Pharmacology pt 17: Final Flashcards
primary goal of muscle relaxants
selective decrease in skeletal muscle excitability
mainly used with muscle spasms or spasticity
causes of muscle spasms
injury to muscle or peripheral nerve
tonic contraction in paraspinals, traps, etc
what causes spasticity of muscles
CNS lesion
exaggerated stretch reflex
agents used to treat muscle spasms
centrally acting anti spasm drugs
diazepam
what are centrally acting anti spasm drugs
diverse group
used in back and neck spasms or other ortho injuries
examples of centraly acting antispasm drugs
carisoprodol
chlorzoxazone
cyclobenzaprine
metaxalone
methocarbamol
orphenadrine citrate
possible mechanisms of action of centrally acting anti spasm drugs
enhanced GABA inhibition in brain
increase seratonin in brainstem
other unknown
characteristics of diazepam (valium)
benzodiazepine agent
originally anti anxiety drug
works in CNS; increased inhibition of GABA
(GABA = inhibitory neurotransmitter with receptors in brain and spinal cord
valium mechanism of action
increases GABA mediated inhibition of alpha motor neuron
less excitation = muscle relaxed
used with spasms/spasticity
also causes sedation
valium mechanism of action
increases GABA mediated inhibition of alpha motor neuron
less excitation = muscle relaxed
used with spasms/spasticity
also causes sedation