| Term 
 | Definition 
 
        | blocks NMDA channel, thus inhibiting the opening and depolarization |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | blocks NMDA channel, thus inhibiting the opening and depolarization |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | inhibits the GABA transaminase enzyme (which causes higher levels of GABA,which reduces membrane excitability) and is use to inhibit seizures |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | GABA-A Competitive agonist (binds at same site as GABA) 
 Increase Cl- content within the cell
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | GABA-A  Antagonist 
 (pro-convulsants) decrease the opening frequency and mean open time of the Cl- channel
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | GABA-B  receptor  agonist (reduce  spasticity  associated  with  motor  disorders, Huntingtons Chorea)
 
 reduces voltage Ca++ gated conductance, and increases K+ conductance out of the cell
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | GABA-B receptor antagonist (experimental) |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Glycine receptor antagonist 
 causes massive excitation and soon after death (pesticide)
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | presynaptic alpha 2 agonist, reduces NE lowers blood pressure |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | selective NE reuptake inhibitor at presynaptic cleft, used to treat (ADHD) |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | inhibit NET, which prolongs and potentiates the effects of NE |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | 5-HT3 receptor (excitatory ionotropic receptors)antagonist used in  preventing and treating vomiting caused by radiation therapy in cancer patients |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | 5-HT1a agonist used to treat anxiety (decrease cAMP resulting in neuronal inhibition) |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Alzheimer's disease treatment cholinesterase inhibitor, mild to moderate AD may also act as a nicotinic and muscarinic (M1) agonist
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Alzheimer's disease treatment cholinesterase inhibitor, mild to moderate AD
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Alzheimer's disease treatment cholinesterase inhibitor, mild to moderate AD
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | N-methyl D-aspartate (NMDA) antagonist 
 For treatment of moderate to severe AD.
 
 Because NMDA antagonists work very differently from cholinesterase inhibitors, the two types of drugs can be prescribed in combination.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Metabolic  precursor  to  Dopamine.  Tyrosine  hydroxylase  is normally the rate limiting enzyme, for L-Dopa formation, thus giving
 L-dopa  directly  bypasses  the  rate  limiting  step,  leading  to  increased
 dopamine  synthesis.    L-dopa  is  taken  up  by  remaining  dopamine
 neurons  in  the  brain  if  it  can  get  there.  The  major  problem  with  L-
 Dopa,  is  that  it  is  significantly  metabolized  in  GI  and  peripheral
 tissues.  L-Dopa can be converted to dopamine by dopa-decarboxylase
 in the periphery and then degraded peripherally by peripheral enzymes
 (MAO), thus preventing L-Dopa from getting where it needs to go (the brain).  To prevent this problem, L-Dopa is given with Carbidopa.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Dopa decarboxylase inhibitor 
 Does  not  cross  the  BBB,  thus  it  inhibits  L-Dopa  from  being
 converted to dopamine in the periphery and ensures L-Dopa gets into
 the  brain.  Since  it  doesn’t  cross  the  BBB,  dopa  decarboxylase  in  the
 brain can  convert L-Dopa into dopamine.  Diminishes metabolism of
 Levodopa. Reduces dosing concentration side-effects, as you no longer
 have to give tons of L-dopa in order to get it into the brain.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | mixed preparation of L-Dopa and Carbi-dopa |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | D2 dopamine receptor agonist 
 Little response in patients who do not respond to L-dopa
 
 Parkinson's disease treatment drug that mimics dopamine activity D2 dopamine receptor agonist
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Parkinson's disease treatment drug that mimics dopamine activity D1/D2 dopamine receptor agonist |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Parkinson's disease treatment antiviral 
 Less potent than L-dopa, but has fewer side-effects. Mechanism  of action in helping PD is poorly understood.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Parkinson's disease treatment MAOi-B
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | a COMT inhibitor (not a dopamine eplacement drug): reduces breakdown of dopamine formed from L-Dopa, thus prolonging its effect |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | mixed preparation of L-Dopa and Carbi-dopa and Entacapone |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Parkinson's disease treatment muscarinic acetylcholine receptor antagonist 
 Muscarinic acetylcholine receptors exert an inhibitory effect on dopaminergic nerve terminals, suppression of which compensates for a lack of dopamine.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Parkinson's disease treatment muscarinic acetylcholine receptor antagonist 
 Muscarinic acetylcholine receptors exert an inhibitory effect on dopaminergic nerve terminals, suppression of which compensates for a lack of dopamine.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Huntington's disease treatment dopamine antagonist
 |  | 
        |  | 
        
