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Pharmacology 4 Nervous System Disorders
Chap 4
125
Pharmacology
Undergraduate 2
09/27/2014

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Term
Acetylcholine
Definition
Neurotransmitter allowing a nerve impulse to cross the synaptic junction.
Term
Acetylcholinesterase
Definition
Enzyme in the synaptic gap promoting the breakdown of acetylcholine.
Term
Adrenergic
Definition
Action or receptor activated by epinephrine or norepinephrine (adrenaline)
Term
Analgesia
Definition
Loss of pain sensation
Term
Anesthesia
Definition
Loss of all sensation; local, regional, surgical, pain or sensory
Term
Autonomic Nervous System
Definition
Involuntary activities
Term
Catalepsy
Definition
State of involuntary muscle rigidity couple by immobility, amnesia, and variable amounts of analgesia. Some reflexes may be preserved.
Term
Catecholamines
Definition
Neurotransmitters that mimic the effects of stimulating the sympathetic nervous system. Dopamine, epinephrine, norepinephrine
Term
Cholinergic
Definition
Action or receptor activated by acetylcholine.
Term
Effector
Definition
Gland, organ, or tissue that responds to nerve stimulation with a specific action.
Term
Ganglionic Synapse
Definition
Site of the synapse between synapse one and synapse two of the autonomic nervous system.
Term
Muscarinic Receptors
Definition
Activated by acetylcholine and muscarine. Found in glands, heart, and smooth muscle.
Term
Muscarinic Effects
Definition
S=Salivation
L=Lacrimation
U=Urination
D=Defecation
Term
Nicotinic Receptors
Definition
Activated by acetylcholine and nicotine, found at the neuromuscular junction of the skeletal muscle and at the ganglionic synapse.
Term
Parasympathetic Nervous System
Definition
Portion of the autonomic nervous system that arises from the craniosacral portion of the spinal chord. Mediated by the neurotransmitter acetylcholine, used to conserve and restore a steady state in the body (rest and digest)
Term
Parasympathomimetic
Definition
Mimics the PSNS
Term
Sympathetic Nervous System
Definition
Portion of the ANS that arises from the thoracolumbar spinal cord, mediated by catecholamines, concerned with fight or flight.
Term
Sympathomimetic
Definition
Mimics the SNS
Term
Reflex Arc
Definition
Receptor
Sensory Neuron
Synapse Center
Motor Neuron
Effector
Term
Alpha-1 Targets
Definition
Arterioles
Urethra
Eye
Term
Alpha-1 Response
Definition
Constriction of arterioles
Increased tone of urethra
Dilation of pupil
Term
Alpha-2 Targets and Response
Definition
Constriction of Skeletal Muscle
Term
Beta-1 Targets
Definition
Heart
Kidneys
Term
Beta-1 Response
Definition
Increased HR, conduction, and contractility.
Renin released.
Term
Beta-2 Targets
Definition
Skeletal Blood Vessels
Bronchioles
Term
Beta-2 Response
Definition
Dilation of Blood Vessels
Dilation of Bronchioles
Term
Dopaminergic Targets
Definition
Kidneys
Heart
Mesenteric Blood Vessels
Term
Dopaminergic Response
Definition
Dilation of blood vessels in heart, kidneys, and mesentery
Term
Cholinergic Agents Def
Definition
Stimulate receptors mediated by acetylcholine. May mimic acetylcholine or inhibit breakdown. Also parasympathomimetic.
Term
Cholinergic Uses
Definition
Aid in the diagnosis of myasthenia gravis.
Reduce the intraocular pressure of glaucoma.
Stimulate GI motility.
Treat urinary retention.
Control vomiting.
Act as an antidote for neuromuscular blockers.
Term
Acetylcholine
Definition
Direct Cholinergic
Seldom used due to rapid breakdown by acetylcholesterase.
Term
Carbamylcholine
Definition
Direct Cholinergic
GI tract atony
Stimulate uterine contractions in swine
Term
Bethanechol (Urecholine)
Definition
Direct Cholinergic
Treats GI and urinary tract atony
Term
Pilocarpine (Isopto Carpine, Akarpine, Pilocar)
Definition
Direct Cholinergic
Reduces glaucoma related intraocular pressure
Term
Metaclopramide
Definition
Direct Cholinergic
Control vomiting, promote gastric emptying
Term
Edrophonium
Definition
Indirect Cholinergic
Diagnosis of myasthenia gravis
Term
Neostigmine
Definition
Indirect Cholinergic
Treat urine retention, GI atony, antidote to neuromuscular blocking agents.
Term
Physostimine
Definition
Indirect cholinergic
Treat urine retention, GI atony, antidote to neuromuscular blocking agents.
Term
Organophosphate compounds
Definition
Indirect Cholinergic
Common insecticides
Term
Demecarium
Definition
Indirect Cholinergic
Preventative management of glaucoma
Term
Pyridostigmine
