beta MOA
immunomodulator, anitviral, antiproliferative
Interferon beta warnings
depression, suicide, psychotic disorders, hepatoxicity, new autoimmune disorders, CHF, blood dyscrasias, seizures
interferon beta ADR
flu like symptoms, insomnia, injxn site reaction, peripheral edema, malaise, HTN, incoordination
Glatiramer acetate MOA
immunomodulator
Glatiramer acetate warnings
post injection reaction- flushing, chest tightness, palpitations, dyspnea, throat constriction
Glatiramer acetate ADR
vasodilation, rash, dyspnea, chest pain, anxiety, diaphoresis, nausea, pain, weakness, infection
Mitoxantrone MOA
antineoplastic, inhibits topoisomerase, T cells and B cells
Mitoxantrone warnings
myelosuppression, cardiotoxicity, secondary AML
Mitoxantrone ADR
nausea, alopecia, menstrual changes, URI, UTI, blue-green urine, preg cat D
Natalizumab MOA
binds leukocytes and inhibits adhesion
Natalizumab warnings
progressive multifocal leukoencephalopathy
Dimethyl fumurate ADR
leukopenia, flushing, rash, NVD, abd pain, indigestion
fingolimod MOa
keeps WBC inside lymph nodes so they don’t cross BBB into CNS
Fingolimod ADR
first dose bradycardia, varicella zoster, increased mortality, PML, HA, flu, diarrhea, back pain, abnormal LFT, cough
Teriflunomide MOA
pyrimidine synthesis inhibitor. inhibits immune cells
Teriflunomide ADR
hepatoxic, teratogenic, bone marrow suppression, peripheral neuropathy, hyperkalemia, transient renal failure, ND, abnormal LFT, flu, alopecia
Dalfampridine MOA
calcium channel blocker
Dalfampridine contraindications
renal impairment and seizures
Dantrolene contraindications
liver disease
Dantrolene ADR
drowsiness, dizziness, malaise, diarrhea
Neudexta MOA
dextramethorphan- NMDA receptor antagonist and quinidine increases bioavailability of dextramethorphan
neudexta contraindications
long qt, AV block
Neudexta ADR
NVD, cough, liver
Pyridostigmine contraindications
urinary or bowel obstruction, Asthma/COPD
Pyridostigmine ADR
cholinergic crisis, rash, NVD, cramps, peristalsis, salivation, bronchial secretions, diaphoresis, muscle cramps, fasiculation, weakness