| Term 
 | Definition 
 
        | short duration benzodiazepine (anesthesia) |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | intermediate duration benzodiazepine (hypnotic, anxiolytic, anesthesia, withdrawal suppressant, status epilepticus) |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | intermediate duration benzodiazepine (anxiolytic) |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | long duration benzodiazepine (anxiolytic, anticonvulsant, anesthesia, withdrawal suppressant, muscle relaxant) |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | intermediate duration barbituate (hypnotic-insomnia) |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | intermediate duration barbituate (hypnotic-insomnia) |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | ultra short duration barbituate (anesthesia) |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | partial 5-HT1A receptor agonist (anxiolytic, hypnotic-insomnia, muscle relaxant--especially in patients with history of drug abuse) |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | enhance GABA effects (hypnotic-insomnia) |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | enhance GABA effects (hypnotic-insomnia) |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | enhance GABA effects (hypnotic-insomnia) |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | melatonin receptor agonist (sleep aid) |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | benzodiazepine antagonist (post anesthesia, benzo poisoning) |  | 
        |  | 
        
        | Term 
 | 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 
 | Definition 
 | 
        |  | 
        
        | Term 
 
        | chlorpromazine (throrazine) |  | Definition 
 
        | low potency phenothiazine--D2 antagonist (antipsychotic) --sedation, CV, AC effects |  | 
        |  | 
        
        | Term 
 
        | fluphenazine (prolixin, prolixin decanoate) |  | Definition 
 
        | high potency phenothiazine--D2 antagonist (antipsychotic) --EPS effects |  | 
        |  | 
        
        | Term 
 
        | trifluoperazine (stelazine, suprazine) |  | Definition 
 
        | high potency phenothiazine--D2 antagonist (antipsychotic) --EPS effects |  | 
        |  | 
        
        | Term 
 
        | haloperidol (haldol, haldol decanoate) |  | Definition 
 
        | high potency NONphenothiazine--D2 antagonist (antipsychotic) --EPS effects |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | 2nd gen atypical antipsychotic--D4 and 5HT antagonist (2nd line therapy as antipsychotic) --grunulocytopenia, agranulocytosis, seizures, metabolic SE's |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | 2nd gen atypical antipsychotic--D4 and 5HT antagonist (antipsychotic)  --AC effects, metabolic SE's |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | 2nd gen atypical antipsychotic--D4 and 5HT antagonist (widely used antipsychotic) --metabolic SE's |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | 2nd gen atypical antipsychotic--Partial AGONIST/ANTAGONIST at D2 and 5-HT1a (antipsychotic) |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | 2nd gen atypical antipsychotic--D4 and 5HT antagonist (antipsychotic) |  | 
        |  | 
        
        | Term 
 
        | imipramine (tofranil, janimine) |  | Definition 
 
        | tricyclic--inhibits reuptake of NE and 5HT (BED WETTING, pain, 2nd line tx for depression) --decreases BETA receptors, AC and CV effects |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | tricyclic--inhibits reuptake of NE and 5HT (pain, 2nd line tx for depression) --worst AC effects |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | SSRI (depression, OCD, anxiety, PMDD, bulimia, anorexia) --drug interactions |  | 
        |  | 
        
        | Term 
 | Definition 
 | 
        |  | 
        
        | Term 
 | Definition 
 
        | SSRI (OCD, depression) --short half life, wt gain |  | 
        |  | 
        
        | Term 
 | Definition 
 | 
        |  | 
        
        | Term 
 | Definition 
 | 
        |  | 
        
        | Term 
 
        | venlafaxine (effexor) desvenlafaxine (pristiq)
 |  | Definition 
 
        | SNRI--inhibits reuptake of NE, 5HT, and DA (depression, anxiety) --stimulant activity, decreased BETA receptors |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | 2nd gen antidepressant--inhibits reuptake of 5HT, also blocks 5HT-2 receptors (depression) --PRIAPISM, sedating |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | 2nd gen antidepressant--inhibits DA reuptake (depression, nicotine/cocaine/amphetamine addictions) --SEIZURES |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | selective NE reuptake inhibitor (ADHD) --decreases BETA receptors, INCREASED BP |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | MAO inhibitor (bulimia, OCD, PTSD, narcolepsy, 3rd line tx for depression) --orthostatic HYPOtension, OD causes HYPERtension, tyramine toxicity, pheochromocytoma |  | 
        |  | 
        
