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pharmacology
| Question | Answer |
|---|---|
| memantine | NMDA antagonist, prevent neural depolarisation, ca2+ increase, ROS and glutamate release. alzheimers |
| Rivastigmine | Anti-ACHE alzheimers |
| levodopa | dopamine precursor |
| carbidopa | dopa decarboxylase |
| bromocriptine | D2 agonist |
| entacapone | catechol o methlyl transferase inhibitor |
| selegiline | MAOB inhibitor |
| amandadine | antiviral and increase dopamine |
| chloropromazine | typical anti psychotic blocks D1,D2,muscarinic, histamine and alpha can cause parkinsonism |
| Haloperidol | typical anti psychotic blocks D1,D2 can cause parkinsonism |
| sulpriride | atypical antipsychotic, D2 selective |
| clozapine | atypical antipsychotic blocks d4 stronger and D1and D2 atypical antipsychotic Blocks muscarinic/histamine receptor - sedation |
| aripiprazole | atypical antipsychotic partial agonist at D2 and blocks 5HT2A ( prevent 5ht binding) |
| imipramine | anti depressant non selective amine reuptake inhibitors (TCA) antimuscarinic , antihistamine side effects Never be used with MAOI ( cheese) |
| duloxetine | anti depressant non selective 5HT/NE reuptake inhibitor less antimuscarinic less TCA |
| Fluoxetine (PROZAC) | SSRI antidepressant less antimuscarinic and cardiotxic Never used with MAOI ( serotonin syndrome) |
| phenelzine | non selective MAOI |
| moclobemide | MAOA I |
| trazodone | antidepressant blocks 5ht uptake and 5-HT2 receptors |
| buproprion | antidepressant blocks NE and dopamine uptake |
| mirtazapine | antidepressant blocks alpha2 and 5ht2 receptors |
| lithium | moodstabilising drug for maniac |
| vigabatrin | antiepiletic inhibit gaba transaminase |
| tiagabinE | antiepiletic inhibit gaba reuptake |
| gabapentin ( l type) | antiepiletic, voltage gated ca2+channel blocker |
| ethosuximide (t type) | antiepiletic, voltage gated ca2+channel blocker |
| phenytoin | antiepiletic, voltage gated Na+channel blocker |
| carbamazapine | antiepiletic, voltage gated Na+channel blocker |
| valporate | antiepiletic, Na+channel blocker blocks NMDA increase GABA availability |
| diazapem | antiepiletic, benzodiazepene anxiolytic, hypnotic reduce REM and stage4 slow wave sleep relax muscle tone amnesia Side effect of tolerance and dependence |
| Zolpidem | hypnotic act on benzodiazepene receptor reduce rem sleep, less reduction than BDZ on reduce slow wave sleep |
| phenobarbital | barbituates anxiolytic , hypnotic increase GABAa channel open time supress excitatory neuronal activity depress cardiovascular, respiratory and CNS ( high dose die) reduce REM and slow wave sleep more than BDZ increased tolerance and dependence |
| buspirone | anxiolytic partial 5HT1A agonist tachycardia, hypertension with MAOaI |
| thiopental | intravenous anaesthesia barbituates respiratory depression, cerebral repression slow onset, slow recovery |
| propofol | intravenous anaesthesia same effect as thiopental but fast onset |
| etomidate | intravenous anaesthesia no analgesic little cardiovascular and respiratory depression fast onset produce involutary movements and post op vomitting |
| ketamine | intravenous anaesthesia NMDA receptor anatagonsit dissociate anaesthesia cardiovascular stimulation increase cerebral blood flow and oxygen demand |
| nitrous oxide | inhaled anaesthesia analgesic at low con but potency too low to reach surgical anaesthesia increase sympathetic stimulation |
| halothane | inhaled anaesthesia increase parasympatheitc stimuatlion dysrhythmogenic liver toxicity |
| isoflurane | increases heart rate, decrease blood pressure |
| morphine | opoid |
| coedine | opoid |
| fentanyl | opoid |
| methadone | opoid agonist opoid addiction treatment less euphoria than morphine |
| buprenorphine | partial agonist at u receptors antagonist k receptors opoid addiction treatment |
| naloxone | antagonist at all opoid receptors |