Neurological drugs Flashcards
What drug class is levodopa?
Dopamine precursor
What is levodopa used for?
Parkinsons disease/parkinsonisms
Why do we have to use a dopamin precursor and not dopamine itself?
Dopamine cannot cross the blood brain barrier
Contraindications for levodopa?
Closed angle glaucoma
Drug-induced parkinsonism
What is there s risk of if levodopa is combined with Monoamine Oxidase Inhibitors (MAOIs)
Hypertensive crisis
What drug class is phenytoin?
Anti-convulsant
Which seizure should phenytoin not bu used for?
Absence seizures
Indications for phenytoin?
Epilepsy (all except absence seizures)
Trigeminal neuralgia
Does phenytoin inhibit or induce hepatic drug metabolising enzymes?
Induce
Other than phenytoin name two popular anti-convulsants
Carbamezapine
Sodium valproate
Indications for carbamazepine?
Generalised tonic-clonic seizures
Partial seizures
Trigeminal neuralgia/chronic neurogenic pain
Bipolar prophylaxis
Corticosteroids, cyclosporin and phenytoin do what to the effect of carbimazapine?
Decrease it
What is the first line treatment for all epilepsy?
Sodium valproate
Contraindication for sodium valproate?
Hepatic dysfunction (metabolised/excreted by the liver) Porphyria
What is metoclopramide?
Antiemetic (dopamine antagonist)