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Alzheimers: Pharm
Pharmacology of Alzheimer's disease
| Question | Answer |
|---|---|
| What is the etiology of Alzheimer's Disease? | ACh is down (90% by the time symptoms occur) Neurofibrillary Tangles Neuritic Plaques |
| what is an early symptom of Alzheimer's DIsease? | Impaired Judgement |
| What is the action of Cholinesterase inhibitors? | These AD drugs inhibit the breakdown of ACh which leads to increased levels of ACh |
| name 4 Cholinesterase inhibitors | Tacrine DOnepezil galantamine rivastigmine |
| which of the cholinesterase inhibitors are very risky to the liver? | Tacrine |
| What tests monitor liver function? | AST ALT Albumin Partial protein Total protein |
| What are the adverse effects of Cholinesterase inhibitors? | n/v/d dyspepsia dizziness headache bronchoconstriction |
| who should be cautioned when using cholinesterase inhibitors? | people with Asthma/COPD because an adverse effect can be bronchoconstriction |
| what is dyspepsia? | metallic taste in mouth |
| What type of drug is Tacrine? | Cholinesterase inhibitor |
| what is the mechanism of action for Tacrine? | reversable inhibition of the enzyme that breaks down ACh |
| what route is tacrine admninistered? | orally |
| what is a downfall of tacrine? | it must be administered q6h which is difficult for people to comply to, especially patients suffering from Alzheimer's Disease |
| What is Donepezil? | A Cholinesterase inhibitor |
| what is the advantage of Donepezil? | it has a longer half life (doesn't have to be administered as often) No risk to liver |
| what is the mechanism of action of donepezil? | same as tacrine reversable inhibition of the enzyme that breaks down ACh |
| what is the major side effects of donepezil? | n/v/d |
| What is memantine? | an NMDA receptor antagonist |
| what is the mechanism of action of memantine? | prevents excess calcium influx. calcium in high amounts intracellularly can impair memory and learning |
| metabolism and excretion of memantine: | not metabolized excreted in urine |
| How does estrogen help in AD? | it doesn't |
| what are the effects of NSAIDS on AD? | decreases incidence by 80% |
| Fact: Gingko Bilopa helps AD | true |