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152 quiz 3
Term | Definition |
---|---|
neurotransmitter | chemical substance that functions as a neuromessenger |
decreased dopamine | Parkinson's disease and depression caused by |
increased dopamine | Schizophrenia and mania caused by |
decreased norepinephrine | DepressioN caused by |
increased norepinephrine | Mania, anxiety, and schizophrenia caused by |
decreased serotonin | DepreSsion caused by |
decreased GABA | Anxiety caused by |
decreased glutamate | Psychosis caused by |
increased glutamate | Alzheimer's disease caused by |
decreased acetylcholine | Alzheimer's, Huntington's, and Parkinson's caused by |
limbic system | plays a crucial role in emotional status and psychological function |
pharmacodynamics | the study of what a drug does to the body and how it does it |
pharmacokinetics | the movement of a drug through the body |
absorption | how is the body absorbed into the body? |
distribution | how is the drug distributed throughout the body? |
metabolism | how is the drug transformed for use and eventual excretion? |
excretion | how is the drug excreted from the body? |
pharmacogenetics | explains how genetic variations lead to differences in medication tolerability and responses in individuals and ethnic groups |
agonist | mimics the effects of a neurotransmitter naturally found in the brain by binding and stimulating the neurotransmitter's receptor |
antagonist | blocks a neurotransmitter from binding to its receptor, obstructing the neurotransmitter's action |
benzodiazepines action | increases action of GABA |
benzodiazepines purpose | antianxiety, hypnotic, anticonvulsant, amnestic, muscle relaxant, withdrawal |
benzodiazepines examples | alprazolam(Xanax), clonazepam(Klonopin), diazepam(Valium), lorazepam(Ativan) |
benzodiazepines side effects | overexpression of therapeutic (esp. with CNS depressants), sedation, ataxia, anterograde amnesia, paradoxical reactions(insomnia, hallucinations) |
nonbenzo examples | buspirone(BuSpar), zolpidem(Ambien), zaleplon(Sonata), eszopiclone(Lunesta) |
nonbenzo purpose | reduces anxiety without antianxiety, anticonvulsant, muscle relaxant |
SSRI examples | fluoxetine(Prozac), sertraline(Zoloft), escitalopram(Lexapro) |
SSRI action | blocks the reuptake of serotonin, making it more available in synapse |
SSRI purpose | treatment of major depressive disorder and anxiety disorders |
SSRI side effects | nausea, restlessness, jitteriness, sleep disturbances, sexual dysfunction*, GI disturbances |
serotonin syndrome | serious hyperpyrexia, increased BP, altered mental status, seizures, apnea, death; risk with all antidepressants |
antidepressants blackbox | increased risk for suicide at initial treatment |
NaSSA example | mirtazapine(Remeron) |
NaSSA action | increases norepinephrine and serotonin transmission by antagonism of receptor sites |
NaSSA side effects | weight gaiN, sedation |
NDRI example | buproprion(Wellbutrin), Zyban |
NDRI action | blocks reuptake of norepinephrine/dopamine |
NDRI side effects | insomnia, tremor, anorexia, weight loss, increased risk for seizures |
SARI examples | nefazodone(Serzone), trazodone(Desyrel/Oleptro) |
SARI side effects | sedation, headache, nausea, dizziness, blurred vision |
nefazodone serious | life-threatening liver failure |
SNRI examples | venlafaxine(Effexor), duloxetine(Cymbalta) |
SNRI action | blocks reuptake of norepinephrine |
SNRI side effects | excessive sweating, dose-dependent increases in BP & HR, nausea, dry mouth, constipation |
SMS example | vortioxetine(Trintellix) |
SMS action | inhibits serotonin reuptake of many serotonin receptors |
SMS side effects | GI, constipation, n/v, hyponatremia |
SPARI example | vilazodone(Viibryd) |
SPARI action | inhibits serotonin transporters and stimulates receptors |
SPARI side effects | GI, insomnia |
TCA action | block reuptake of norepinephrine and serotonin |
TCA side effects | urinary retention, constipation, blurred vision, postural hypotension, cardiac dysrhythmias, lethal in OD |
TCA examples | amitriptyline(Elavil), imipramine(Tofranil) |
MAOI examples | phenelzine(Nardil), tranylcypromine(Parnate) |
MAOI action | inhibit the action of MAO enzymes, preventing the destruction of monoamines |
MAOI warning | avoid food substances that contain tyramine -> hypertensive crisis |
lithium action | may act by affecting electrical conductivity in neurons |
lithium purpose | bipolar disorder |
lithium side effects | GI, weight gain, ataxia, sedation, fine tremor |
lithium warning | narrow therapeutic index, long term use can affect kidneys/thyroid |
valproate(Depakote) side effects | sedation, weight gain, tremor, liver failure(monitor) |
carbamazepine(Tegretol) side effects | dizziness, somnolence, nausea, vomiting, ataxia, blurred vision, monitor blood levels |
lamotrigine(Lamictal) side effects | life-threatening rash(sign of Stevens-Johnson syndrome) |
typicals action | decrease dopamine activity in CNS |
typicals purpose | positive symptoms of schizophrenia |
typicals examples | Haldol, Thorazine, Phenothizine-like drugs |
typicals side effects | akathisia, acute dystonia, pseudoparkinsonism, tardive dyskinesia |
typicals warning | neuroleptic malignant syndrome |
atypicals purpose | targets positive and negative symptoms of schizophrenia |
atypicals side effects | weight gain, metabolic syndrome, hyperlipidemia, hyperglycemia, agranulocytosis |
atypicals blackbox | sudden death from stroke |
atypicals examples | Clozaril, Risperdal, Seroquel, Zyprexa, Geodon, Abilify, Invega |
ADHD med action | may inhibit overactive part of limbic system |
ADHD med examples | Ritalin, Adderall, Strattera |
ADHD med side effects | insomnia, increased BP &HR, agitation, growth suppression |
nonbenzo side effects | hallucinations, abnormal behaviors, suicidal thoughts, sleepwalking |
Alz med examples | Aricept, Exelon, Namenda |
Alz med purpose | treat to slow degeneration; maintain normal brain function as long as possible |
homeostasis | function of brain: maintenance of _______ |
autonomic | function of brain: regulation of ______ nervous system and hormones |
biological | function of brain: control of _______ drives and behavior |
circadian | regulate sleep cycle and _______ rhythms |
mental | function of brain: conscious ______ activity |
memory | function of brain: ________ & social skills |