        | Term 
 
        | tranylcypromine (parnate) |  | Definition 
 
        | MAO inhibitor (bulimia, OCD, PTSD, narcolepsy, 3rd line tx for depression) --orthostatic HYPOtension, OD causes HYPERtension, tyramine toxicity, pheochromocytoma |  | 
        |  | 
        
        | Term 
 
        | lithium carbonate (eskalith) |  | Definition 
 
        | mood stabilizer--alters phosphoinositol pathway? (manic depressive disorders) --hypothyroidism, nephrotoxic, teratogenic, toxicity=drunkenness |  | 
        |  | 
        
        | Term 
 
        | valproic acid analogs (depakene/depakote) |  | Definition 
 
        | antiepileptic (epilepsy, manic depressive disorders) |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | antiepileptic (epilepsy, manic depressive disorders) |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | antiepileptic (epilepsy, manic depressive disorders) |  | 
        |  | 
        
        | Term 
 
        | L-DOPA (larodopa, sinemet) |  | Definition 
 
        | dopamine precursor (parkinsons) |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | DOPA decarboxylase inhibitor in periphery (combo with L-DOPA for parkinsons) |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | ergot derivative--nonspecific DA receptor agonist (parkinsons) |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | non-ergot dopamine receptor agonist (parkinsons, restless leg syndrome) |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | non-ergot dopamine receptor agonist (parkinsons, restless leg syndrome) |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | stimulates dopamine release (parkinsons, antiviral) |  | 
        |  | 
        
        | Term 
 
        | selegiline/deprenyl (eldepryl, zelapar) |  | Definition 
 
        | MAO-B inhibitor--prevents DA breakdown in CNS (late parkinsons) |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | COMT inhibitor--inhibits metabolism of DA (parkinsons) |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | anticholinergic (iatrogenic parkinsonism--drug induced) |  | 
        |  | 
        
        | Term 
 
        | diphenhydramine (benadryl) |  | Definition 
 
        | antihistamine w/ anticholinergic activity (iatrogenic parkinsonism) |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | mu opioid agonist (severe pain) |  | 
        |  | 
        
        | Term 
 
        | hydromorphone (dilaudid, palladone) |  | Definition 
 
        | mu opioid agonist (severe pain) |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | opioid, mild-moderate pain, antitussive |  | 
        |  | 
        
        | Term 
 
        | oxycodone (roxicodone, percodan, oxycontin) |  | Definition 
 
        | opioid, moderate-severe pain, oxycontin for severe chronic pain |  | 
        |  | 
        
        | Term 
 
        | hydrocodone (lortab, lorcet, vicodin, norco) |  | Definition 
 
        | opioid, mild-moderate pain, antitussive |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | opioid, moderate-severe pain |  | 
        |  | 
        
        | Term 
 
        | heroin (diacetylmorphine) |  | Definition 
 
        | opioid,more potent and euphoric than morphine |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | opioid, analgesic and treatment for opioid addiction |  | 
        |  | 
        
        | Term 
 
        | fentanyl (sublimaze, duragesic, innovar) |  | Definition 
 
        | opioid, very potent mu agonist (surgical anesthesia, transdermal prep for chronic pain, lozenge for breakthrough pain) |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | opioid, kappa agonist, partial mu agonist (severe pain) |  | 
        |  | 
        
        | Term 
 
        | buprenorphine (buprenex, subutrex, suboxone) |  | Definition 
 
        | opioid, partial mu agonist (office based opioid addiction) |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | opioid, weak mu agonist, inhibits reuptake of NE and serotonin (mild-moderate pain) |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | opioid antagonist (opioid poisoning) |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | long acting opioid antagonist ("immunizing" addicts, alcoholism) |  | 
        |  | 
        
