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Geriatrics
| Question | Answer |
|---|---|
| changes in PK | decrease absorption of various drugs secondary to decrease in stomach acidity, decease TBW, increase lipid storage, decrease albumin, decrease hepatic blood flow and reduced hepatic enzyme activity, decreased renal blood flow and decreased GFR |
| drugs that cause psychiatric symptoms | anticholinergics, narcotics, TCAs, CNS stimulants, anti-parkinson's |
| drug that produce anxiety symptoms | theophylline, nasal decongestants, beta agonists, antiparkinsons, appetite suppressants |
| drugs that contribute to nutritional deficiency | diuretics, digoxin, digitalis, laxatives (overuse), sedatives (overuse) |
| drugs at risk with elderly | long-acting BZD-Librium, Valium, elavil, digoxin, mepiridine, antipsychotics |
| drugs that can worsen alzheimers | antidepressants, antiparkinsonian, antipsychotics, antispasmodics, antihistamines, antiemetic |
| symptomatic therapy | BZDs-lorazepam, oxazepam, buspirone; Antidepressants - sertraline or citalopram; Antipsycotics - haldol, risperdal, abilify; sedative hypnotics - trazodone, ambien, temazepam |
| tacrine | cognex; anticholinesterase inhibitor; potential hepatotoxicity |
| donepezil | aricept; anticholinesterase inhibitor |
| rivastigmine | exelon; anticholinesterase inhibitor |
| galantamine | razadyne; anticholinesterase inhibitor |
| Namenda | Memantadine; NMDA receptor antagonist |
| drugs used to treat PD | carbidopa-levadop, bromocriptine, pergolide, pramipexole, ropinorole, seligilie, entacapone, tolcapone, amantadine, benztropine, trihexylphenidyl, carbidopa/levodopa/entacapone |
| carbidopa-levodopa | Sinemet |
| Bromocriptine | Parlodel; dopaminergic |
| Pergolide | Permex; dopaminergic |
| Pramipexole | Mirapex; dopaminergic |
| Ropinrole | Requip; dopaminergic |
| Selegiline | Eldepryl; Carbex; Ataprl, Selpak; MAOB inhibitor |
| Entacapone | Comtan; COMT inhibitor |
| Tolcapone | Tasmar; COMT inhibitor |
| Amantadine | Symmetrel |
| Benztropine | Cogentin; anticholinergic |
| Trihexylphenidyl | Artane; anticholinergic |
| Carbidopa/Levadopa/Entacapone | Stalevo |
| dopaminergics ADRs | N/V, agitation, confusion, depression, psychoses, orthostatic hypotension, dyskinetic movements |
| selegiline ADRs | N/V, insomnia, dizziness, agitation, confusion, dyskinetic movements, anorexia |
| Amantadine ADRs | confusion, dizziness, depression, anxiety, psychoses, insomnia |
| COMT inhbitors ADRs | N/V, diarrhea, dyskinesia, urine coloration, liver toxicity |
| sinemet mechanism | levadopa increases DA; carbidopa prevents metabolism |
| glaucoma treatment | beta blockers, carbonic anhydrase inhibitors, prostaglandin analogs, alpha agonists |
| ophthalmic beta blockers ADRs | adverse cardiac effects, worsening of pulmonary disease, depression, dizziness |
| timolol | timoptic; beta blocker |
| carteolol | ocupres; beta blocker |
| Levobunolol | Betagen; beta blockers |
| metipronolol | optipranolol; beta blocker |
| betaxolol | betoptic; beta blocker |
| levobetaxolol | betaxon; beta blocker |
| carbonic anhydrase inhibitors | lethargy, decrease appetite, GI upset, urinary frequency |
| Acetazolamide | Diamox; carbonic anhydrase inhibitor |
| dorzalamide | trusopt; carb anhydrase inhibitor |
| brinzolamide | azopt; carb anhydrase inhibitor |
| methazolamide | neptazone; carb anhydrase inhibitor |
| latanoprost | xalatan; prostaglandin analog |
| prostaglandin analog ADRs | iris pigmentation, darkens eyelid, macular edema |
| bimatoprost | lumigan; prostaglandin analog |
| travaprost | travatan; prostaglandin analog |
| unoprostone | rescular; prost analog |
| alpha agonist ADRs | tachycardia, dry mouth, eyelid elevation, CNS effects |
| brimonidine | alphagan; alpha agonist |
| dipivefrin | propine; alpha agonist |
| pilocarpine | pilocar; alpha agonist |
| acetazolamide DDIs | phenytoin, lithium, aspirin, cyclosporine |
| Cosopt | timolol+dorzolamide |