Unit 2- Sedatives Flashcards
Sedatives MOA
Depress the CNS at the basal ganglia, hypothalamus, limbic system, and brain stem through dopamine, adrenergic, serotonin, opioid, and GABA receptors
Sedative Pharmacologic Effects
Bradycardia, hypotension, tachycardia, hypoventilation, and decreased GI motility
Phenothiazine Derivative MOA
Block dopamine action and reduce action of serotonin
Benzodiazepine MOA
Enhance inhibitory effect of GABA
α2-adrenergic Agonist MOA
Stimulate α2-adrenoreceptors to inhibit norepinephrine release by negative feedback mechanism
Butyrophenone Derivative MOA
Block dopamine receptors
Opioid MOA
Stimulate opioid receptors
Phenothiazine Derivatives
Chlorpromazine, Acepromazine, Promazine, Triflupromazine
Phenothiazine Pharmacologic Effects
Depression of brain stem and connections to cerebral cortex, decrease spontaneous motor activity, no analgesia
Chlorpromazine Pharmacologic Effects
Sedation, antagonist of apomorphine emesis in dogs, block FSH and LH release, increase prolactin, reduce myocardium contractility, arrhythmia
Chlorpromazine Adverse Effects
Extrapyramidal signs, hyperesthesia and excitement of horses and penile prolapse
Extrapyramidal Signs
Movement Disorders
Chlorpromazine Contraindications
Hypovolemia or shock, hepatic disfunction, combine with atropine in dogs, severe side effects in horses
Acepromazine
More potent shorter acting than chlorpromazine, highly protein bound in horses, immobilizes large animals
Promazine
Less potent than chlorpromazine, duration dose dependent
Triflupromazine
Sedative and anti-emetic, higher risk of side effects
GABA A Receptor
Ligand-gated ion channel causing hyperpolarization
Bezodiazepines
Diazepam, Midazolam, Clonazepam, Zolazepam, Alprazolam