Pharmacology: Chapter 6 Opiod (Narcotic) Analgesics and Antagonists Flashcards

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1
Q

What are the 3 opioid receptors?

A

mu (µ), kappa (k), delta (∂)

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2
Q

What do opioids function to do?

A

alter the reception of reaction to pain

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3
Q

mu (µ) receptors produce?

A

analgesia (the inability to feel pain)

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4
Q

k receptors produce?

A

analgesia and dysphoria with pentazocine (uneasiness or dissatisfaction)

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5
Q

What is ADME?

A
The components of how a drug is handled/processed by a living organism: 
Absorption
Distribution
Metabolism
Excretion
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6
Q

Absorption

A

the absorption of a drug by lungs, nasal, and oral mucosa through the mucous membrane and intact skin

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7
Q

Distribution

A

where drug undergoes variable first pass metabolism in the liver or intestinal wall, thus reducing their bioavailability

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8
Q

Metabolism

A

occurs in the liver in conjugation with glucuronic acid

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9
Q

Excretion

A

where metabolized opioids are excreted by glomerular filtration and then excreted by urine

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10
Q

What does first pass metabolism do?

A

reduces bioavailability of a certain opioid/drug (distribution phase)

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11
Q

____ is the opioid analgesic by which other opioids are measured?

A

Morphine

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12
Q

What class of drug is Morphine, Oxycodone, Hydrocodone?

A

Class II

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13
Q

What class of drug is Tylenol 3?

A

Class III

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14
Q

What is the Controlled Substance Act of 1970?

A

an Act that sets requirements for writing prescriptions for drugs (that are often prescribed in the dental office)

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15
Q

Schedule II drugs ____ be refilled?

A

Cannot

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16
Q

What is opioid addiction?

A

A disease of the brain that involves both a physical dependence and a psychologic dependence on the drug

17
Q

What are the two major signs of opioid addiction?

A

Cravings/Intense desire for the drug

Loss of control of the ability to stop using the drug or to control the amount

18
Q

The most common side effect of the opioid analgesics?

A

Sedation

19
Q

Long term administration of opioid analgesics can lead to?

A

Tolerance
Habituation
Dependence