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Antipsychotics (neuroleptics)
Rx: Schizphrenia, tourettes, psychosis, acute mania, delirium
9
Medical
Kindergarten
05/25/2010

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Cards

Term
How to remember these drugs
Definition
They are haloperidol + -azines
Term
Mechanism
Definition
All atypicals blcok Dopamine D2 receptors --> Increased [cAMP]
Term
High Potency
Definition
1. Haloperidol
2. Trifluoperazine
3. Fluphenazine

These have more neurologic ADRs and less anticholinergic ADRs
Term
Low Potency
Definition
1. Thioridazine
2. Chlorpromazine

These have fewer neurologic ADRs and more anti-ACh ADRs
Term
Toxicity: EPS
Definition
EPS - extrapyramidal - Dystonias, akinesias, akathisias and Tardive Dyskinesia
Term
Toxicity: NMS syndrome
Definition
Basically all from an excess of muscle contraction:

Rigidity, myoglobinuria, hyperpyrxia

Rx: Dantrolene and DA agonists like bromocriptine
Term
Chlorpromazine
Definition
Low potency
Key ADR= Corneal deposits
Term
Thioridazine
Definition
Low potency

ADR: reTinal deposits
Term
Side-effects from blocking other receptors
Definition
1. Anti-Muscarinic - dry mouth, constipation
2. Anti-Alpha adrenergic - hypotension
3. Anti-Histamine - Sedation
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