        | Term 
 
        | Prednisolone (i.e. a corticosteroid) |  | Definition 
 
        | Corticosteroids work by decreasing immune system antibody production and by reducing myelin swelling and inflammation (multiple sclerosis treatment) |  | 
        |  | 
        
        | Term 
 
        | Interferon-Beta (e.g. Avonex,  Betaseron,  Rebif) |  | Definition 
 
        | multiple sclerosis treatment regulates immune system
 |  | 
        |  | 
        
        | Term 
 
        | Glatiramer acetate (Copaxone®, formerly known as copolymer-1) |  | Definition 
 
        | first non-interferon, nonsteroidal medication that effectively reduces new brain lesions 
 thought to stimulate T cells in the body’s immune system to change from harmful, pro-inflammatory agents to beneficial, anti-inflammatory agents that work to reduce inflammation at lesion sites
 |  | 
        |  | 
        
        | Term 
 
        | Mitoxantrone (Novantrone®) |  | Definition 
 
        | antineoplastics (i.e. cancer-drugs) 
 It acts in MS by suppressing the activity of T cells, B cells, and macrophages that are thought to lead the attack on the myelin sheath
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Potent anesthetic (inhaled) 
 Weak analgesic
 
 Bradycardia and potental cardiac arrhythmias
 
 Hypotension (phenylephrine: vasoconstriction)
 
 Heavily metabolized in the liver, to toxic hydrocarbons with repeated use not hepatotoxic in children, and has pleasant odor, so used with kids
 
 Malignant Hyperthermia (excessive Ca++ release from sarcoplasmic  reticulum skeletal muscle)  results in acidosis, muscle contraction, and increased body temp
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | neuromuscular blocker, blocks calcium channels (inhaled)   hyerthermia |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Similar to Halothane  (less potent, faster induction and recovery, less toxicity)  (inhaled) 
 Can cause seizures and Malignant hyperthermia
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Similar to Halothane and Enflurane but even low side-effect profile  (less potent, fast induction and recovery, less toxicity, no-seizure effect) (inhaled) 
 Most widely used
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Rapid induction and recovery (i.e. low blood-gas coefficient) (inhaled) 
 Weak general anesthetic (but low anesthetic potency, must be coadministered often with a volatile anesthetic)
 
 Strong Analgesic
 
 Can cause a transient diffusion hypoxia (retards oxygen uptake), but this is usually only important with patients with respiratory conditions
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | (barbiturate) Intravenous anesthetic 
 CNS depressant
 
 very lipid soluble but short acting (thus used as an induction agent)
 
 Poor analgesic
 
 Anesthetic action stops due to redistribution to other organs
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | (non-barbituate) Intravenous anesthetic 
 Similar to thiopental
 
 Thought to act via GABA-A
 
 Used only as an induction agent
 
 Does not induce cardiac and respiratory depression
 
 Frequent involuntary muscle movements
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | (Intravenous anesthetic) 
 Very rapidly metabolized, thus rapid recovery
 
 Used for induction or maintenance of anesthesia
 
 Poor analgesia (thus requires coadministration of opioids)
 
 Lowers intracranial pressure
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Short acting non-barbituate (Intravenous anesthetic)
 
 Provides “Dissociative Anesthesia”  with sensory loss, sedation, amnesia, and immobility (also patient may appear awake but does not feel pain or remember)
 
 Increases blood-flow, blood-pressure and cardiac out-put
 
 Used mostly in children due to enhanced hallucinations in adults
 |  | 
        |  | 
        
        | Term 
 
        | Lidocaine Procaine
 Bupivicaine
 |  | Definition 
 | 
        |  |