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Neuropharmacology
USMLE Step 1 pharmacology Neurology
52
Medical
Graduate
02/15/2011

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Cards

Term
Carbamazepine mechanism
Definition
Na+ channel inactivation
Term
phenytoin mechanism
Definition
Na+ channel inactivation
Term
Lamotrigine mechanism
Definition
blocks Na+ voltage gated channels
Term
Gabapentin mechanism
Definition
inhibits HVA Ca2+ channels (although designed as GABA analog)
Term
Topiramate mechanism
Definition
blocks Na+ channels, increases GABA
Term
Phenobarbital mechanism
Definition
Increases GABAA action
Term
Mechanism of benzodiazepines
Definition
Increases GABAA action by increasing frequency of Cl- channel opening
Term
Valproic Acid mechanism
Definition

Increases Na+ channel inactivation

Increases GABA concentration

Term

Ethosuximide

Use and mechanism

Definition

Absence seizures

Blocks thalamic T-type Ca2+ channels

Term
Tiagabine
Definition
Inhibits GABA reuptake
Term
Vigabatrin
Definition
Irreversibly inhibits GABA Transaminase leading to increased GABA
Term
Anti-epileptic p450 induces
Definition
carbamazipine, phenobarbitol, phenytoin
Term
Barbiturate mechanism
Definition
facilitate GABAA via increases duration of Cl- channel opening
Term
Prazosin
Definition
alpha-adrenergic antagonist
Term
anti-epileptic that can cause SIADH
Definition
Carbamazepine
Term
Urticaria, hearache, fatigue, GI upset after anti-epileptic
Definition
Ethosucimide
Term
nystagmus, diplopia from anti-epileptic
Definition
phenytoin
Term
Labs for valproic acid
Definition
LFTs
Term
Drug induced lupus
Definition
phenytoin
Term
kidney stones from anti-epileptic
Definition
Topiramate
Term
anti-epileptic causing gingival hyperplasia
Definition
phenytoin
Term
hepatotoxic anesthetic
Definition
halothane
Term
nephrotoxic anesthetic
Definition
methoxyflurane
Term
proconvulsant anesthetic
Definition
enflurane
Term
Thiopental: properties
Definition
high potency
high lipid solubility
Rapid entry into brain
Rapid redistribution into tissue and fat
Term
Most common drug used for endoscopy
Definition
Midazolam
Term
PCP analogues?
Definition
Arylcyclohexylamine - dissociative anesthetics, block NMDA receptors
Term
IV anesthetic that increases cerebral blood flow
Definition
ketamine
Term
IV anesthetic that potentiates GABAA
Definition
propofol
Term
local anesthetic mechanism
Definition
block Na+ on specific receptors on inner portion or channel. preferentially bind to activated Na+ channels
Term
Order of nerve blockade by local anesthetics
Definition
small myelinated fibers>small unmyelinated fibers>large myelinated fibers>large unmyelinated fibers
Term
local anesthetic with cardiovascular toxicity
Definition
bupivacaine
Term
Depolarizing neuromuscular blocker
Definition
succinylcholine
Term
complications of succinylcholine
Definition
hypercalcemia and hyperkalemia
Term
Treatment for malignant hyperthermia
Mechanism?
Definition
Dantrolene - prevents release of Ca2+ from SR of skeletal muscle
Term
entacapone, tolcapone mechanism
Definition
COMT inhibitors, prevent L-dopa breakdown
Term
Memantine mechansim
Definition
NMDA receptor antagonist
Term
Alzheimer's meds which cause insomnia
Definition
AcetylCholinesterase inhibitors (Donepezil, galantamine, rivastigmine)
Term
Headache medication that can cause coronary vasospasm
Definition
sumatriptan
Term
opioid mechanism
Definition
agonist to opioid receptor (mu - gprotein coupled, delta, and kappa), opens K+ channels, closes Ca2+ channels, decreasing synaptic transmission
Inhibits release of Ach, NE, 5-HT, glutamate, substance P
Term
butorphanol mechanism
Definition
partial agonist at opioid mu receptors, agonist at Kappa receptors
Term
tramadol mechanism
Definition
very weak opioid agonist, inhibits serotonin and NE reuptake.
Term
Epinephrin - use in glaucoma
Definition
decreases aqueous humor synthesis due to vasoconstriction
Term
brimonidine - use in glaucoma
Definition
decrease aqueous humor synthesis (alpha-agonist)
Term
timolol mechanism - glaucoma
Definition
beta-blocker, decreases aqueous humor secretion
Term
Acetazolamide mechanism - glaucoma
Definition
diuretic, carbonic anhyrdase inhibitor
decreases aqueous humor secretion by decreasing HCO3-
Term
pilocarpine mechanism in glaucoma
Definition
direct cholinomimetic
- increase outflow of aqueous humor
- contract ciliary muscle and open trabecular meshwork
Term
carbachol mechanism - glaucoma
Definition
direct cholinomimetic, increase outflow of aqueous humor, contract ciliary muscle and open trabecular meshwork
Term
physostigmine mechanism
Definition
indirect cholinomimetic (anticholinesterase)
increases outflow of aqueous humor by contracting ciliary muscle and opening trabecular meshwork
Term
latanoprost mechanism
Definition
increases outflow of aqueous humor, as a PGF-2alpha (prostoglandin)
Term
glaucoma med that darkens iris
Definition
latanoprost
Term
Need to test what in lithium?
Definition
TSH, BUN creatinine
Lithium also can cause nephrogenic diabetes insipidus
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