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Pharmacology I Exam 3
Seizures, Migraines, Opioids, Gout, Pain management
35
Pharmacology
Graduate
10/23/2011

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Cards

Term

Partial Seizure

  • Drug
  • Alternative
Definition
  • Drugs:

Carbamazepine

Oxcarbazepine (4-16 year olds)

Phenytoin

Valproic acid

 

  • Alternative:

+Keppra

+Lamotrigine

+Oxcarbazepine

+Gabapentin

 

 

Term

Secondarily Generalized Seizure

  • Drug
  • Alternative
Definition
  • Drug:

Phenytoin

Valproic acid

  • Alternative:

+ Gabapentin

Term

Absence Seizure

  • Drug:
  • Alternative:
Definition
  • Drug:

Ethosuximide

Valproic acid

  • Alternative:

+ Benzodiazepams (Clonazepam/Clorazepate)

Term

Tonic-Clonic Seizure

  • Drug:
  • Alternative
Definition
  • Drug:

Carbamazepine

Phenytoin

Valproic acid

  • Alternative:

+Lamotrigine

Term

Drugs that:

Prolong rate of recovery of voltage gated Na channels.

Definition
  • Phenytoin
  • Valproic Acid
  • Carbamazepine
  • Oxcarbazepine
  • Lamotrigine
Term

Drugs that:

Inhibit T type Ca channels

Definition
  • Ethosuximide
  • Valproic Acid
Term
Drugs that induce CYP3A4 so should not be taken with oral contraceptives?
Definition
  • Carbamazepine
  • Oxcarbazepine
  • Phenytoin
Term
Drugs that enhance inhibitory GABA
Definition
  • Benzodiazepine
  • Valproic acid (in vitro)
Term
What type of seizures can be tested with Kindling?
Definition
  • Partial
  • Generalized
Term
What type of seizures can be tested with injection of chemoconvulsants?
Definition
  • Tonic-Clonic
Term
What induces metabolism of carbamazepine?
Definition
  • Phenobarbitol
  • Valproic acid
  • Itself
Term
Which drugs activate the 5HT1 receptor?
Definition
  • Methysergide maleate
  • Ergotamine
  • Dihydroergotaline

(The Ergots)

Term
Which drugs act on the 5HT2 receptors?
Definition
  • Methysergide maleate (antagonist)
  • Amitryptiline (Elavil) (↓ receptors)
Term
Which migraine drugs are used for acute treatment?
Definition
  • Ergotamine
  • Dihydroergotamine
  • Triptans
  • Metoclopramide (choice 2)
  • Prochloperazine (choice 2)
  • Midrin (moderate migraines)
Term
Which migraine drugs are used for prophylaxis?
Definition
  • Methysergide maleate (choice 2)
  • β blockers
  • Anti depressents
  • AEDs
Term
Which drugs are dopamine antagonists?
Definition
  • Metoclopramide
  • Prochlorperazine
Term
What do μ receptors mediate?
Definition
  • Spinal analgesia
  • Euphoria
  • Addiction
  • Respiratory depression
  • Sedation

 

Term
What do κ receptors mediate?
Definition
  • Spinal analgesia
  • Sedation
  • Meiosis
  • Dysphoria
Term
What drugs can be used to treat opioid addiction?
Definition
  • Methadone (Dolophine)
  • Buprenorphine (Suboxone)
Term
Which opioid is commonly used in obsterics?
Definition
  • Mepiradone (Demerol)

Causes less respiratory depression in newborns than morphine.

Term
Which opioids are partial agonists at μ receptors?
Definition
  • Pentazocin (talwin)
  • Butorphanol (Stadol)
  • Buprenorphine (Suboxone)
Term
What are the opioid antagonist drugs?
Definition
  • Naloxone
  • Naltrexone
  • Methylnaltrexone
Term
Effects of opioids where tolerance occurs
Definition
  • Analgesic
  • Euphoric sedative
  • Respiratory depression
Term
Effects of opioids where tolerance does not occur
Definition
  • Miosis
  • Constipation
Term
Which opioid is short acting?
Definition
  • Mepiradine (Demerol)
Term
Which drugs are used for the acute treatment of gout?
Definition
  • NSAIDS
  • Corticosteroids (Prednisone)
  • Colchicine (2nd choice)
Term
Which drugs are used as gout prophylaxis?
Definition
  • Colchicine (low dose)
  • Probenecid
  • Allopurinol
  • Febuxostat (Uloric) (2nd choice)
Term
This drug binds to tubulin and inhibits proinflamatory glycoproteins from neutrophils.
Definition
Colchicine
Term
This drug inhibits the secretion and reabsorption of organic acids.  Net effect ↑ uric acid excretion
Definition
Probenecid (benemid)
Term
This drug inhibits Xanthine Oxidase
Definition
Allopurinol (Xyloprim)
Term
This drug inhibits prostaglandin synthesis
Definition

NSAIDS

  • Indomethacin
  • Ibuprofen
  • Ketorolac
Term
Which NSAID is used as an injection to relieve pain?
Definition
Ketorolac (Toradol)
Term
What does COX1 mediate?
Definition
  • Stimulate mucous secretion in upper GI track
  • cause platelet agregation (FYI)

(Inhibition is GI irritation)

Term
What does COX2 mediate?
Definition
  • Inflamation and
  • Modulating pain in CNS
  • Renal perfusion
  • Prostacycline production (FYI)
Term
What is the only COX2 inhibitor that is still on the market?
Definition
Celocoxib (Celebrex)
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