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opioid agonist acts primarily on mu receptors decreases GI motility cough suppressant euphoria respiratory depression emesis miosis histamine release tolerance dependence |
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opioid agonist used as an opioid anti-diarrheal poorly distributed in the brain |
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opioid agonist highly potent short duration of action with rapid onset used for acute pain |
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opioid agonist highly potent short duration of action with rapid onset used for acute pain |
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opioid agonist duration of action is considerably longer than morphine's used for opioid based addictions and chronic pain management acts via mu receptors |
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opioid agonist far more lipophilic than morphine heavy abuse potential |
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opioid agonist 20% of the analgesic effects of morphine antitussive less euphoria than morphine |
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opioid agonist similar to morphine but causes restlessness instead of sedation dry mouth blurred vision dependence |
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opioid agonist postoperative pain atypical opioid analgesic weak agonist at mu receptors actions at NE, 5HT, and GABA receptors 10% as potent as morphine (IV/IM) better side effect profile than other opiates |
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opioid agonist mixed agonist/antagonist agonist at kappa receptors 2 enantiomers one has affinity for kappa receptors and one has affinity for sigma receptors. |
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opioid mixed agonist/antagonist partial agonist to mu receptor long duration of action behaves like morphine can antagonize morphine |
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opioid antagonist blocks all 3 subtypes of opioid receptors produces rapid reversal of the effects of morphine little effect on pain threshold competitive antagonist blocks respiratory depression half life of 60 minutes |
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opioid antagonist long duration of action nullifies the effects of opiates if a recovering addict fails competitive antagonist also used to manage alcoholism, reduces the rewarding effects of alcohol |
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benzodiazepine antianxiety |
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benzodiazepine anti anxiety panic disorders |
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benzodiazepine sedative (hypnosis) long acting |
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benzodiazepine sedative (hypnosis) long acting |
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benzodiazepine sedative (hypnosis) middle acting |
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benzodiazepine sedative (hypnosis) short acting re-occurring insomnia (rebound insomnia) |
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benzodiazepine anticonvulsant relatively selective for anti-seizure |
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partial agonist at serotonin receptor 5HT1A slow onset of action minimal sedation less side effects no withdrawal after discontinuation |
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benzodiazepine antagonist used to treat overdose can also antagonize the actions of zolpidem can induce withdrawal symptoms in dependent patients |
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barbiturate lasts greater than a day used to inhibit seizures |
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bartiturate acts in seconds and lasts 30 minutes iv anesthetic |
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antidepressant FDA approved for treatment of GAD serotonin selective reuptake inhibitor |
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antidepressant FDA approved for the treatment of GAD serotonin selective reuptake inhibitor inhibits the reuptake of NE |
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first generation tricyclic antidepressant used when SSRIs do not work effects serotonin reuptake and NE reuptake |
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antihistamine with antiemetic activity competes with histamine for the H1 receptor low tendancy for habituation (used with people addicted to barbs or benzo) |
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sedative and hypnotic can cause serious GI distress |
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anti anxiety and sedative narrow, unpredictable therapeutic window |
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non-benzodiazepine sedative hypnotic used for short term treatment of insomnia (7-10 days) binds to the same spot on GABAa as benzodiazepines (enhances GABA transmission) no cognitive impairment, no rebound insomnia |
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nonbenzodiazepine hypnotic used to treat insomnia (used for 6-12 months) |
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melotonin 1 and 2 receptor agonist used to treat insomnia MT1 regulates sleepiness MT2 shifts body from night to day no cognitive impairment, no rebound insomnia, no drug dependence contraindications: severe hepatic disease, COPD (has respiratory depressant effects), endocrine disease (associated with increased testosterone and prolactin) |
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first generation tricyclic antidepressant active metabolite of imipramine most potent and selective for the inhibition of the reuptake of NE used for bulimia |
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first generation tricyclic antidepressant used to treat depression, eating disorders, ADHD, neuropathic pain, social anxiety disorder |
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second generation tricyclic antidepressant faster onset of action than imipramine or amitriptyline |
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second generation tricyclic antidepressant NE selection (does not effect the reuptake of serotonin) causes sedation |
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serotonin selective reuptake inhibitor no antimuscarinic side effects |
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serotonin selective reuptake inhibitor no anti muscarinic side effects |
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inhibits the reuptake of serotonin and NE potency is greater for serotonin than NE |
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MAOi (inhibit metabolism of serotonin, dopamine, and NE) inhibits monoamine oxidase irreversibly and are non specific |
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MAOi (inhibits the metabolism of serotonin, dopamine, and NE) inhibits monoamine oxidse irreversibly and is non specific |
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MAOi (inhibits metabolism of serotonin, dopamine, NE) inhibits monoamine oxidase reversibly MAOa selective less side effects |
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antidepressant used in patient who have experienced orthostatic hypotension, aide to smoking cessation inhibits reuptake of dopamine noncompetitive nicotinic antagonist |
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inhibits serotonin reuptake enhances serotonin and NE release |
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mood stabilizing drug anti-epileptic sodium channel blocker in acute attack, only effective on manic state, not depressive state takes 3-4 weeks to develop |
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mood stabilizing drug anti epileptic GABAa receptor agonist, increasing GABAa activity in acute attack, only effective on manic state, not depressive state takes 3-4 weeks to develop |
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used to treat bipolar disorder and unipolar disorder interferes with the synthesis, storage, release, and reuptake of monoamine neurotransmitters narrow therapeutic window and long duration of action reabsorbed through tubular reabsorption, so diuretics may cause toxicity inhibits ADH --> polyuria |
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used to treat alcoholism adversive therapy inhibits alcohol dehydrogenase leading to unpleasant effects |
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nicotinic acetylcholine receptor noncompetitive antagonist small doses actually increase smoking because effect can be overcome in higher doses, abolishes the effects of nicotine |
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used to treat alcoholism weak NMDA receptor agonist reduces craving may work by interfering with synaptic plasticity |
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synthetic cannabinoid, derived from the cannabis plant used for anorexia and nausea antiemetic - opposes effects of serotonin in the medulla vomiting center of brain (5HT3) appetite - cannabinoid receptors in the hypothalamus |
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synthetic cannabinoid, not derived from the cannabis plant antiemetic and neuropathic pain antiemetic - opposes effects of serotonin in the medulla vomiting center of brain (5HT3) |
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