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Drugs for PDA II Exam 2
Analgesics, Affective Disorders
76
Health Care
Professional
02/10/2009

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Term
This prototypical opioid anesthetic acts primarily on mu receptors:
Definition
Morphine
Term
Morphine acts primarily on these receptors:
Definition
Mu opioid receptors
Term
Morphine inhibits CO2 chemoreceptors, causing:
Definition
Respiratory depression
Term
One of the best ways to check for morphine's effectiveness is to examine:
Definition
The pupils. Morphine causes miosis, leading to unresponsiveness of the pupils to light.
Term
Morphine acts on mu receptors on mast cells, ______.
Definition
Releasing histamine
Term
The morphine-__-glucuronide metabolite causes potent side effects and analgesia.
Definition
Morphine-6-glucuronide
Term
Side effects of morphine include:
Definition
Euphoria, addiction, emesis, respiratory depression, miosis, constipation, tolerance, and dependence.
Term
Loperamide is clinically used to treat:
Definition
Uncontrolled diarrhea
Term
This opioid agonist does not cross the BBB and is used to treat uncontrolled diarrhea.
Definition
Loperamide
Term
These two drugs are used in emergency situations, are short-acting, and more potent than morphine.
Definition
Fentanyl and sufentanil
Term
Fentanyl and sufentanil have a ______duration of action.
Definition
Short
Term
Fentanyl and sufentanil are _____ potent than _____.
Definition
More; morphine
Term
Methadone is clinically used to treat symptoms of withdrawal from this drug:
Definition
Heroin
Term
Methadone has a very ___ half life.
Definition
Long
Term
Methadone is(competitive/noncompetitive) with morphine and heroin.
Definition
Competitive
Term
This drug competes out heroin and morphine, and is used for symptoms of withdrawal.
Definition
Methadone
Term
Diacetylmorphine is better known as:
Definition
Heroin
Term
This modified molecule of morphine is more lipophilic and crosses the BBB.
Definition
Heroin
Term
This drug is a weaker agonist than morphine, and is given in much lower doses.
Definition
Codeine
Term
Pentazocine and buprenorphine act primarily on this receptor:
Definition
Kappa receptors
Term
Pentazocine and buprenorphine antagonize ____ at the _______.
Definition
Morphine; mu receptor
Term
Pentazocine and buprenorphine have less likelihood of _____ and _______ than morphine.
Definition
Abuse; dependence
Term
K-acting drugs, like buprenorphine and pentazocine, may cause:
Definition
Dysforia
Term
Naloxone is a ___ acting opioid antagonist used to treat overdose.
Definition
Rapid
Term
This rapid-acting, short-lived (t1/2 = 60min) competitive antagonist is used to treat opioid overdose.
Definition
Naloxone
Term
Naloxone is clinically used to treat:
Definition
Overdose
Term
Naltrexone is a competitive antagonist with a ___ half life.
Definition
Long
Term
This drug is given with naloxone to avoid relapse into overdose.
Definition
Naltrexone
Term
This long-acting competitive antagonist is given with naloxone to treat overdose.
Definition
Naltrexone
Term
Imipramine, desipramine, and amitriptyline are all:
Definition
First generation TCAs
Term
Amoxapine and maprotiline are:
Definition
Second generation TCAs
Term
List the first generation TCAs:
Definition
Imipramine, desipramine, and amitriptyline
Term
List the second generation TCAs:
Definition
Amoxapine, maprotiline
Term
This first generation TCA is more selective for NET:
Definition
Desipramine
Term
TCAs act by:
Definition
Inhibiting the actions of NET and SERT
Term
These drugs act by inhibiting the actions of NET and SERT.
