Term
Depolarizing neuromuscular blocking agent
(1) |
|
Definition
|
|
Term
Non-depolarizing neuromuscular blocking agent
(3) |
|
Definition
d-tubocurarine
cistracurium
rocuronium |
|
|
Term
Centrally acting spasmolytics
(6) |
|
Definition
Baclofen
cyclobenzaprine
carisoprodol
metaxalone
methocarbamol
tizadine |
|
|
Term
Direct acting muscle relaxant |
|
Definition
|
|
Term
MOA for most sedative hypnotics |
|
Definition
GABAA&B receptors
different subunits for different responses
|
|
|
Term
2 major pharmacologic effects of ethanol in CNS |
|
Definition
1. enhance action of GABA on GABAa receptors
2. inhibit ability of glutamate to open NMDA receptors |
|
|
Term
effects of ethanol(non CNS)
(2) |
|
Definition
heart- depression of contractility
smooth muscle- vasodilation in periphery |
|
|
Term
|
Definition
essential tremor
self treatment of anxiety/depression |
|
|
Term
|
Definition
|
|
Term
Why some benzos last longer than others |
|
Definition
they undergo hepatic metabolism and some have active metabolites with long half lives |
|
|
Term
|
Definition
|
|
Term
intermediate acting benzos |
|
Definition
|
|
Term
|
Definition
|
|
Term
True or False: Benzos have related chemical structures |
|
Definition
|
|
Term
Why are barbituates not commonly used as sedative hypnotics anymore? |
|
Definition
long half lives lead to accumulation/toxicity |
|
|
Term
MOA for non-benzo hypnotics |
|
Definition
bind go GABAa (different site then benzos) |
|
|
Term
kinetics of non-benzo hypnotics |
|
Definition
rapidly absorbed
few metabolites
short half lives |
|
|
Term
|
Definition
antagonist for benzos and non-benzo hypnotics |
|
|
Term
Clinical uses for sedative-hypnotics |
|
Definition
sedation
hypnosis
anesthesia
anticonvulsant effects
muscle relaxation
effects on respiratory and cardiac function
(dose dependent) |
|
|
Term
Physiological effects of Sedative-hypotics
Sedation |
|
Definition
-reduce anxiety
-depressor effects on cognitive function
-anterograde amnesia |
|
|
Term
Physiological effects of Sedative-hypotics
Hypnosis
|
|
Definition
- induce sleep at higher doses
|
|
|
Term
Physiological effects of Sedative-hypotics
Anesthesia
|
|
Definition
high enough doses can be used for general anesthsia
BZ used in combo with other agents
Barbituates have favorable characteristics |
|
|
Term
which sedative hypnotics are used as
anti convulsants
|
|
Definition
phenobarbital
clonazepam
diazepam
lorazepam |
|
|
Term
which sedative hypnotics are used as
muscle relaxants |
|
Definition
|
|
Term
Ramelteon (Rozerem)
MOA, uses |
|
Definition
melatonin agonist
reduces sleep latency |
|
|
Term
Buspirone (Buspar)
MOA, uses |
|
Definition
serotonin and dopamine receptor
reduces anxiety (not acute) without sedation or euphoria |
|
|
Term
Other drug classes used as sedative-hypnotics |
|
Definition
antihistamines
antidepressants
antipsychotic (quetiapine) |
|
|
Term
Neuromuscular blocking agents
2 types |
|
Definition
|
|