New CNS Flashcards

1
Q

Antipsychotic Drugs

Typical 3

Atypical 2

A
  • Typical
    • Phothiazone
    • Haloperidol
    • Thiothizene
  • Atypical
    • Clozapine
    • Olanzapine
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2
Q

Antipsychotic Drugs

MoA

3

A
  • Dopamine antagonist
  • Block dopamine D2 receptors in doparnergic pathways
  • Atypical can also block 5HT 2 receptors
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3
Q

Antipsychotic Drugs

Side effects

A
  • Extrapyramidal Motor Effects
  • Neuroleptic Malignant Syndrome
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4
Q

Unipolar antidepressants classes

A
  • Monoamine Uptake inhibitors
    • TCA
    • SSRI
    • SNRI
    • NE reuptake inhibitors
  • Monoamine Oxidase Inhibitors
  • Monoamine receptor antagonists
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5
Q

Monoamine Uptake Inhibitors

4 classes

A
  • NE and 5HT
  • TCA
    • Amitriptyline
  • SSRI (Serotonin selective)
    • Fluoxetine (prozac, most commonly rx bc few side effects)
  • SNRI (Mixed 5HT and NE)
    • Venlafaxine
    • Duloxetine
  • NE reuptake inhibitors
    • Bupropion
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6
Q

MAOI

A

Phenelzine

Dont use w/ other anti-dep or autonomic drugs that release serotonin or catecholamines

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7
Q

Monoamine Receptor Antagonists

1

A

Mirtazapine

Block alpha-2 adrenergic receptors

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8
Q

Trazodone

MoA 2

A
  • Anti-depressant
  • Potentiates 5HT activity
  • Blocks alpha-2 adrenergic receptors
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9
Q

Bipolar Antidepressants

3

A
  • Lithium
  • Valporate- antiepileptic
  • Olanzapine- antipsychotic
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10
Q

Sedative Hypnotics

9

A
  • Benzodiazepines
  • Barbiturates
  • Chloral hydrate
  • Zolpidem
  • Buspirone
  • Baclofen
  • Diphenyhydramine
  • Ethanol
  • Flumazenil
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11
Q

Benzodiazepines and Barbiturates

MoA

A

Enhance effect of GABA on GABA-A receptors

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12
Q

Barbiturates Subclasses and duration of acting3

A
  • Long acting
    • Phenobarbital
  • Intermediate acting
    • Pentobabarbital
  • Short acting
    • Thiopental
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13
Q

Benzodiazepines half lives 6

A
  • Triazolam 1.5 hrs
  • Midazolam 4
  • Oxazepam 8
  • Lorazepam 14
  • Diazepam 48-100
  • Flurazepam 100
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14
Q

Chloral Hydrate

MoA

used for 2

A
  • Sim MoA to benzo
  • Short acting sleep inducer
  • COnsious sedation
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15
Q

Zolpidem

acts on

tx

A

GABA-A receptor

Insomia

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16
Q

Buspirone

MoA

tx

A

Partial agonist 5HT1A (NOT GABA)

Anxiety

17
Q

Baclofen

MoA

tx2

A

Agonist GABA-B

Muscle relaxant

Trigeminal Neuralgia

18
Q

Diphenyhydramine

MoA

used for

A

Block H1 receptors

Sedation

19
Q

Ethanol

MoA

used for

A

GABA-A

Sedation

20
Q

Flumazenil

MoA

Used for

A

GABA-A Benzo receptor antagonist

Reverse sedation from benzo

21
Q

MoA of Antiepileptics

4

A
  • Na channel antagonists
  • Ca channel antagonists
  • Glutamate receptor antagonists
    • AMPA, NMDA
  • Cl channel agonists
22
Q

Antiepileptic drugs 7

A
  • Phenobarbital
  • Phenytoin
  • Primidone
  • Carbamazepine
  • Gabapentin
  • Valporate
  • Ethosuximide
23
Q

Phenobarbital

A
  • GABA-A r modulator
  • antiepileptic
  • Benzidiazepine
24
Q

Phenytoin

A
  • ANtiepi
  • Na antagonist
  • Someti