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Exam 5
gout, migraine, anticonvulsants, parkinsons, sedatives, anxiolytics, muscle relaxants, alcohol
76
Pharmacology
Graduate
11/02/2014

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Term
indomethacin (indocin)
Definition
NSAID (acute gout attack)
Term
ibuprofen (motrin)
Definition
NSAID (acute gout attack, migraine)
Term
ketorolac (toradol)
Definition
injectable NSAID (acute gout attack)
Term
colchicine (colcrys)
Definition
binds tubulin inhibiting gout specific inflammation (acute gout attack)
Term
allopurinol (xyloprim)
Definition
xanthine oxidase inhibitor--decreasing formation of uric acid (prophylaxis for gout in patients who are producing excess uric acid or have existing kidney stones)
Term
febuxostat (uloric)
Definition
xanthine oxidase inhibitor--decreasing formation of uric acid (prophylaxis for gout in patients who are producing excess uric acid or have existing kidney stones)
Term
probenecid (benemid)
Definition
inhibits secretion and reabsorption of uric acid (prophylaxis of gout in patients who do not normally excrete large amounts of uric acid in the urine)
Term
rasburicase (elitek)
Definition
recombinant urate-oxidase/uricase enzyme--converts uric acid to allantoin (prophylaxis of gout in pediatric patients receiving anticancer therapy or severe refractory gout)
Term
pegloticase (krystexxa)
Definition
recombinant urate-oxidase/uricase enzyme--converts uric acid to allantoin (prophylaxis of severe refractory gout)
Term
aspirin
Definition
NSAID (migraine)
Term
acetaminophen
Definition
migraine
Term
ergotamine tartrate (ergomar, ercaf, cafergot)
Definition
5-HT1B receptor agonist--vasoconstriction and reduce neurogenic inflammation (2nd line therapy for acute treatment of migraine)
Term
dihydroergotamine (D.H.E. 45)
Definition
5-HT1B receptor agonist--vasoconstriction and reduce neurogenic inflammation (2nd line therapy for acute treatment of migraine)
Term
sumatriptan (imitrex)
Definition
1st gen triptan serotonin derivative--vasoconstriction and reduce neurogenic inflammation (1st line treatment for migraine)
Term
zolmitriptan (zomig, zomig ZMT)
Definition
2nd gen triptan serotonin derivative--vasoconstriction and reduce neurogenic inflammation, centrally inhibits pain transmission in trigeminal nucleus (1st line treatment for migraine)
Term
metoclopramide (reglan)
Definition
dopamine antagonist (acute migraine, antiemetic)
Term
prochlorperazine (compazine)
Definition
dopamine antagonist (acute migraine, antiemetic)
Term
chlorpromazine (thorazine)
Definition
dopamine antagonist (acute migraine, antiemetic)
Term
propranolol
Definition
B blocker (prophylaxis of migraine, anxiolytic--stage fright)
Term
nadolol
Definition
B blocker (prophylaxis of migraine)
Term
timolol
Definition
B blocker (prophylaxis of migraine)
Term
atenolol
Definition
B blocker (prophylaxis of migraine)
Term
metropolol
Definition
B blocker (prophylaxis of migraine)
Term
amitriptyline (elavil)
Definition
down regulation of central 5-HT2 and adrenergic receptors (prophylaxis of migraine)
Term
valproic acid (depakote, depakene)
Definition
increases GABA synthesis, modulates glutamate and inhibits sodium channel reactivation and T-type Ca+ channels (prophylaxis of migraine, absence, myoclonic, partial and tonic/clonic seizures)
Term
botulinum toxin type A (botox)
Definition
migraine, medication rebound migraine
Term
gabapentin (neurontin)
Definition
facilitates GABA neurotransmission, modulates glutamate and inhibits sodium and calcium channel activity (prophylaxis of migraine, partial seizures, neuropathic pain)
Term
phenobarbital (luminal)
Definition
long acting barbituate--GABA receptor agonist (generalized tonic-clonic and partial seizures, status epilepticus)
Term
Phenytoin (dilantin, diphenylan)
Definition
prolong recovery rate of voltage-gated Na+ channels (generalized tonic-clonic and partial seizures, status epilepticus)
Term
carbamazepine 1974 (tegretol, carbatrol)
Definition
prolong recovery rate of voltage-gated Na+ channels (generalized tonic-clonic and partial seizures, manic-depressive patients)
Term
oxcarbazepine 2000 (trileptal)
Definition
prolong recovery rate of voltage-gated Na+ channels (partial seizures)
Term
ethosuximide 1960 (zarontin)
Definition
inhibits T-type Ca+ channels (absence seizures)
Term
lamotrigine-1994 (lamictal)
Definition
