Shared Flashcard Set

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Opiates
n/a
11
Medical
Graduate
10/20/2009

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Cards

Term
Opiod receptors
Definition
G protein coupled metabotropic receptors that inhibit adenylate cyclase; increased potassium efflux or reduced calcium influx and inhibition of neuronal firing
Term
Strong agonists
Definition
Morphine, meperidine, methadone, fentanyl, heroin, oxycodone
Term
Moderate agonists
Definition
Codeine, hydrocodone, propoxyphene
Term
Morphine actions
Definition
Mu receptors and variable affinity for other subtypes; analgesic/euphoric effect; Respiratory depression due to decreased sensitivity to CO2 but medullary respiratory neurons; Cough reflex dampened; Miosis due to effects at EW nucleus leading to increased parasympathetic tone
Term
Pharmacokinetics of morphine
Definition
IV/IM; little BBB crossing but does cross placenta
Term
Methadone
Definition
Long half life, used on detox protocols for heroin, can be analgesic
Term
Meperidine
Definition
Mu receptors primarily but also kappa, don't give to those on MAOI
Term
Buprenorphine
Definition
Acts like morphine in opiod naive patients and precipitates withdrawal - outpatient treatment of opiod dependence
Term
Tramadol
Definition
Partial agonist, most commonly abused
Term
Methylxanthines
Definition
Include theophylline, theobromine and caffeine
Term
Nicotine
Definition
Nicotinic cholinergic receptors in the brain - autonomic effects and stimulant effects mediated within the brain; lower doses --> euphoria/alertness; high doses --> respiratory paralysis
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