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Neuropharmacology
Neuro PBL pharm
63
Medical
Graduate
09/19/2009

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Cards

Term
Lidocaine
Definition
Intermediate strength, short acting. Topical, epidural, laryngeal
Term
Bupivicaine
Definition
High potency, medium duration local anesthetic. Parenteral only.
Term
Mepivicaine
Definition
Same as lidocaine but perenteral only
Term
Cocaine
Definition
Low strength local anelgisic, vasoconstrictive, for nasal, laryngeal surgery
Term
Tramadol
Definition
Non-opioid analgesic. Good for neuralgia, inhibits NE and 5-HT reuptake
Term
Propofol
Definition
General anesthetic. Facilitates GABA, anti-emetic, decrease ICP, less confusion than thiopental
Term
Midazolam
Definition
General anesthetic. Facilitates GABA, less respiratory depression, slower onset. Used for colonscopy, cardiac catheterization
Term
Ketamine
Definition
General anesthetic. Blocks NMDA receptors. Increases BP, ICP and HR. For trauma victims w/ volume depletion
Term
Thiopental
Definition
Fast acting general anesthetic. Good for inducing anesthesia. Drug redistribution determines length of effect.
Term
Nitrous Oxide (N2O)
Definition
Very high MAC, coadminister with O2.
Term
Desflurane
Definition
General anesthetic
Term
Enflurane
Definition
General anesthetic
Term
Morphine
Definition
Anelgisia, miosis, respiratory depression, sedition, anti-tussis. Works on dorsal horn or PAG.
Causes constipation, N/V, hypotension, urinary retention, pruritis
Term
Codeine
Definition
1/10 analgesic potency of morphine. Less sedation, less constipation, less addictive. Anti-tussive. CYP2D6 converts to MS in liver.
Term
Meperidine (demerol)
Definition
1/10 analgesic potency of MS. Short duration, addictive.
Term
Methadone
Definition
Stronger than MS, long easy withdrawal. Used for detoxification, esp. for Heroin
Term
Oxycodone
Definition
Opioid. Give w/ acetaminophen (Percocet) or w/ ASA (Percodan) or controlled release (Oxycontin)
Term
Fentanyl
Definition
Opioid, 100x stronger than MS. Transdermal, causes some rigidity.
Term
Nalbuphine
Definition
Parenteral only, opioid. Mu antagonist, Kappa agonist - causes psychotomimesis (hallucinations)
Term
Buprenorphine
Definition
Partial agonist at Mu, can prevent withdrawal symptoms in physically dependent patients on MS or heroin.
Term
Naloxone
Definition
Competetive antagonist at Mu, Kappa, Delta. Blocks opioid effects, for emergency use in overdoses.
Term
Naltrexone
Definition
Like naloxone (opioid antagonist) but PO, lasts longer. Prevents relapse in chronic alcoholics or opioid users
Term
Glatiramer acetate
Definition
Mimics Myelin Basic Protein (target for destruction in Multiple Sclerosis), deflects T-cell attention from neurons.
Term
Natalizumab
Definition
Mononcolonal Ab, blocks T-cell migration into CNS
Term
Interferon-Beta
Definition
Reduces Sx of Multiple Sclerosis
Term
Phenytoin
Definition
Anticonvulsant. Blocks Na+ channels. Hepatic metabolism, 90% albumin bound. Causes: hirsutism, gingival hyperplasia, teratogenic.
Use for: major motion seizures, chronic pain, partial seizures
Term
Carbamazepine
Definition
Anti-convulsant. Blocks Na+ channels and NE reuptake. Hepatic metabolism, induces CYP450s. Can cause agranuloctosis and rare stephens-johnson. Uses: tonic-clonic seizure, bipolar disorder, trigeminal neuralgia
Term
Lamotrigine
Definition
Anti-convulsant, for chronic pain syndromes and bipolar too.
Term
Valproate
Definition
Anti-convulsant, migraine prophylaxis. Inhibits T-type Ca+ channels, increases GABA. Causes hair loss, weight gain, risk of hepatitis. Uses: bipolar, absence, partial or generalized, chronic pain (wide uses)
Term
Ethosuximide
Definition
Anti-convulsant, inhibits thalamic T-type Ca2+ channels. For ABSENCE seizures.
Term
Zonisamide
Definition
Anti-convulsant, inhibits T-type Ca+ channels. Renal excretion. Causes anorexia, somnolence, renal calculi. Uses: refractory partial seizure
Term
Gabapentin
Definition
Anti-convulsant. GABA analogue. Excreted unchanged in urine. Causes weight gain. Uses for chronic pain and partial seizures.
Term
Pregabalin
Definition
Anti-convulsant. GABA analog. Causes abnormal thoughts, weight gain. Use for fibromyalgia, diabetic/herpetic neuropathic pain, partial seizures
Term