Definition
Indirect Cholinergic
Treatment of Myasthenia Gravis
Term
Anticholinergic Agents
Definition
Block action of acetylcholine at muscarinic receptor of PSNS.
Treatment of diarrhea and vomiting by decreasing GI motility.
Preanesthetic to dry secretions, prevent bradycardia.
Dilate pupils for ophthalmic examination.
Relieve ciliary spasms of the eye.
Treat sinus bradycardia.
Term
Atropine
Definition
Anticholinergic
Preanesthetic to dry secretions and prevent bradycardia.
Organophosphate antidote.
Dilate pupils.
Control ciliary spasms of eye.
Treat sinus bradycardia.
Slow hypermotile gut.
Term
Scopolamine
Definition
Anticholinergic
Antidiarrheal
Term
Methscopolamine
Definition
Anticholinergic
Used to control diarrhea
Term
Glycopyrrolate
Definition
Anticholinergic
Longer acting atropine
Term
Aminopentamide
Definition
Anticholinergic
Used to control vomiting and diarrhea in dogs and cats.
Term
Propantheline
Definition
Anticholinergic
Treat diarrhea, urinary incontinence, bradycardia, reduce colonic peristalsis (equine) for rectal examination
Term
Pralidoxime
Definition
Anticholinergic
Cholinesterase reactivator used to treat organophosphate intoxication
Term
Adrenergic Agents
Definition
Act on epinephrine and norepinephrine receptors.
Catecholamines and noncatecholamines.
Term
Adrenergic Agent Uses
Definition
Stimulate heart during arrest.
Reverse hypotension and bronchoconstriction of anaphylactic shock.
Strengthen heart during CHF.
Vasoconstriction for hypotension and capillary bleeding.
Urinary incontinence.
Reduce Muc Mem constriction in allergic conditions.
Prolong effects of local anesthetic agents through vasoconstriction, prolongs absorption.
Treat glaucoma (increases outflow and reduces production of aqueous humor)
Term
Epinephrine
Definition
Adrenergic.
Stimulates all receptors to increase heart rate and output, constriction of vessels in skin, dilation of vessels in muscle, dilation of bronchioles, increase in metabolic rate.
Term
Norepinephrine
Definition
Adrenergic
Major alpha, minor beta stimulator.
Vasopressor
Term
Isoproterenol
Definition
Adrenergic
Pure beta stimulator.
Bronchodilation
Term
Phenylephrine
Definition
Adrenergic
Alpha stimulator.
Nasal vasoconstrictor.
Term
Dopamine
Definition
Adrenergic
Precursor to epin and norepin, dose dependent action.
Treats shock and con heart failure, increase renal perfusion.
Term
Phenylpropanolamine
Definition
Adrenergic
Treats canine urinary incontinence.
Term
Dobutamine
Definition
Adrenergic
Beta-1 agonist, short term treatment of heart failure.
Term
Ephedrine, terbutaline,albuterol
Definition
Adrenergic
Beta agonists, bronchodilators
Term
Phenoxybenzamine
Definition
Alpha blocker
Vasodilator
Laminitis
Treatment of urethral obstruction in cats.
Term
Tranquilizers
Acepromazine
droperidol
Definition
Alpha blocker
Vasodilation
Term
Prazosin
Definition
Alpha blocker
Hypotensive
Term
Yohimbine
Definition
Alpha blocker
xylazine anitdote
Term
Atipamezole
Definition
Alpha blocker
Antisedan
Reversal agent for medetomidine.
Term
Alpha blocker adverse side effects
Definition
Hypotension
tachycardia
muscle tremors
seizures
Term
Propanolol
Definition
Beta blocker
Treats cardiac arrhythmias and hypertrophic cardiomyopathy.
Term
Timolol
Definition
Beta blocker
Glaucoma treatment
Term
Atenolol
Definition
Beta blocker
Treats cardiac arrhtymia and hypertrophic cardiomyopathy.
Term
CNS drugs
Definition
Tranquilizers
Barbiturates
Dissociatives
Opioid/antagonists
Neuroleptanalgesics/antagonists
Seizure control
Inhalants
CNS stimulants
Euthanasia agents
Term
Acepromazine maleate
Chloropromazine HCl
Promazine HCl
Prochorperazine/isopropamide
Definition
Tranquilizer
Phenothiazine Derivatives
Uses: treatment of vomiting, mild pruritis, sedation/tranquilization
Term
Diazepam
Midazolam
Alprazolam
Definition
Tranquilizers
Benzodiazipine derivatives
Uses: Treatment of anxiety and behavioral disorders, treatment of seizures, appetite stimulations, Diazepam also as an injectable anesthetic.
Term
Xylazine HCl
Definition
Tranquilizer
Alpha-2 agonist
Uses: sedation, analgesia, short-term anesthesia, induction of vomiting
Term
Detomidine HCl
Definition
Tranquilizer
Alpha-2 agonist
Uses; Sedation and analgesia in horses
Term
Medetomidine
Definition
Tranquilizer
Alpha-2 adrenergic agonist
Uses: Facilitating clinical exams, minor surgery, minor dental procedures not requiring intubation.
Term
Cerebrum
Definition
Higher functions
Term
Thalamus
Definition
Relay Center
Term
