Neuropharmacology Flashcards

0
Q

Name a common SSRI

A

Fluoxetine

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1
Q

Name the 3 classes of antidepressants

A

Tricyclics
SSRIs
SNRIs

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2
Q

Bioavailability

A

Fraction of drug absorbed into systemic circulation

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3
Q

What route gives 100% bioavailability?

A

IV

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4
Q

Volume if distribution calculation

A

= total amount of drug /

conc in plasma

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5
Q

Why part if the brain is outside the BBB. What drug can act in it as it’s too big to cross the BBB?

A

Pineal gland

Melatonin

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6
Q

CL =

A

Vd ❌ kel

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7
Q

What substance involves zero order elimination?

A

Alcohol

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8
Q

Through what are drugs excreted?

A
Kidneys
Lungs
Bile
Sweat
Milk
Saliva
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9
Q

Is lithium metabolised in the body?

A

No. Relies entirely on renal clearance

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10
Q

What can affect the renal clearance of lithium?

A
Dehydration
Alcohol
Non sodium sparing dietetics
Polyuria
Renal insufficiency
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11
Q

Does lithium have a wide or narrow therapeutic window?

A

Narrow

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12
Q

When do antidepressants kick in fully?

A

6-8 weeks

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13
Q

Tolerance

A

Desensitisation of target receptors after repeated administration

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14
Q

Sensitivity if receptors

A

Usually result of

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15
Q

Where is NA made?

A

Locus coeruleus

16
Q

Where is serotonin made?

A

Raphe nuclei?

17
Q

Where is dopamine made?

A

Substantial nigra

18
Q

Psychosis

A

An altered way of perceiving the world

Loosing touch with reality

19
Q

Name the 3 dopamine tracts

A

Nigrostriatal
Mesocortical & mesolimbic
Tuberounfundibular

20
Q

Which tract controls prolactin release?

A

Tuberounfundubular

21
Q

What’s the precursor if serotonin?

A

Tryptophan

22
Q

Dopamine precursor?

23
Q

NA precursor?

24
ACh precursor?
Choline
25
Which NT is important in Altzeimer's?
ACh
26
Serotonin is widely implicated in what diseases?
OCD Panic disorders Schizophrenia
27
Where are glutamate and GABA contained in?
Astrocytes & interneurons
28
What happens to glutamate in schizophrenia and mood disorders?
⬆️
29
What happen to GABA in epilepsy & schizophrenia?
⬇️
30
What ions does the GABA receptor allow into cells?
Cl-
31
What benzodiazepines are used for insomnia?
Temazepam & Fluroxepam?
32
Tricyclics inhibit the reuptake of.....
Serotonin & NA
33
Anti adrenergic side effects
Postural hypotension Arrhythmia Tachycardia V dangerous in OD
34
Anti cholinergic side effects
``` Blurred vision Tachycardia Urinary retention Constipation Dehydration ```
35
Dopamine blockade side effects
``` Parkinsonism Acute dystonias Akithisia Tardive dyskinesia Hyperptolactinaemia Anhedonia ```
36
Anhedonia
Can't enjoy things you used to