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57 Cards in this Set

  • Front
  • Back
Benzodiazepines
Diazepam
Clorazepate
Azapirones
Buspirone
Tricyclic antidepressants are
SNRI's
Block serotonin and NE reuptake
Tricyclic Antidepressants
amitriptyline
Clomipramine
SSRI's
Fluoxetine
Paroxetine
selective serotontine reuptake inhibition
MAOI's
Monoamine oxidase inhibitor (catecholamines)
Selegiline
MAOI's MOA
antagonist of MAO-B, decreases dopamine metabolism
Selegiline is used for
cognitive dysfunction syndrome, pituitary dependent HAC and Cushings
MAOI's net result
increased dopamine
Diazepam's MOA
GABA agonist - increases GABA binding affinity, increasing Cl conductance into cell
Benzodiazapine uses
Anxiolytic - decrease storm anxiety, sedation, anti-convulsant, muscle relaxation, increase appetite, premed
Benzodiazapine NT
GABA - enhances Cl conductance, hyperpolarizes excitable membranes.
Benzodiazapine Adverse Affects
Toxicity - low
hepatic necrosis in cats
tolerance can develop with chronic use
Buspirone MOA
Full agonist at presynaptic and partial at post synaptic SHT - 1A agonsit =
decreases serotonin synthesis
Buspirone is used for
reducing cat urine spraying
Amitriptyline MOA
SNRI blocks serotonin and NE reuptake
Amitriptyline uses
separation anxiety in dogs, excessive grooming, spraying, anxiety in cats, reduce feather plucking in bird
Amitriptyline NT
increases serotonin and NE
Amitriptyline adverse affects
Alpha 1 antagonist, antihistaminic, anticholinergic, side effects from decreased secretions, dry mouth, sedation, constipation
Buspirone Adverse Affects
GI signs
Clomipramine MOA
blocks serotonin and NE uptake
clmipramine uses
Anxiolytic urine spraying in cats
Clomipramine NT
increases serotonin and NE
Fluoxetine MOA
inhibits serotonin reuptake
Fluoxetine Uses
Anxiolytic urine spraying in cats, psychogenic alopecia, aggression, stereotypic behavior
In dogs, anorexia, lethargy, anxiety irritability hyperactivity, aggressive behavior
Fluoxetine NT
increases serotonin
Fluoxetine adverse affects
sedation, anorexia, irritability, disinhibition
Don't use with patients with diabetes mellitus, patients with epilepsy, or seizures,
Paroxetine MOA
inhibits serotonin reuptake
Paroxetine Uses
Anxiolytic canine aggression
paroxetine NT
increases serotonin
Paroxetine adverse affects
dry mouth, sedation, GI upset, irritability
Benxodiazepine effect on post=synaptic cell
Increases Chloride conductance and hyperpolarizes the cell
GABA antagonist mechanism
competitively antagonize GABA BZD site, preventing hyperpolarization of the postsynaptic neuron, increasing transmission
Of the behavior modifying drugs, _____ has anticholinergic effects while_____ does not.
paroxetine - anticholinergic

fluoxetine - no anticholinergic
Can be used with
Tricyclic anti-depressant to decrease latency effect, reduce panic-like states, or reduce separation anxiety
Diazepam uses
dogs - behavior disorders - sedation/anxiolytic
Cats - treat urine spraying
Diazepam adverse effects
idiopathic hepatic necrosis in cats,
Clorazepate
metabolized in acidic stomach,to active metabolite before it is absorbed
Clorazepate adverse effects
excessive ataxia sedation
Azapirones mechanism
agonist at presynaptic and postsynaptic 5HT receptors(serotonin agonist)
Azapirones side effects
GI signs, alteration in social behavior,
Does not cause sedation or disinhibition phenomenon
Tricyclic anti-depressants (TCA's) mechanism
inhibit reputake of serotonin and NE
Alpha 1 antagonist
TCA general effects
moderate excessive arousal, reduce anxiety, enhance learning, maybe pain relief
TCA metabolism
metabolized by Cyp450 enzyme
TCA contraindications:
don't use with patients with glaucoma, or keratoconjuctivitis
TCA's are effective starting
in 2 -4 weeks
MAOI's
Selegiline
Selegiline is used for
canine cognitive disorder
canine pituitary dependent hyperadrenocorticocism
Don't use MAOI's concurrently with
TCA or SSRI's
leads to toxic levels of neurotransmitters
Serotonin syndrome
hypertension, hyperthermia, restlessness, tremor, seizures, altered mental status, possible death
Benzodiazepines are modify behavior by
sedative, tranquilization, anticonvulsant, adjunct to anesthesia,
Benzodiazapine adverse effects
Disinhibition in animals with fear-induced aggression
agitation, ataxia, muscle fasiciculation etc
Benzodiazapine is metabolized in the
liver
Midazolam has __ the potentcy and _____ the affinity as diazepam
twice
twice
Lorazepam is used for
status epilepticus
lasts longer than Diazepam and Midazolam
Flumazenil is an
antagonist to benzodiazepine
Used to counter act drop in blood pressure caused by benzodiazepine
Flumazenil side effects
arrhythmias, death
contraindications, patients with hypersensitivity to benzodiazepines/flumazenil