Definition
TCAs
Term
This generation of TCAs is more selective for NET:
Definition
Second generation
Term
Short-term side effects of TCAs include:
Definition
Sedation, confusion, decreased motor coordination, initial nausea, and NARROW THERAPEUTIC WINDOW
Term
Long-term effects of TCAs include:
Definition
Long half-life (interact w/ other antidepressants), postural hypotension, anti-muscarinic (anti-SLUDGE) effects
Term
SSRIs act by:
Definition
Inhibiting the action of SERT
Term
Fluoxetine and escitalopram are examples of:
Definition
SSRIs
Term
Advantages of SSRIs include
Definition
Less anti-muscarinic AEs, less dangerous, many uses (depression, panic/OCD/anxiety disorders)
Term
SSRIs are less effective for:
Definition
Severe depression
Term
Concominant use of SSRIs, TCAs, and/or MAOIs can result in:
Definition
Serotonin syndrome
Term
Symptoms of serotonin syndrome include:
Definition
Hypertensive crisis, euphoria, coma, death
Term
AEs of SSRIs include:
Definition
Anorexia, nausea, insomnia, anorgasmia, loss of libido, increase rate of suicide in teens
Term
Venlafaxine and duloxetine act by:
Definition
Inhibiting the reuptake of serotonin and NE
Term
These antidepressants inhibit the reuptake of 5HT and NE.
Definition
Venlafaxine, duloxetine
Term
MAOIs act by:
Definition
Irreversibly inhibiting MAO, which increases the concentration of monoamines in the synaptic cleft
Term
This MAOI is unique in that it is both reversible and selective.
Definition
Moclobemide
Term
Phenylzine, tranylcypromine, moclobemide, and selegiline are examples of:
Definition
MAOIs
Term
Moclobemide is selective for:
Definition
MAO-A
Term
Selegiline is selective for:
Definition
MAO-B
Term
Long-term AEs of MAOIs include:
Definition
Long duration of action, Rx-Rx interactions --> Indirect sympathomimetics + MAOIs = Hypertensive crisis;
Inhibits enzymes
Term
General side effects of MAOIs include:
Definition
Hypotension, excessive central stimulation, tremors, insomnia, convulsions, weight gain, liver disease (phenylzine), and anti-muscarinic effects
Term
Dining on cheese and wine while taking an MAOI will cause:
Definition
Increased concentrations of tyramine --> hypertensive crisis
Term
Drug-Food interactions involveing wine, cheese, and MAOIs can be avoided by:
Definition
Using a selective MAOI
Term
Bupropion acts by:
Definition
Irreversibly inhibiting nAChRs
Term
Not only does bupropion inhibit nAChRs, but it also inhibits:
Definition
DAT and NET
Term
Bupropion is clinically used for:
Definition
Depression, smoking cessation
Term
Trazodone acts by:
Definition
Inhibiting 5HT reuptake and enhancing the release of 5HT and NE
Term
This antidepressant acts by inhibiting 5HT reuptake, as well as enhancing release of 5HT and NE
Definition
Trazodone
Term
This mu-opioid agonist may have higher concentrations due to MAOIs:
Definition
Meperidine
Term
This anti-epileptic drug used to treat bipolar disorder blocks Na+ Channels:
Definition
Carbamazepine
Term
Carbamazepine is an anti-epileptic drug that is sometimes used to treat:
Definition
Bipolar disorder
Term
This anti-epileptic drug used to treat bipolar disorder enhances GABA-A:
Definition
Valproate
Term
Valproate, which is used to treat bipolar disorder enhances:
Definition
GABA-a
Term
This anti-epileptic drug used to treat acute manic-phase bipolarism inhibits cation (Ca) channels from opening:
Definition
Gabapentin
Term
Gabapentin may be used to treat this phase of bipolar disorder:
Definition
Manic phase
Term
Gabapentin acts by:
Definition
Inhibiting the opening of Ca channels
Term
This drug is a prophylactic treatment for both the manic and depressive phases of bipolar disorder:
Definition
Lithium
Term
Lithium must be constantly monitored because of its:
Definition
Narrow therapeutic index
Term
This is thought to be the underlying MOA of lithium:
Definition
Inhibition of IP3
Term
Lithium is taken up by ______ channels, and it blocks _____ channels.
Definition
Sodium, potassium
Term
Side effects of lithium include:
Definition
Nausea, vomiting, polyuria, renal tubular damage w/ long term treatment, weight gain, interfere with thyroid function
Term
Lithium inhibits this hormone, leading to increased loss of fluids and electrolytes.
Definition
ADH
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