Pharmacodynamics Flashcards

1
Q

Which action causes anorgasmia

A

Alpha 1 antagonism

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2
Q

Blockade of postsynaptic D2/3 receptors in the limbic system does what

A

Reduces positive symptoms

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3
Q

What mood stabilisers are not licensed for acute mania?

A

Lamotrigine
Topiramate
Gabapentin

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4
Q

Citalopram and escitalopram are weak inhibitors of

A

CYP 1A2 and 2D6

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5
Q

SSRIs which are potent inhibitors

A

Fluoxetine
Fluvoxamine
Paroxetine

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6
Q

Which TCAs are more sedating?

A

Amitriptyline and dothiepin

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7
Q

What antipsychotic is best tolerated in PD?

A

Quetiapine

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8
Q

What should be avoided in PD?

A

Risperidone and typicals

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9
Q

What anticholinergic effect does aripiprazole have

A

none

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10
Q

Tyramine gains neuronal access and releases stored catecholamines via

A

Catecholamine reuptake channels

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11
Q

Which TCA has a stimulant effect and is best in ADHD?

A

Desipramine

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12
Q

Full agonist at mu receptor, long half life

A

Methadone

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13
Q

Chronic TCA use results in

A

Downregulation of beta adrenergic receptors

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14
Q

Mechanism of action of cyproheptadine

A

H1 blockade
Also 5HT2 antagonist

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15
Q

What side effects is cyproheptadine useful for treating

A

SSRI sexual SEs
Akathasia

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16
Q

What is california rocket fuel

A

Mirtazapine + SNRI (venla/dulox)

17
Q

Which street drug is a “dissociative anaesthetic”

18
Q

Which group of medication is most a/w bruxism?

A

stimulants

19
Q

Acamprosate mechanism of action

A

Glutamate antagonism

20
Q

Buspirone mechanism of action

A

5HT1A partial agonist

21
Q

What is the only antidepressant that can reasonably be used with an MAOI

A

Amitriptyline

22
Q

Barbituates mechanism of action

A

Increases duration of Chloride channel opening

23
Q

High D2/5HT2 activity

A

Risperidone

24
Q

Which SSRIs are used to treat premature ejaculation

A

Fluox and sertraline

25
Disulfiram acts on
Aldehyde dehydrogenase
26
Therapeutic effects of conventional antipsycotics is due to
Blockade of D2 receptors in the MESOLIMBIC PATHWAY
27
Mechanism of action of trazodone
SARI
28
Metabolite of trazodone (and action of this)
mCPP - 5HT2C agonist
29
Endogenous substrates for MAO
Adrenaline, dopamine, serotonin
30
Mechanism of action of varenicline
Partial nicotinic agonism
31
Excitotoxicity from overstimulation with glutamate results in neuronal damage - this is the rationale for treating neurodegenerative disorders with
Memantine
32
Blockage of which receptor provides antidepressant effects
5HT2C