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Systems Pharmacology II
Typical Antipsychotics
17
Biology
Graduate
03/24/2012

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Term
MOA
Definition
-D2 RECEPTOR ANTAGONISM
-responsible for therapeutic effect and adverse effects
-antagonism of 5-HT, cholinergic, histamine and adrenergic receptors
-do not know if blockade of these receptors contributes to alleviation of symptoms
Term
D2 blockade and clinical potency
Definition
?
Term
which cause EPS effects
Definition
butyrophenone
Term
which causes anticholinergic SE
Definition
phenothiazines
Term
phenothiazines
Definition
-derived from antihistamines
-minor modification of promethazine
-differ in structure of amino side chain
Term
aliphatic
Definition
low potency, many SE
Term
piperidine
Definition
medium potency CARDIOTOXICITY
Term
piperizine
Definition
-high potency, inc EPS, dec sedation and hypotension
Term
which phenothiazine has EPS
Definition
piperazine
Term
which phenothiazine antipsychotic has anticholinergic SE
Definition
aliphatic
Term
phenothiazine drugs
Definition
-chlorpromazine
-thioridazine
-fluphenazine
-trifluoperazine
-prochloperazine
Term
chlorpromazine
Definition
-aliphatic
-binds D2 M1
-many SE
-othostatic hypotension, anticholinergic SE
-1st antipsychotic
Term
thioridazine
Definition
-piperdine
-D2 M1
Term
fluphenazine
Definition
-piperazine
-D2
-IM injection
-sesame oil vehicle
Term
trifluoperazine
Definition
-piperazine
-highest incidence of EPS
Term
prochloperazine
Definition
-D2
Term
Butyrophenones
Definition
-haloperidol
-derived from meperidine
-D2>D1=D4>alpha1>5HT2
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