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

Additional Pharmacology Flashcards

 


 

Cards

Term
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
Definition
dexmethylphenidate
active enantiomer of amphetamine (the 'd' enantiomer)
same activity as other stimulants
Term
Definition
amphetamine
indirect sympathomimetic
stimulates an increase in NE transmission
Term
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
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

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
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
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