Neuropharm3 Flashcards
Lack of ADH
Diabetes insipidus
Inadequate ADH releases
Central diabetes insipidus
Lack of ability to respond to ADH
Nephrogenic diabetes insipidus
Hypercalcemia, hypokalemia, post obstructive renal failure
Nephrogenic diabetes insipidus
Treat diabetes insipidus by adjusting
Fluid intake
Synthetic analog of vasopressin. Has reduced vasopressor activity, but enhanced anti-diuretic activity compared with vasopressin
Desmopressin
Also used for Von-willebrand disease type 1 and primary nocturnal enuresis
Desmopressin
Vasopressor activity is due to activation of _______ receptor
V1
Facial pallor, increases in GI activity causing nausea and cramps, vasoconstriction of coronary arteries
Vasopressin - more prominent than desmopressin effects
Higher activity toward V1 receptor
Vasopressin
Overstimulation of ____ receptor in tubules causes water intoxication
V2
Chlorpropamide and carbamazepine increase sensitivity of collecting duct to
Vasopressin
Lithium and demeclocycline will inhibit ________ on collecting duct
Vasopressin
Lithium associated with
Nephrogenic diabetes insipidus
Treatment includes adequate water intake (thiazide diuretics and restriction of sodium intake) and amiloride
Treatment of Nephrogenic diabetes insipidus