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CNS drugs
Includes sedatives, general and local anaesthetics, opiods
30
Veterinary Medicine
Undergraduate 3
05/09/2012

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Cards

Term
Glutamate
Definition
Excitatory neurotransmitter
Term
Phenothiazines
Definition
Class of "dirty" sedative drugs - block many different receptors and so overall decrease in CNS function
e.g. Acepromazine
Term
Butyrophenones
Definition
Class of "dirty" sedative drugs - block many different receptors and so overall decrease in CNS function
e.g. Haloperidol
Term
alpha-2 agonists
Definition
Class of sedatives - activate alpha-2-R (presynaptic) so inhibit NA release
e.g. Xylazine, Medetomidine
Term
Benzodiazepines
Definition
Class of anxiolytic which can be used as weak sedatives - allosteric modulator of GABA-A-R so enhances GABA binding and enhances inhibition (incr. channel openings)
e.g. Diazepam
Term
Ketamine
Definition
Dissociative anaesthetic - blocks NMDA-R, preventing glutamate binding
-Induces sedation, immobility and analgesia, with no CV or resp. depression, but psychic disturbances and invol mvmts.
-also used to induce GA
Term
Acepromazine (ACP)
Definition
a phenothiazine: a "dirty" sedative drug - blocks many different receptors and so overall decrease in CNS function
-used for sedation, often as a pre-med
Term
Xylazine
Definition
an alpha-2-agonist - causes sedation, analgesia, muscle relaxation.
Used in D+C, H
Term
Medetomidine
Definition
an alpha-2-agonist- causes sedation, analgesia, muscle relaxation.
Used in D+C (not H)
Term
Detomidine
Definition
an alpha-2-agonist - causes sedation, analgesia, muscle relaxation.
Used in H (not D+C)
Term
Atipamezole
Definition
alpha-2 agonist antagonists
i.e. reverses the effects of alpha-2 aginist e.g. reversal of xylazine
Term
Diazepam
Definition
A BZD: an allosteric modulator of GABA-A-R so enhances GABA binding and enhaces inhibition.
used to calm D+C
Term
Thiopentane
Definition
-General anaesthetic - used to induce - can't be used repeatedly
-A barbiturate - allosteric modulator of GABA-A-R, so enhances GABA action and enhances inhibtion (prolongs channel opening)
Term
Etomidate / Metomidate
Definition
Injectable general anaesthetics, used for induction
-No CV or resp depression, rapid metabolism and high TI
BUT excitement
Term
Alphaxalone
Definition
A neurosteroid, used as injectable GA to induce.
-Little resp depression, rapid biotransformation and high TI
BUT excitement and CV depression, contraindicated in dogs (histamine release)
Term
Propofol
Definition
Injectable general anaesthetics, used for induction
-rapid induction and metabolism, non-cumulative, non-irritant, little excitement
Term
Nitrous oxide (N20)
Definition
Used as a adjunct for GA - not sufficiently potent alone
Term
Isoflurane / Sevoflurane
Definition
Volative liquids used for maintenance of GA via inhlation
Term
Etorphine
Definition
v. potent opiod, used for LA (must carry diprenorphine)
Term
Fentanyl
Definition
potent opiod, good for acute pain
Term
Buprenorphine
Definition
Opiod - μ-partial agonist. Very long duration
Term
Butorphanol
Definition
Opiod - κ-agonist Short acting so used as sedative
Term
Morphine
Definition
Opiod - gold standard
NB: can be metabolised to active metabolite
Term
Methadone
Definition
Opiod, equal potency to morphine. Long acting and orally active (morphine has low oral bioavailibility). Activates many Rs so much sedation / depression
Term
Tramadol
Definition
Opiod- weak μ-agonist -good at suppressing pain
Term
Nalaoxone
Definition
opiod antagonist, short acting
Term
Diprenorphine
Definition
Potent opiod antagonist - must always carry with etorphine
Term
Procaine
Definition
Local anaesthetic
ester bond so short half life, pKa=8.98 so poor tissue penetration
Term
Lignocaine / Lidocaine
Definition
Most widely used local anaesthetic
-amide group so long half-life
pKA=8.0 so good tissue penetration
Term
Benzocaine
Definition
Atypical, weak local anaesthetic - used for topical pain relief
-no amine group so 100% unionised - works by hydrophobic pathway
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