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420 DRUGS PART 2

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Question
Answer
show Muscarinic Agonists Quaternary amine USE: urinary retention/ileus  
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show Muscarinic Agonists Quaternary amine and non-selective muscarinic and nicotinic agonist USE: Glaucoma  
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Cevimeline (Evoxac)   show
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show Muscarinic Agonists Tertiary amine USE: Sjogren's (dry mouth), glaucoma  
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show AChE inhibitors reversible USE: Urinary retention/ileus, myasthenia gravis  
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Physostigmiine (Eserine-generic)   show
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show AChE inhibitor reversible USE: myasthenia gravis  
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Edrophonium (Tensilon)   show
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Difluorophosphate-DFP (Floropryl)   show
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Echothiphate (Phospholine)   show
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show AChE inhibitors irreversible (cholinergic poisons, nerve gases) 5 hours before permanent  
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Tabun   show
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show AChE inhibitors irreversible (cholinergic poisons, nerve gases) 2 min before permanent  
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Malathion   show
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show Nicotinic a4b2 partial agonist USE: smoking cessation aid  
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show Nicotine receptor agonist USE: smoking cessation  
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show Anticholinergic USE: asthma, COPD: decrease bronchial contraction and secretions  
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Tiotropium (Spiriva)   show
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show Anticholinergic USE: pre-op antisecretory  
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Atropine (AtroPen)   show
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show Anticholinergic USE: bradycardia, asystole: reduce dominant PNS tone-> dominant SNS tone (increase heart rate)  
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Darifenacin (Enablex)   show
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Fesoterodine (Toviaz)   show
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Oxybutynin (Ditropan)   show
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Solfenacin (Vesicare)   show
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show Anticholinergic USE: urinary incontinence: relax detrusor/contract internal sphincter  
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Trospium (Sanctura)   show
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show Anticholinergic USE: GI hypermotility and secretions  
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show Anticholinergic USE: GI hypermotility and secretions and infant colic  
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Methscopolamine (Pamine)   show
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Propantheline (Pro-Banthine)   show
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show Anticholinergic USE: motion sickness: decrease excessive stimulation of vestibular pathway  
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Homoatropine (Isopto Homatropine)   show
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Cyclopentolate (Cyclogyl)   show
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show Anticholinergic USE: mydriatic: to facilitate eye exam  
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Ondansetron (Zofran)   show
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Dolasetron (Anzemet)   show
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Granisetron (Kytril)   show
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Palolosetron (Aloxi)   show
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Alosetron (Lotronex)   show
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show USE: abortive therapy of mild migrane  
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Barbiturate hypnotics: butalbital/ASA/caffeine   show
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Triptans   show
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Ergotamine tartrate (Ergomar)SL tablets   show
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Dihydroergotamine D.H.E (Migranal, D.H.E. 45)   show
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show Ergot Alkaloids USE: prevention and treatment of postpartum atony and hemorrhage MOA: agonist/antagonist of a1 and 5-HT2 receptors--> strong contractions of uterus --> compress uterine blood vessels  
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show Ergot Alkaloids USE: prevention and treatment of postpartum atony and hemorrhage MOA: agonist/antagonist of a1 and 5-HT2 receptors--> strong contractions of uterus --> compress uterine blood vessels  
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Citalopram (Celexa)   show
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show Selective Serotonin Reuptake Inhibitors (SSRIs)  
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Fluoxetine (Prozac, Sarafem)   show
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show Selective Serotonin Reuptake Inhibitors (SSRIs)  
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show Selective Serotonin Reuptake Inhibitors (SSRIs)  
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Sertraline (Zoloft)   show
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Venlaflaxine (Effexor)   show
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show Serotonin/NE Reuptake Inhibitors (SNRIs)  
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Duloxetine (Cymbalta)   show
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show Serotonin/NE Reuptake Inhibitors (SNRIs) USE: fibromyalgia  
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Mephobarbital (Mebaral)   show
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show Barbiturate USE: sedative, hypnotic, anticonvulsant ONSET: 60 min DURATION: 15 hrs (long)  
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show Barbiturate USE: sedative, hypnotic ONSET: 60 min DURATION: 8 hrs (intermediate)  
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Pentobarbital (Nembutal)   show
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show Barbiturate USE: insomnia, pre-anesthesia ONSET: 15 min DURATION: 4 hrs (short)  
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Thiopental (Pentothal)   show
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show Benzodiazepine USE: anxiety, preanesthesia, alcohol withdrawl ONSET: 40 min DURATION: 24-48 hrs (long)  
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Clonazepam (Klonopin)   show
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Diazepam (Valium)   show
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Alprazolam (Xanax)   show
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show Benzodiazepine USE: anxiety, preanesthesia, status epilepticus, alcohol withdrawal, preanesthesia, amnesia ONSET: 12 min DURATION: 12-18 hrs (short)  
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Oxazepam (Serax)   show
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Temazepam (Restoril)   show
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show Benzodiazepine USE: Preanesthesia, amnesia, induce/maintain anesthesia ONSET: 4 min DURATION: <6 hr (ultrashort)  
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Triazolam (Halcion)   show
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show USE: anxiety ONSET of efficacy is 1-2 weeks MOA: serotonin receptor agonist, no effect on GABA receptor or GABA binding to GABA receptor  
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Eszopiclone (Lunesta)   show
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show Non-BDZs Hypnotics USE: insomnia MOA: agonist of BZ1 (omega1 receptor)  
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show Non-BDZs Hypnotics USE: insomnia MOA: agonist of BZ1 (omega1 receptor)  
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show Non-BDZs Hypnotic USE: insomnia MOA: agonist of melatonin receptors of suprachiasmatic nuclei= maintain carcadian rhythm or normal sleep-wake cycle  
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show Miscellaneous Older CNS depressants USE: preop: anti-anxiety and sedation, postop: adjunct to opiates and other analgesics, hypnotic: loses effectiveness after 2 week therapy, prevent or suppress alcohol withdrawal symptoms MOA: unknown  
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show Miscellaneous Older CNS depressants USE: anxiety (reduced efficacy after 4 months) MOA: unknown  
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show MOA: binds to different site on GABA receptor, inhibits activation of NMDA (excitory) receptors, effects on other channels and neurotransmitters  
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show Miscellaneous Older CNS depressants USE: treatment of alcohol abuse MOA: cause acetaldehyde poisoning- inhibit ALDH-increase in acetaldehyde- vasodillation, intense throbbing headache, vomitting, sweating, vertigo, blurred vision, weakness, confusion  
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Phenobarbital   show
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Phenytoin (Dilantin)   show
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show Older AED USE: Simple&Complex Partial, Grand Mal, Absence, Status MOA: block Na and Ca channels, increase GABA levels  
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Primidone (Mysoline)   show
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show Older AED  
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Levetiracetam (Keppra)   show
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Lamotrigine (Lamictal)   show
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show Newer AED USE: Simple&Complex Partial MOA: block Ca channels, increase GABA release, decreaase glutamate release  
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Gabapentin (Neurontin)   show
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Topiramate (Topamax)   show
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show USE: maintain alcohol abstinence MOA: restore balance of GABA and glutamate activity, enhance action of GABA at GABA receptors, reduce neuronal hyper-excitability during alcohol withdrawl  
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