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Nicotine Abuse
Pharmacology
22
Medical
Professional
02/06/2012

Additional Medical Flashcards

 


 

Cards

Term
sniffed/injected form of cocaine
Definition
hydrochloride
Term
smkoking form of cocaine
Definition
cocaine freebase
Term
effects of cocaine
Definition
euphoria
increased sympathetics
high sexual overtones
Term
cocaine plus OH causes this metabolite
Definition
cocaethylene
Term
metabolite of cocaine that lasts 3-4 days
Definition
benzoylecgonine
Term
mech of action in PNS
Definition
inhibits Na channels, blocking initiation and conduction of action potentials
Term
how does cocaine induce sympathetic system
Definition
blockage of the norep transporter
Term
Nictoine overdose effect on CV system
Definition
intracranial hemorrhage and ischemic stroke
Term
given to pts on cocaine for convulsions
Definition
IV diazepam
Term
How is amphetamine used
Definition
injected IV or sniffed into the nasal mucosa
Term
can be formed by OTC pseudoephedrine
Definition
METH
Term
mech of action amphetamine
Definition
release of norep, dopamine, and serotonin.

inhibition of reuptake
Term
which has greater tolerance, cocaine or amphetamines
Definition
amphetamines
Term
meth toxicity
Definition
bruxism
thin, hyperactive paranoid user
Term
what is tar in cigarrettes responsible for
Definition
lung cancer
emphysema
bronchial disorders
Term
carbon monoxide in cigarretes
Definition
increased chance of cardiovascular disease
Term
these are the most likely causes of cancer assoc w/smoking
Definition
Aromatic amines
nitrosamines
polyaromatic hydrocarbons
Term
chief metabolic product of smoking
Definition
cotinine

carboxyhemoglobin also good indication of recent smoking
Term
nicotine gum
Definition
slower rise in nicotine levels
reduce cravings.
has to be motivated
Term
nicotine patch
Definition
inflexible doses
dermatology problems
effective during early treatment
Term
varenicline mech of action
Definition
partial ag at alpha4beta2 nicotoine receptors

prevents release of dopamine

**superior to buproprion**
Term
adverse effects of varenicline
Definition
90% suicides
exacerbation of psychiatric illness
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