click below
click below
Normal Size Small Size show me how
CNS Drugs
| Question | Answer |
|---|---|
| Benzodiazepines do...?? | Release GABA to help sleep, decr. anxiety, prep, ETOH withdrawal |
| What are the benzodiazepines? | Valium, Xanax, Ativan, Versed |
| Adverse of benzodiazepines | over sedation, hangover, decr. respiration |
| What is the reversal for benzodiazepines? | Romazicon |
| Agents for sleep | Ambien, Lunesta, Benadryl, Rozerem, Sonata |
| Skeletal muscle relaxants | Soma, Lioresal, Flexeril |
| Soma, Liorsal, Flexeril | acute musculoskeletal pain, relieve spasm |
| Adverse to Skeletal Muscle Relaxants | drowsiness, dizziness, N/V, flaccid muscles, dependence |
| Dantrium | weaken muscle contraction for MALIGNANT HYPERTHERMIA, CP, OR STROKE |
| Dilantin | stabilizes nerve membranes for all SEIZURES EXCEPT ABSENSE |
| Adverse effect of dilantin | gingival hyperplasia |
| Therapeutic range for Dilantin | 5-20 mcg/mL |
| Who cannot use Dilantin | elderly and severe kidney/liver disease |
| Klonopin | severe recurrent seizures |
| Tegretol | SEIZURES |
| Lamictal | SEIZURES |
| Depakene | SEIZURES |
| Topamax | SEIZURES |
| Neruotin | SEIZURES |
| Keppra | SEIZURES |
| Luminal | SEIZURES limited use today |
| Sinemet | increase dopamine for PARKINSON and RESTLESS LEG SYNDROME |
| Adverse of Sinemet | early: "pill rolling", N/V, anorexia, orthoostatic hypotension, dizziness Late: involuntary movements, akinetic spells, anxiety, depression |
| Who should not use Sinemet? | narrow angle glaucoma, melanoma, GI, heart disease |
| What do you watch for with Sinemet? | darkening urine |
| Artane and Cogentin | anticholinergic for EARLY PARKINSONS |
| Who should not use artane and cogentin? | glaucoma, GI-GU obstruction, heart disease, elderly, young |
| Symmetrel | Parkinsons |
| Parlodel | Parkinsons |
| Mirapex | Parkinsons |
| Requip | Parkinsons |
| Imitrex and Zomig | anti-migraine vasoconstict vessels in brain |
| Adverse Imitrex and Zomig | nausea, HTN, dizziness, weakness |
| Who cannot have Imitrex and Zomig? | CAD, HTN, do not give within 24h of ergot alkaloids |
| Ergot alkaloids (Ergomar and Cafergot) | reduce extra cranial blood flow ANTI-MIGRAINE |
| who should not take ergot alkaloids? | pregnant, severe HTN, CAD |
| adverse effects of Ergot alkaloids | N/V, cramps, confusion, decreased circulation |
| Vampiric acid | MIGRAINE |
| Neurotin | MIGRAINE |
| Topamax | MIGRAINE |
| etomidate | IV ANESTHESIA |
| propofol | IV ANESTHESIA |
| Fentanyl citrate | IV ANESTHESIA |
| ethrane | INHALANT ANESTHESIA |
| nitrous oxide | INHALENT ANESTHESIA |
| Tacrium | NEUROMUSCULAR BLOCK |
| Norcuron | NEUROMUSCULAR BLOCK |
| Anectine | NEUROMUSCULAR BLOCK |
| Versed | CONSCIOUS SEDATION |
| FENTANYL | CONSCIOUS SEDATION |
| lidocaine | LOCAL ANESTHETIC |
| Marcaine | LOCAL ANESTHETIC |
| Adderall | ADHD, NARCOLEPSY, WEIGHT REDUCTION |
| Ritalin | ADHD, NARCOLEPSY, WEIGHT REDUCTION |
| Intuniv | ADHD, NARCOLEPSY, WEIGHT REDUCTION |
| Strettera | ADHD, NARCOLEPSY, WEIGHT REDUCTION |
| Adverse effects of ADHD meds | nervousness, irritability, HA |
| Who should not take ADHD meds | anxiety, glaucoma, pregnant, HTN, dependence |
| Phenothiazines | block dopamine receptors for SCHIZOPHRENIA, MANIA, PSYCHOTIC DEPRESSION |
| Thorazine | Phenothiazine -- SCHIZOPHRENIA |
| Prolixin | Phenothiazine -- SCHIZOPHRENIA |
| Stelazine | Phenothiazine -- SCHIZOPHRENIA |
| Adverse effects of phenothiazine | excessive sedation, slurred speech, impaired mental processes |
| Nonphenothiazines | control symptoms of SCHIZOPHRENIA |
| Haldol | nonphenothiazine control symptoms of SCHIZOPHRENIA |
| Adverse of Haldol | seizures, decreased BP, EPS symptoms, EKG changes |
| Clozaril | NEW SCHIZOPHRENIA |
| Risperdal | NEW SCHIZOPHRENIA |
| Zyprexa | NEW SCHIZOPHRENIA |
| Who should not take Clozaril, Risperdal, Zyprexa | agranulocytosis, hyperglycemia, weight gain |
| Eskalith | BIPOLAR |
| Who should not use Eskalith? | cardiac/renal disease, hyponatremia, pregnancy, leukemia |
| Therapeutic level for Eskalith | 0.6-1.2 |
| Adverse for Eskalith | metallic taste, twitching, diarrhea, thirst |
| What to look out for with Eskalith | Salt changes |
| TCA antidepressants do...? | decrease serotonin and norepinephrine for DEPRESSION AND BED WETTING |
| Adverse TCA antidepressants | sedation, orthostatic hypotension, decreased GI, dry mouth, cardiac arrhythmia, urinary retention |
| TCA antidepressants: | Tofranil and Elavil |
| SSRI do...? | increase serotonin for DEPRESSION, OCD, BULIMIA |
| SSRI | Prozac, Celexa, Paxil, Zoloft |
| SSRI adverse | anxiety, nausea, decreased appetite, weight loss, HA |
| MAO | prevent metabolism of neurotransmitters |
| Adverse of MAO | hypertensive with tyramine foods (cheese, beer, chocolate, yogurt, smoked meats) |
| Zyban | DEPRESSION |
| Effexor | DEPRESSION |
| Cymbalta | DEPRESSION |
| Remeron | DEPRESSION |