Parkinson' Flashcards
PARKINSONS
levodopa donepezil carbidopa memantine entacapone rivastigmine amantadine selegiline pramiprexole/ropinirole /bromocriptine/apomorphine benztropine
levodopa carbidopa entacapone amantadine selegiline pramiprexole/ropinirole /bromocriptine/apomorphine benztropine
ALZHEIMERS
levodopa donepezil carbidopa memantine entacapone rivastigmine amantadine selegiline pramiprexole/ropinirole /bromocriptine/apomorphine benztropine
donepezil
memantine
rivastigmine
Restless Legs Syndrome
levodopa donepezil carbidopa memantine entacapone rivastigmine amantadine selegiline pramiprexole/ropinirole /bromocriptine/apomorphine benztropine
levodopa
carbidopa
Dopamine Replacement:= levodopa donepezil carbidopa memantine entacapone rivastigmine amantadine selegiline pramiprexole/ropinirole /bromocriptine/apomorphine benztropine
levodopa
carbidopa
is a precursor to DA
levodopa donepezil carbidopa memantine entacapone rivastigmine amantadine selegiline pramiprexole/ropinirole /bromocriptine/apomorphine benztropine
levodopa
inhibits the peripheral breakdown of levodopa (before it crosses the BBB)
levodopa donepezil carbidopa memantine entacapone rivastigmine amantadine selegiline pramiprexole/ropinirole /bromocriptine/apomorphine benztropine
carbidopa
ADVERSE EFFECTS
DYSKINESIAS
Melanoma
levodopa donepezil carbidopa memantine entacapone rivastigmine amantadine selegiline pramiprexole/ropinirole /bromocriptine/apomorphine benztropine
levodopa
carbidopa
Prevents the breakdown of L-DOPA into inactive metabolites in the periphery
levodopa donepezil carbidopa memantine entacapone rivastigmine amantadine selegiline pramiprexole/ropinirole /bromocriptine/apomorphine benztropine
entacapone
Orange-yellow discoloration of urine
levodopa donepezil carbidopa memantine entacapone rivastigmine amantadine selegiline pramiprexole/ropinirole /bromocriptine/apomorphine benztropine
entacapone
Hepatocellular injury and liver failure
levodopa donepezil carbidopa memantine entacapone rivastigmine amantadine selegiline pramiprexole/ropinirole /bromocriptine/apomorphine benztropine
entacapone
Inhibitor MAO-B
levodopa donepezil carbidopa memantine entacapone rivastigmine amantadine selegiline pramiprexole/ropinirole /bromocriptine/apomorphine benztropine
selegiline
INCREASED NOREPENIPHRINE levodopa donepezil carbidopa memantine entacapone rivastigmine amantadine selegiline pramiprexole/ropinirole /bromocriptine/apomorphine benztropine
selegiline
INCREASED SEROTONIN
levodopa donepezil carbidopa memantine entacapone rivastigmine amantadine selegiline pramiprexole/ropinirole /bromocriptine/apomorphine benztropine
selegiline
Hypertensive crisis in high doses/ Cheese effect
levodopa donepezil carbidopa memantine entacapone rivastigmine amantadine selegiline pramiprexole/ropinirole /bromocriptine/apomorphine benztropine
selegiline
Serotonin Syndrome Risk
levodopa donepezil carbidopa memantine entacapone rivastigmine amantadine selegiline pramiprexole/ropinirole /bromocriptine/apomorphine benztropine
selegiline
NEVER GIVE AN MAO
levodopa donepezil carbidopa memantine entacapone rivastigmine amantadine selegiline pramiprexole/ropinirole /bromocriptine/apomorphine benztropine
selegiline
Dopamine Agonists
levodopa donepezil carbidopa memantine entacapone rivastigmine amantadine selegiline pramiprexole/ropinirole /bromocriptine/apomorphine benztropine
pramiprexole/ropinirole /bromocriptine/apomorphine
Acromegaly (pituitary tumors) and hyperprolactinemia
levodopa donepezil carbidopa memantine entacapone rivastigmine amantadine selegiline pramiprexole/ropinirole /bromocriptine/apomorphine benztropine
/bromocriptine
To Induce Vomiting in Animals!
levodopa donepezil carbidopa memantine entacapone rivastigmine amantadine selegiline pramiprexole/ropinirole /bromocriptine/apomorphine benztropine
Apomorphine
P R A B Is ?
levodopa donepezil carbidopa memantine entacapone rivastigmine amantadine selegiline pramiprexole/ropinirole /bromocriptine/apomorphine benztropine
Pramipexole
Ropinirole
Apomorphine
Bromocriptine
Probably vomit
Postural hypotension
levodopa donepezil carbidopa memantine entacapone rivastigmine amantadine selegiline pramiprexole/ropinirole /bromocriptine/apomorphine benztropine
Pramipexole
Ropinirole
Apomorphine
Bromocriptine
Sedation- “sleep attacks” seen with
Pramipexole
Ropinirole
Apomorphine
Bromocriptine
pramipexole/ropinirole
USED TO TREAT
◦ Dyskinesia’s CAUSED by L-DOPA
levodopa donepezil carbidopa memantine entacapone rivastigmine amantadine selegiline pramiprexole/ropinirole /bromocriptine/apomorphine benztropine
Amantadine
has anticholinergic properties, may help stimulate DA release
levodopa donepezil carbidopa memantine entacapone rivastigmine amantadine selegiline pramiprexole/ropinirole /bromocriptine/apomorphine benztropine
Amantadine
ADVERSE EFFECTS
◦ Anticholinergic
◦ Livedo Reticularis
levodopa donepezil carbidopa memantine entacapone rivastigmine amantadine selegiline pramiprexole/ropinirole /bromocriptine/apomorphine benztropine
Amantadine
ADVERSE EFFECTS
◦ Livedo Reticularis
levodopa donepezil carbidopa memantine entacapone rivastigmine amantadine selegiline pramiprexole/ropinirole /bromocriptine/apomorphine benztropine
Amantadine
USED TO TREAT
◦ Parkinson’s-treatstremors
◦ Usually used in younger patients vs older
levodopa donepezil carbidopa memantine entacapone rivastigmine amantadine selegiline pramiprexole/ropinirole /bromocriptine/apomorphine benztropine
Benztropine
USED TO TREAT
Pseudoparkinsons/ExtrapyramidalSymptoms(EPS) caused by
antipsychotics
levodopa donepezil carbidopa memantine entacapone rivastigmine amantadine selegiline pramiprexole/ropinirole /bromocriptine/apomorphine benztropine
Benztropine
is a patch for Alzheimer’s Disease
levodopa donepezil carbidopa memantine entacapone rivastigmine amantadine selegiline pramiprexole/ropinirole /bromocriptine/apomorphine benztropine
Rivastigmine
is a pill forAlzheimer’s Disease
levodopa donepezil carbidopa memantine entacapone rivastigmine amantadine selegiline pramiprexole/ropinirole /bromocriptine/apomorphine benztropine
Donepezil
give donepezil at night or morning ,
night
GI upset- most common
-Heart rarely bradycardia
-Lungs
bronchoconstriction COPD/Asthma
levodopa donepezil carbidopa memantine entacapone rivastigmine amantadine selegiline pramiprexole/ropinirole /bromocriptine/apomorphine benztropine
Rivastigmine + Donepezil
Moderate to Severe Alzheimer’s Disease
levodopa donepezil carbidopa memantine entacapone rivastigmine amantadine selegiline pramiprexole/ropinirole /bromocriptine/apomorphine benztropine
Memantine