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ADHD and Stimulants
ADHD treatment, narcolepsy, stimulants
11
Pharmacology
Post-Graduate
02/26/2010

Additional Pharmacology Flashcards

 


 

Cards

Term
[image]
Definition
methylphenidate
d is more active than l
blocks NE and DA reuptake and increase synaptic NE/DA transmission

t1/2: 1 to 2 hours
degraded by plasma esterases to PPA (90% excreted)
Term
[image]
Definition
dexmethylphenidate
active enantiomer of amphetamine (the 'd' enantiomer)
same activity as other stimulants
Term
[image]
Definition
amphetamine
indirect sympathomimetic
stimulates an increase in NE transmission
Term
[image]
Definition
lisdexmefatamine
prodrug
requires metabolism to become active
forms the lysine and dextro amphetamine components
lower risk of abuse
Term
primary metabolite of methylphenidate
Definition
PPA
Term
[image]
Definition
atomoxetine
SNRI (R (-) enantiomer)
notice that it has two aryl groups
an ether
and long alkyl chain with terminal N
looks a lot like an SSRI

low risk of abuse, treatment of ADHD in adults/children >6
Term

[image]imagine this molecule with an OH at the para position on the bottom "phenyl" group



Definition
4-hydroxyatomoxetine

active metabolite of atomoxetine (about as equal)
Term
N-desmethylatomoxetine
Definition
an inactive metabolite of atomextine (loss of n-methyl substituent)
Term
[image]
Definition
modafinil

antinarcoleptic agent
perhaps increases DA transmission/blocks reuptake
not necessarily known MoA
can cause severe rash
scheduled medication (C iv)
potential risk of abuse
marketed by Cephalon
Term
[image]
Definition
amodafinil

antinarcoleptic agent
perhaps increases DA transmission/blocks reuptake
less potential SEs of modafinil
increased potency (therefore lower dose = same effect)

scheduled medication (C iv)
potential risk of abuse
marketed by Cephalon
Term

atomoxetine characteristics:

absorption

activity

metabolism and metabolites

 

Definition

atomoxetine characteristics:

absorption: full large, well absorbed

activity: active plus 4-hydroxy metabolite active (the N-demthyl product is not)

metabolism and metabolites: aromatic hydroxylation to 4-hydroxy and N-demeth to N-des"" product that is least active

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