Shared Flashcard Set

Details

Parkinsons
N/A
17
Medical
Graduate
01/27/2009

Additional Medical Flashcards

 


 

Cards

Term
Antipsychotics (Haloperidol), reserpine at high doses, and MPTP (by-product of illicit meperidine analog) and is irreversible
Definition
Drug induced Parkinsonism
Term
Agent used in drug therapy of Parkinson's instead of Dopamine which has low bioavailability and does not cross BBB
Definition
L-dopa
Term
This is combined with L-dopa, inhibits DOPA decarboxylase (active only peripherally) which allows lower effective doses of L-dopa and allows for fewer SE's (GI distress, postural hypotension, and dyskinesias)
Definition
Carbidopa
Term
Clinical response that may fluctuate in tx of Parkinson's dx
Definition
"On-off-phenomenon"
Term
Anti-Parkinson's drug which increases intraocular pressure and is contraindicated in closed angle glaucoma
Definition
Levodopa
Term
Ergot alkaloid that is a partial agonist at D2 receptors in the brain, used for patients who are refractory or cannot tolerate levodopa, causes erythromelalgia
Definition
Bromocriptine
Term
Non ergot agents used as first-line therapy in the initial management of Parkinson's
Definition
Pramipexole and ropinirole
Term
Enhances dopaminergic neurotransmission. SE's include CNS excitation, acute toxic psychosis and livedo reticularis
Definition
Amantadine
Term
Inhibitor of MAO type B which metabolizes dopamine, used adjunct to levodopa or as sole agent in newly diagnosed pts
Definition
Selegiline
Term
Inhibitors of catechol-O-methyltransferase (COMT), used as adjuncts in Parkinson's dx and cause acute hepatic failure (monitor LFT's)
Definition

Tolcapone

 

Term
COMT inhibitor that does not cause liver problems; used with levodopa and carbidopa as part of Stalevo
Definition
Entacapone
Term
Agent decreases the excitatory actions of cholinergic neurons. May improve tremor and rigidity but have LITTLE effect on bradykinesia. Atropine-like SEs
Definition
Benztropine
Term
Agent effective in physiologic and essential tremor
Definition
Propranolol
Term
Agents used in Huntington's Disease
Definition
Tetrabenazine (amine depleting drug), Haloperidol (antipsychotic)
Term
Agents used in Tourette's dx
Definition
Haloperidol or pimozide
Term
Chelating agent used in Wilson's disease
Definition
Penicillamine
Term
Dopamine agonist used for 'off' periods of akinesia
Definition
Apomorphine
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