| Term 
 | Definition 
 
        | Loss of neurons in substantia nigra These neurons release dopamine
 Dopamine is inhibitory
 Without dopamine, the GABA neurons are being over excited
 
 *lewy bodies
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | levodopa - dopamine precursor carbidopa - decarboxylase inhibitor (periphery)
 entacapone - COMT inhibitor (periphery)
 talcapone - COMT inhibitor (brain & periphery)
 
 benztropine
 amantidine
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Loss of neurons in cerebral cortex & hippocampus (decrease in Ach) 
 *plaques & tangles
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | donepezil (Aricept) - AchEst. inhibitor rivastigmine (Exelon) - AchEst. inhibitor
 
 memantine (Namenda) - glutamate NMDA antagonist (blocks Ca+ channels)
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | ALS/Lou Gehrig's & Huntingdon's 
 baclofen (Lioresal)
 |  | 
        |  | 
        
        | Term 
 
        | Antipsychotic Drugs 
 (schizophrenia, tourettes, bipolar, psychosis)
 |  | Definition 
 
        | dopamine D2 blockers (mesolimbic/mesocortical) chlorpromazine (Thorzazine)
 thiothixene (Navane)
 haloperidol (Haldol)
 
 serotonin/5HT blockers (newer)
 clozapine (Clozaril)
 olanzapine (Zyprexa)
 quetiapone (Seroquel)
 aripiprazole (Abilify)
 ziprasidone (Geodon)
 risperidone
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | amitriptyline - tricyclic nortriptyline - tricyclic
 
 fluoxetine - SSRI
 escitalopram - SSRI
 sertraline - SSRI
 paroxetine - SSRI
 
 venlafaxine - SNRI
 
 hydralazine - MAOI
 isoniazid - MAOI
 
 buproprion
 trazodone
 
 lithium - for bipolar
 |  | 
        |  | 
        
        | Term 
 
        | Anxiety Drugs 
 (panic disorder, post-traumatic stress, OCD, phobias, anxiety)
 |  | Definition 
 
        | Benzodiazepines (bind GABA receptors on Cl- channels) diazepam
 lorazepam
 oxazepam (Serax)
 alprazolam
 chlordiazepoxide (Librium)
 
 Others
 buspirone - for chronic anxiety (nonsedating/nonaddictive)
 propranolol(beta-blockers)
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Benzodiazepine Agonists zolpidem (Ambien)
 zaleplon (Sonata)
 eszopiclone (Lunesta)
 
 Melatonin Agonist
 ramelteon (Rozerem)
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Na+ or Ca++ channel blockers 
 phenytoin (Dilantin)
 carbamazepine (Tegretol)
 lamotrigine (Lamictal)
 valproic acid (Depakote)
 ethosuximide (Zarontin)
 
 gabapentin (Neurontin)
 levetiracetam (Keppra)
 oxcarbazepine (Trileptal)
 pregabalin (Lyrica)
 topiramate (Topamax)
 zonisamide (Zonegran)
 clonazepam (Klonopin)
 phenobarbital
 falbamate - lennox gastaut syndrome
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | AGONISTS (mu receptors) morphine
 methadone
 buprenorphine [partial]
 fentanyl
 meperidine (Demerol)
 pentazocine [kappa]
 
 
 ANTAGONISTS
 naloxone
 naltrexone
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | ibuprofen (Motrin/Advil) naproxen (Aleve)
 diclofenac
 etodolac
 nabumetone
 piroxicam
 oxaprozin
 indomethacin
 
 celecoxib (Celebrex) - selective for COX-2
 |  | 
        |  | 
        
        | Term 
 
        | Gout Drugs 
 (increased uric acid)
 |  | Definition 
 
        | colchicine (Colcrys) - anti-inflammatory allopurinol (Zyloprim) - xanthine oxidase inhibitor
 
 uricosuric's (block reabsorption of uric acid)
 
 probenecid
 sulfinpyrazone
 
 Can use NSAIDs, but not aspirin
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Serotonin Agonists 
 sumatriptan (Imitrex)
 other "triptans"
 
 ergotamine
 |  | 
        |  |