Opiod Analgesics Flashcards
1
Q
Family receptors and protein coupled of opioids
A
u, k, d ▶️ Gi protein coupled
2
Q
Mechanism of action of opioids
A
- Gi coupled proteins in presynaptic ▶️ ⬇️ Ca influx ▶️ ⬇️ P substance (pain neurotransmitter)
- Gi coupled proteins in postsynaptic ▶️ ⬆️ K influx ▶️ hyperpolarization (⬇️ pain signal)
3
Q
Important adverse effect of meperidine. Why could it happen?
A
Serotonin syndrome (also seizures) Cytochrome P450 ▶️ normeperidine (serotonin uptake inhibitor)
4
Q
Classic triad of acute opioid toxicity
A
Pinpoint pupils
Respiratory depression
Coma
5
Q
Treatment opioid withdrawal
A
Supportive
Methadone
Clonidine (⬇️ SANS-like symptoms)
6
Q
Used for decrease craving for alcohol
A
Naltrexone