Hypothalamus
Definition
Controls pituitary gland, controls and regulates ANS
Term
Medulla
Definition
Sensory & motor impulses between spinal cord and brain, controls vital physiological activity
Term
Reticular activating system
Definition
arouses cerebral cortex, responsible for consciousness, sleep, and wakefulness
Term
Romifidine
(Sedivet)
Definition
Alpha-2 agonist
Equine sedative and pre-anesthetic
Term
Barbiturate uses
Definition
Sedatives
anticonvulsants
general anesthetics
euthanasia
Term
Long acting barbiturates
Definition
8-12 hrs
Phenobarbital
Anticonvulsant/prevention of epileptic seizures.
Class IV
Term
Short-acting barbiturates
Definition
45 min - 1.5 hrs
euthanasia
Class II
Term
Ultra-short acting barbiturates
Definition
5-30 minutes
Anesthesia
May cause tissue necrosis, CNS depression w/ rapid administration, CNS excitement w/ slow administration, cardiovascular depression.
Term
Dissociatives
Definition
Alter neurotransmitter activity resulting in depression of the thalamus, cerebral cortex, activating the limbic system.
Sedation, restraint, anesthesia
Term
Dissociative Characteristics
Definition
Catalepsy
Amnesia
Analgesia
Maintains pharyngeal and laryngeal reflexes
Increased muscle tone
cardiac stimulation
Term
Dissociative Agents
Definition
Ketamine (ketaset)
Tiletamine
Class III
Term
Opioid Agonists
Definition
Produce analgesia & sedation
Reduce anxiety & fear
Class II
Pre and Post-anesthetic
Antitussive
Antidiarrheal
Term
Opioid agonist receptors
Definition
MU-pain regulation, analgesia, euphoria, resp. depression, physical dependence, hypothermic actions
KAPPA- cerebral cortex & spinal cord; analgesia, sedation & miosis
SIGMA-struggling, whining, hallucinations & mydriatic effects
DELTA-modify mu receptor activity
Term
Opium/paregoric
Definition
Natural opioid
tx diarrhea (calves and foals)
Term
Morphine sulfate
Definition
Natural opioid
analgesic
Term
Meperidine
Definition
Synth opioid
1/8 morphine
Term
Butorphanol tartrate
Definition
Synth opioid
4-7x morphine
Term
Buprenorphine
Definition
Synth opioid
partial mu agonist/antagonist
Term
Oxymorphone
Definition
Synth opioid
10x morphine
Term
Fentanyl
Definition
Synth opioid
100x morphine
transdermal patch available
Term
Etorphine
Definition
Synth opioid
1000x morphine
zoo & exotic use
Term
Carfentanil
Definition
Synth opioid
10000x morphine
wildlife anesthesia
Term
Diphenoxylate
Definition
Synthetic opioid
Used w/Atropine as antidiarrheal
Term
Apomorphine
Definition
Synthetic opioid
Used to induce vomiting by stimulating the chemoreceptor trigger zone, conjunctival sac administration (eyeball pukey pill)
Term
Codeine
Definition
Synthetic opioid
antitussive
Term
Hydrocodone bitartrate
Definition
Synthetic opioid
antitussive
Term
Opioid Antagonists
Definition
Block effects of opioid by binding w/opiate receptors, displacing narcotic molecules already present, preventing further narcotic binding.
Term
Neuroleptanalgesics
Definition
Opioid and tranquilizer mixed
Uses: Sedation, restraint & anesthesia
Examples:
Fentanyl & droperidol
Acepro & Morphine
Acepro & oxymorphone
xylazine & butorphanol
Term
Drugs for the prevention and control of seizures
Definition
Diazepam
Phenobarbital
Primidone
Phenytoin sodium
Clorazepate
Term
Isoflourane
Definition
Inhalant
Rapid induction & recovery
Stable heart, does not lower cardiac output, <0.2 metabolized
Term
Sevoflourane
Definition
Inhalant
Very rapid induction & recovery, used in high-risk small animals, 3% metabolized, expensive
Term
Halothane
Definition
sensitized heart to catecholamines which may result in cardiac dysrhythmias, 25% metabolized
Term
Methoxyflurane
Definition
Inhalant
Slow induction & recovery
50% metabolized
Term
Nitrous Oxide
Definition
Inhalant
Cannot produce general anesthesia alone
Term
Propofol
Definition
CNS drug
Adverse effects: apnea w/rapid administration, occasional seizure like activity, prolonged recovery, Heinz body production in cats w/ repeated use.
Term
Guaitenesin/Glyceryl guaiacolate
Definition
CNS drug
Skeletal muscle relaxant effecting connecting neurons of spinal cord & brain stem
Adverse effects: hemolysis if concentrations >5%
Term
Doxapram
Definition
CNS stimulant
tx of resp depression or arrest
Adverse effects:Hypertension, seizures, hyperventilation
Term
Neuromuscular Blocking Agents
Definition
Interfere w/ neuromuscular impulse transmission
Adjunct to general anesthesia & to facilitate intubation
Depolarizing agents: Succinylcholine chloride

