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CNS Stimulants
Pharmacology
31
Medical
Professional
02/06/2012

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Term
prototype chemical convulsants
Definition
strychnine, picrotoxin, pentylenetratrazol
Term
mech of action for chemical convulsants
Definition
dis-inhibition of inhibitory systems w/i the brain and spinal cord.
Term
strychnine mech of act
Definition
blocks postsynaptic inhibition produced by GLYCINE in the spinal cord
Term
presynaptic inhibition produced by GABA
Definition
picrotoxin and pentylenetretrazol
Term
candidate for pharm treatment of learning and memory deficits in Down syndrome
Definition
Pentylenetetrazol
Term
commonly used in rodenticides
Definition
strychnine
Term
toxic effects of strychnine
Definition
opisthotonic seizure (rigid arching of back)
Term
treatment of stychnine poisoning
Definition
IV admin. of diazepam
oral admin. of activated charcoal
Term
prototype methylxanthines
Definition
caffeine, theophylline, and theobromine
Term
effect of methylxanthines on CNS
Definition
stimulation-study aid 80-250mg

increased cap for intellecual efford

decreased reaction time, fine motor, timing and math skills
Term
methylx effect on heart
Definition
high doses induce tachycardia
dilates peripheral vasculature
induces a constriction of cerebral blood vessels
Term
effect of methylx on GI
Definition
increased acid and pepsin
peristalsis-alleviates constipation
Term
this effect occurs w/i normal dose range of methylx
Definition
antagonism of adenosine receptors
Term
what is the genetic variability of methylx due to
Definition
polymorphism of enzyme N-acetyltransferase
Term
drug half-life will be increased in
Definition
hepatic dz
pregnant women
oral contraceptive
Term
drug half-life will be decreased
Definition
smokers
phenytoin or barbiturates
Term
theophylline half-life
Definition
longer in adults
Term
methylx toxicity
Definition
nervousness
insomnia
delirium
Term
rapid IV fusion of methylx causes
Definition
sensory distortions- olfactory and gustatory
Term
headache remedy
Definition
caffeine
aspirin
NSAIDs
Term
psychomotor prototype
Definition
amphet, meth, cocaine, and methylphenidate
Term
which isomer of amphetamine is more potent on heart
Definition
L
Term
this psychostimulant produces little to no effect on the periphery
Definition
methamphetamine
Term
more potent enantiomer of amphetamine in CNS
Definition
D
Term
mech of action for psychostimulants
Definition
increased synaptic conc of dopamine, norep, and possibly serotonin
Term
amphetamine effect on monoamine trans
Definition
stimulation of released transmitters
Term
Cocaine and methylphenidate exception
Definition
they do NOT elicit monoamine release
Term
pyschostimulants used in treatment of narcolepsy
Definition
racemic amphetamine
d-amphetamine
methamphetamine
Term
modafinil mech of action
Definition
weak affinity for dopamine reuptake transporters
Term
toxicity of pyschostimulants
Definition
true psychosis; misdiagnosed as schizophrenic reaction
Term
chronic users of meth shows decreased binding of what
Definition
dopamine
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