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AntiParkinsons

QuestionAnswer
levadopa (Larodopa) AntiParkinsons; Prototype; PO; dopaminergic drug; most effective drug for Parkinsons; don't give iron with it. ADVERSE: anorexia, nausea, hypotension, cardiac arrhythmias. CNS stimulat--restlessness, agitation, confusion, deliurium.
carbidopa (Lodosyn) PO; decreases peripheral breakdown of levodopa so given w/levodopa.
apomorphine ( Apokyn) injection, dosing pen. For Parkinsons during episodes of hypomobility (unable to perform ADLs)
Tolcapone (Tasmar) PO, for Parkinsons, ADVERSE: liver damage and deaths from liver failure; can cause dark urine and other symptoms of liver failure; anorexia, abdominal tenderness, jaundice, clay-colored stools.
ropinirole (Mirapex) PO, dopamine agonist; beg/advanced Parkinsons, also RLS, restless leg syndrome.
Diphenhydramine (Benadryl) PO, IV, deep IM; anticholinergic drug (acts on CNS) Parkinsons
trihexyphenidyl (Trihexy) PO, PO elixir, anticholinergic drug Parkinsons, antihistamines and TCAs increase effects.
halothane (Fluothane) General Anesthetic, volatile liquid, depresses respiration; May cause cardiac dysrrhythmias; isoflurane and/or sevoflurane are better and safer.
thiopental (Pentothal) Injectable Gen Anesthetic; IV only; CIII, barbiturate
methohexital sodium (Brevital Sodium) Inject Gen Anesthetic; IV; C-IV; barbiturate
articane HCl (Septocaine) neuromusclar anesthetic; infiltration; nerve block--usually used in dental practice.
thiopental sodium (Pentothal) Anxiety and Insomnia; IV; CIII; barbiturate, prototype. ULTRA SHORT acting (15 seconds or less). when drug is taken away, wake up immediately.
chlordiazepoxide (Librium) Benzodiazepine; PO,IM,IV; C-IV; used in acute alcohol withdrawal (DTs); short 1/2 life; doesn't stay in body long.
midazolam (Versed) Benzodiazepine; Anxiety/Insomnia. IM and IV; C-IV; BLACK BOX warning for respiratory arrest.
chloral hydrate (Somnote) Anx/Insom; PO, supp., C-IV; oldest sedative-hypnotic; safe, effective, inexpensive; DOESN'T take away REM sleep. Can cause tolerance in as little as 2 weeks. High abuse potential (red gel cap). 1960s people stole chloral hydrate; put in colas Mickey Finn
eszopiclone (Sonata) for RX of Insomnia in patients who have trouble falling asleep; PO.
hydroxyine (Vistaril) PO, deep IM; avoid IV, SC, intra-arterial. antihistimine with sedative and antiemetic props;anxiety, pruritis. Used mainly in pre-op ON BOARD crash cart; GOOD DRUG. old but still used.
zaleplon (Sonata) PO, C-IV; short-term treatment of insomnia; hypnotic; HAS lots of ADVERSE effects--depression; drowsiness; nausea, dizziness, etc. BEFORE Ambien.
Created by: annie513
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