Nondepolarizing agents: Tubocurarine, gallamin, pancuronium, vecuronium, atracurium
Term
Behavioural agents
Definition
anxiolytics, antidepressants
Term
Behavioral Problems
Definition
Separation anxiety, fears & phobias, unruliness, hyperactivity, OCD, cognitive dysfunction, inappropriate elimination
Term
Benzodiazepines
Definition
Antianxietal
Tx: fear, phobia, separation anxiety, urine marking, appetite stimulation.

Agents: diazepam, alprazolam, lorazepam
Term
Azapirone
Definition
Antianxietal
Control of spraying/marking, fear, anxiety
Term
Tricyclics
Definition
Antidepressants
Tx separation anxiety, obsess. disorders, fearful aggression, hypervocalization, marking, hyperactivity

Agents amitriptyline, clomipramine
Term
Serotonin Reuptake Inhibitors
Definition
Antiderpressants
Tx: obsessive disorders, phobias, aggression, separation anxiety

Agents: Fluoxetine, Sertraline, Paroxetine
Term
Monoamine oxidase-b inhibitors
Definition
Antidepressants
Tx: old dog dementia, canine cushing's disease

Agents: slsgiline
Term
Synthetic Progestin
Definition
Behavior Modifier
Tx: Spraying/marking, intermale & dominance aggression

Agents: Megestrol acetate, medroxyprogesterone
Term
Pentobarbital sodium
Definition
Euthanasia drug
Class II
Term
Pentobarvital sodium w/phenytoin
Definition
Euthanasia agent
Class III
Term
T-61
Definition
Euthanasia agent
nonnarcotic, nonbarbiturate, general anesthetic + local andesthetic + muscle paralytic
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