prolong recovery rate of voltage-gated Na+ channels (partial and generalized tonic/clonic seizures, "broad spectrum" AED)
Term
topiramate 1996 (topomax)
Definition
inhibits Na channels, AMPA-kainate receptors, and enhances GABA receptors (partial and tonic/clonic seizures, "broad spectrum" AED, prophylaxis of migraine)
Term
levetiracetam-1999 (keppra)
Definition
partial and tonic/clonic seizures in adults and myoclonic seizures in children, status epilepticus
Term
L-DOPA (larodopa, sinemet)
Definition
dopamine precursor (parkinsons)
Term
carbidopa (lodosyn)
Definition
DOPA decarboxylase inhibitor in periphery (combo with L-DOPA for parkinsons)
Term
sinemet
Definition
carbidopa+L-DOPA (parkinsons)
Term
bromocryptine (parlodel)
Definition
ergot derivative--nonspecific DA receptor agonist (parkinsons)
Term
ropinirole (requip)
Definition
non-ergot dopamine receptor agonist (parkinsons, restless leg syndrome)
Term
pramipexole (mirapex)
Definition
non-ergot dopamine receptor agonist (parkinsons, restless leg syndrome)
Term
amantadine (symmetrel)
Definition
stimulates dopamine release (parkinsons, antiviral)
Term
selegiline/deprenyl (eldepryl, zelapar)
Definition
MAO-B inhibitor--prevents DA breakdown in CNS (late parkinsons)
Term
rasalagine (azilect)
Definition
MAO-B inhibitor--prevents DA breakdown in CNS (early and late parkinsons)
Term
entacapone (comtan)
Definition
COMT inhibitor--inhibits metabolism of DA (parkinsons)
Term
stalevo
Definition
L-DOPA+carbidopa+entacapone
Term
benztropine (cogentin)
Definition
anticholinergic (iatrogenic parkinsonism--drug induced)
Term
trihexyphenidyl (artane)
Definition
anticholinergic (iatrogenic parkinsonism--drug induced)
Term
diphenhydramine (benadryl)
Definition
antihistamine w/ anticholinergic activity (iatrogenic parkinsonism)
Term
parcopa
Definition
L-DOPA+carbidopa
Term
midazolam (versed)
Definition
short duration benzodiazepine (anesthesia)
Term
triazolam (halcion)
Definition
short duration benzodiazepine (hypnotic-insomnia)
Term
temazepam (restoril)
Definition
intermediate duration benzodiazepine (hypnotic-insomnia)
Term
lorazepam (ativan)
Definition
intermediate duration benzodiazepine (hypnotic, anxiolytic, anesthesia, withdrawal suppressant, status epilepticus)
Term
alprazolam (xanax)
Definition
intermediate duration benzodiazepine (anxiolytic)
Term
chlordiazepoxide (librium)
Definition
long duration benzodiazepine (anxiolytic, anticonvulsant, withdrawal suppressant)
Term
diazepam (valium)
Definition
long duration benzodiazepine (anxiolytic, anticonvulsant, anesthesia, withdrawal suppressant, muscle relaxant)
Term
pentobarbital (nembutal)
Definition
intermediate duration barbituate (hypnotic-insomnia)
Term
butalbital
Definition
intermediate duration barbituate (hypnotic-insomnia)
Term
thiopental (pentothal)
Definition
ultra short duration barbituate (anesthesia)
Term
buspirone (buspar)
Definition
partial 5-HT1A receptor agonist (anxiolytic, hypnotic-insomnia, muscle relaxant--especially in patients with history of drug abuse)
Term
zolpidem (ambien)
Definition
enhance GABA effects (hypnotic-insomnia)
Term
zaleplon (sonata)
Definition
enhance GABA effects (hypnotic-insomnia)
Term
eszopiclone (lunesta)
Definition
enhance GABA effects (hypnotic-insomnia)
Term
gammahydroxybutyrate (GHB)
Definition
GABA analog (date rape drug, liquid ecstasy, easy lay, georgia home boy)
Term
melatonin
Definition
pineal gland hormone (sleep aid)
Term
ramelteon (rozerem)
Definition
melatonin receptor agonist (sleep aid)
Term
flumazenil (romazicon)
Definition
benzodiazepine antagonist (post anesthesia, benzo poisoning)
Term
baclofen (lioresal)
Definition
GABA analog at GABA-B receptors in spinal cord (spasticity from MS and spinal cord injuries)
Term
cyclobenzaprene (flexeril)
Definition
inhibits gamma and alpha motor systems (muscles spasms of local origin--strains)
Term
tizanidine (zanaflex)
Definition
alpha-2 adrenergic agonist (muscle relaxant)
Term
metaxalone (skelaxin)
Definition
muscle relaxant
Term
disulfiram (antabuse)
Definition
aldehyde dehydrogenase inhibitor (alcoholism)
Term
naltrexone (ReVia)
Definition
long acting opioid antagonist (reduce ETOH craving)
Term
acamprosate (campral)
Definition
reduce ETOH cravings--alcoholics with liver problems
Term
clozapine (clozaril)
Definition
atypical antipsychotic (managing psychiatric side effects of L-DOPA)
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