Topiramate

 

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Definition
Anti-convulsant, migraine prophylaxis. Potentiates GABA, decrease Glu. Renal excretion. May cause kidney stones metabolic acidosis. For migraines, bipolar, chronic pain, multiple seizure types
Term
Levetiracetam
Definition
Anti-convulsant. Mostly excreted by kidneys. No known drug interactions. For refractory seizures in adults.
Term
Phenobarbitol
Definition
Anti-epileptic. Choice for pregnant women. Causes sedition/amnesia.
Term
Lorazepam
Definition
IV drug for status epilepticus
Term
Levodopa
Definition
LDOPA crosses BBB, converted to DA by DDC.
Term
Carbidopa
Definition
Blocks peripheral DDC to reduce side effects of LDOPA.
Term
Selegeline
Definition
MAO-B inhibitor. Increases endogenous DA
Term
Rasagiline
Definition
MAO-B inhibitor, increases endogenous DA
Term
Benztropine
Definition
mACh blocker, small benefit for Parkinsons
Term
Amantadine
Definition
Antiviral, stimulates DA release in brain
Term
Pramipexole
Definition
DA receptor agonist, longer duration than LDOPA, reduces risk of long term motor problems
Term
Ropinirole
Definition
DA receptor agonist, longer duration than LDOPA, better long term outcome
Term
Entacapone
Definition
COMT inhibitor, given w/ LDOPA
Term
Apomorphine
Definition
DA receptor agonist (for advanced Parkinsons)
Term
Bromocriptine
Definition
Ergot derived DA receptor agonist, also suppresses prolactin release
Term
Clopidogrel
Definition
Anti-platelet (ADP receptor inhibitor), reduces risk of MI or stroke w/ less bleeding than ASA
Term
ASA
Definition
Prophylactic for TIA or stroke. Inhibits thromboxane
Term
Donepezil
Definition
Treats alzheimers by increasing cortical acetylcholine
Term
Galantamine
Definition
Palliative Tx for alzheimers. Acetylcholinesterase inhibitor
Term
Memantine
Definition
For Alzheimers. NMDA receptor inhibitor (stops leaky NMDA channels)
Term
Rivastigmine
Definition
Cholinergic agent for Alzheimers. Transdermal patch available.
Term
Sumatriptan
Definition
Migrain abortant. 5-HT agonist, causes cerebral vasoconstriction
Term
Dihydroergotamine (DHE)
Definition
Migraine abortant. 5-HT agonist. Serious side effects, including fetal harm.
Term
Propanolol
Definition
Beta-blocker. Good migraine prophylaxis in children.
Term
Valproic Acid
Definition
Anti-convulsant, and prevents migraines. GABA agonist, blocks T-tuble Ca2+ channel.
Term
Amitryptyline
Definition
Migraine prophylaxis. Inhibits 5-HT and NE reuptake
Term
Topiramate
Definition
Anti-convulsant and migraine prophylaxis. Blocks Na+ channels.
Term
Anticholinergics
Definition
cause dementia
Term
Benzodiazepines
Definition
Cause dementia
Term
Opioids
Definition
Can cause dementia
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