        | 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 
 | Definition 
 
        | facilitates GABA neurotransmission, modulates glutamate and inhibits sodium and calcium channel activity (prophylaxis of migraine, partial seizures, neuropathic pain) |  | 
        |  | 
        
        | Term 
 | 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 
 
        | 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 
 | Definition 
 
        | maybe acting on cannabinoid receptors in brain (recreational) --lipid soluble, suppresses immune fxn, decreased testosterone, teratogenic, amotivational syndrome, lung damage |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | (nausea and vomiting during chemo, prevention of wasting in AIDS, maybe useful in glaucoma and asthma) |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | non-depolarizing NMJ blocker -intermediate duration (GA adjunct) --apnea, histamine release, use in patients with LIVER or RENAL failure |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | non-depolarizing NMJ blocker -intermediate duration (tracheal intubation) |  | 
        |  | 
        
        | Term 
 
        | succinylcholine (anectine) |  | Definition 
 
        | depolarizing NMJ blocker -opens nicotinic ACh receptors allowing Na influx and slightly depolarizing neuron (short procedures such as rapid intubation) --initial fasciculations |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | amide LA -inhibits voltage gated Na channel (infiltration, nerve block, spinal, epidural, topical, IV, MOST USED) |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | long duration amide LA-inhibits voltage gated Na channel mainly on sensory neurons (LABOR) |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | amide LA-inhibits voltage gated Na channel (anesthesia) --prolonged numbness |  | 
        |  | 
        
        | Term 
 
        | benzocaine (americaine, hurricaine, chloraseptic) |  | Definition 
 
        | ester LA-inhibits voltage gated Na channel (topically for surface anesthesia) --methemoglobinemia!!!!! |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | ester LA-inhibits voltage gated Na channel (topical use only) --abuse potential, nervousness, convulsions, cardiac failure, only LA with VASOCONSTRICTIVE effect |  | 
        |  | 
        
        | Term 
 
        | lysergic and diethylamide (LSD) |  | Definition 
 
        | indole hallucinogen--presynaptic 5HT agonist (trippin) --sympathomimetic, psychic changes, sensory distortions |  | 
        |  | 
        
        | Term 
 
        | methylenedioxymethamphetamine (MDMA; ecstasy) |  | Definition 
 
        | phenylethylamine hallucinogen w/ amphetamine like effects--presynaptic 5HT agonist (trippin) --sympathomimetic, psychic changes, sensory distortions |  | 
        |  | 
        
        | Term 
 
        | phencyclidine (PCP; angel dust; KETAMINE) |  | Definition 
 
        | hallucinogen/stimulant at high doses--NMDA antagonist (trippin) --psychotic rxns, hyperreflexia, increased muscle tone, hypertension, VERTICAL NYSTAGMUS |  | 
        |  | 
        
        | Term 
 
        | d-amphetamine, d,l-amphetamine (adderall) |  | Definition 
 
        | mixture of amphetamine salts--stimulates release and inhibits reuptake of NE and DA (ADHD) --sympathomimetic, tremors, appetite suppression |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | inhaled general anesthetic-weak, but rapid induction and recovery (induce analgesia) --colorless, odorless, air pocket expansion, depress ventillation |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | inhaled GA-potent, but slow induction (analgesia) --sweet odor, decrease in BP, contractility, and vent. rate, produces electrical SEIZURE activity |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | inhaled GA-slow induction (analgesia) --pungent odor, decreases BP, vent rate, metabolic rate of brain, and renal blood flow; preferred for NEUROSURGERY |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | inhaled GA-rapid induction (maintain analgesia) --irritating to lungs, so not used for induction; decrease BP and vent rate |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | inhaled GA-rapid induction (induce/maintain analgesia) --decrease BP; preferred for patients prone to MI; reacts with soda lime |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | IV GA-enhances GABA effects (induce anesthesia, most commonly used) --decreases BP, contractility, and vent rate; anti-emetic, safe in pregnant |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | IV GA-NMDA antagonist, inhibits voltage sensitive Na/K channels (profound analgesia in battlefield/vet medicine) --emergence delirium, hallucinations, bronchodilator, increases CO, BLADDER deterioration in addicts |  | 
        |  |