Pharmacology Neuro
51 flashcards · Other · by Jared Blackwell
Lidocaine
Local Anesthetic Blocks voltage-gated sodium channels. Medium acting *Systemic dose may block respiration, cardio, smooth muscle. -Amide Bupivicaine
Cocaine
Local Anesthetic Blocks VGNa+C. Blocks reuptake of DA, NE, vasoconstriction. Medium acting *Respiratory, cardio, smooth muscle depression. -Ester Procaine, Benzocaine *Can cause allergic rxn via PABA formation.
Fluphenazine
Anti-psychotic-Typical DA antagonist Malignant hyperthermia Extra-pyramidal movements *Increase prolactin-> lactation.
Haloperidol
Anti-psychotic-Typical DA antagonist Malignant hyperthermia Extra-pyramidal movements *Increase prolactin-> lactation. Also used for Huntington's
Clozapine
Anti-psychotic-Atypical DA antagonist CV issues *Increase prolactin-> lactation. Also for Huntington's
Risperidone
Anti-psychotic-Atypical DA antagonist CV issues *Increase prolactin-> lactation. Also for Huntington's
Aripiprazole
Anti-psychotic-Atypical DA antagonist CV issues *Increase prolactin-> lactation.
Donepezil
Alzheimer's AChesterase Inhibitor
Rivastigmine
Alzheimer's AChesterase Inhibitor
Memantine
Alzheimer's Glutamate NMDA antagonist.
Carbamazepine
Epilepsy Inactivation Na+ channel Teratogen Also mood stabilzer.
Phenytoin
Epilepsy Inactivation Na+ channel Teratogen
Lamotrigine
Epilepsy Inactivation Na+ channel SJS Also mood stabilzer.
Topiramte
Epilepsy Inactivation Na+ channel Teratogen Also prophylactic migraine.
Valproic Acid
Epilepsy Inactivation Na+ channel Teratogen Also mood stabilzer.
Zonisamide
Epilepsy Inactivation Na+ channel Teratogen
Lacosamide
Epilepsy Inactivation SLOW Na+ channel
Clonazepam
Generalize seizures, anti-anxiety Benzo, increases the frequency of GABAa channel open.
Vigabatrin & Pentobarbital
Generalize seizures, IV anesthetic Barbituates, increase duration of GABAa channel open.
Ethosuximade
Epilepsy Voltage gated Ca2+ Antagonist.
Zonisamide
Epilepsy Voltage gated Ca2+ Antagonist.
Levetiracetam
Epilepsy Inhibit Vesicular Release -Brivaracetam, Levetiracetam
Felbamate
Epilepsy Glutamate NMDA Antagonist. Aplastic anemia, liver failure.
Perampanel
Epilepsy AMPA Antagonist Psychosis
Carbidopa/Levodopa
Parkinson's Dopamine precursor *Carbidopa is added to levodopa since it inhibits the breakdown by enzymes in the GI tract.
Bromocriptine
Parkinson's Dopamine agonist.
Amantadine
Parkinson's Dopamine agonist.
Ropinirole
Parkinson's Dopamine agonist.
Pramipexole
Parkinson's Dopamine agonist.
Tolcapone
Parkinson's COMT Inhbitor
Selegiline
Parkinson's MAOI
Trihexyphenidyl & Benztropine Mesylate
Parkinson's Muscarnic Antagonist
Desflurane
Anesthetic Halogenated Gases Airway Irritation. (Also Isoflurane) Malignant hyperthemia
Isoflurane
Anesthetic Halogenated Gases Airway Irritation. (Also Desflurane) Malignant hyperthemia
Enflurane
Anesthetic Halogenated Gases Malignant hyperthemia
Sevoflurane
Anesthetic Halogenated Gases Increase ICP. Malignant hyperthemia
Propofol
Anesthetic IV adminsitration Enhance GABA at channel.
Thiopental
Anesthetic IV adminsitration Barbituate increase duration of GABAa open.
Pentobaribtol
Anesthetic (also seizures) IV adminsitration Barbituate increase duration of GABAa open.
Etomidate
Anesthetic IV adminsitration DOES NOT decrease cardiac output.
Ketamine
Anesthetic IV adminsitration Increase ICP (NO, Ketamine, Sevoflurane ALL increase ICP). Has analgesia affect.
Tetrabenazine
Huntington's VMAT inhibitor, inhibits DA uptake to vesicles. Neuroleptic Malignant syndrome. -Risperidone, Clozapine, Haloperidol anti-psychotics also for Huntington's
Deutetrabenazine
Huntington's VMAT inhibitor, inhibits DA uptake to vesicles. Neuroleptic Malignant syndrome. -Risperidone, Clozapine, Haloperidol anti-psychotics also for Huntington's
Fluoxetine
Huntington's, also depression/OCD SSRI Sexual & GI disturbances (Prozac)
Timolol
Ocular HTN B2 antagnoist
Brimonidine
Ocular HTN Alpha 2 agonist Decrease Synthesis
Apraclonidine
Ocular HTN Alpha 2 agonist Decrease Synthesis
Acetazolamide
Ocular HTN CA Inhibitor Decrease Synthesis
Pilcarpine
Ocular HTN Muscarnic agonist Increase outflow
Latanoprost
Ocular HTN Prostaglandin receptor agonist. Increase outflow.
Physostigmine
Ocular HTN AChesterase inhibitor Increase outflow