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57 Cards in this Set
- Front
- Back
Benzodiazepines
|
Diazepam
Clorazepate |
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Azapirones
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Buspirone
|
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Tricyclic antidepressants are
|
SNRI's
Block serotonin and NE reuptake |
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Tricyclic Antidepressants
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amitriptyline
Clomipramine |
|
SSRI's
|
Fluoxetine
Paroxetine selective serotontine reuptake inhibition |
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MAOI's
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Monoamine oxidase inhibitor (catecholamines)
Selegiline |
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MAOI's MOA
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antagonist of MAO-B, decreases dopamine metabolism
|
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Selegiline is used for
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cognitive dysfunction syndrome, pituitary dependent HAC and Cushings
|
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MAOI's net result
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increased dopamine
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Diazepam's MOA
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GABA agonist - increases GABA binding affinity, increasing Cl conductance into cell
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Benzodiazapine uses
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Anxiolytic - decrease storm anxiety, sedation, anti-convulsant, muscle relaxation, increase appetite, premed
|
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Benzodiazapine NT
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GABA - enhances Cl conductance, hyperpolarizes excitable membranes.
|
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Benzodiazapine Adverse Affects
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Toxicity - low
hepatic necrosis in cats tolerance can develop with chronic use |
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Buspirone MOA
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Full agonist at presynaptic and partial at post synaptic SHT - 1A agonsit =
decreases serotonin synthesis |
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Buspirone is used for
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reducing cat urine spraying
|
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Amitriptyline MOA
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SNRI blocks serotonin and NE reuptake
|
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Amitriptyline uses
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separation anxiety in dogs, excessive grooming, spraying, anxiety in cats, reduce feather plucking in bird
|
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Amitriptyline NT
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increases serotonin and NE
|
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Amitriptyline adverse affects
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Alpha 1 antagonist, antihistaminic, anticholinergic, side effects from decreased secretions, dry mouth, sedation, constipation
|
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Buspirone Adverse Affects
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GI signs
|
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Clomipramine MOA
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blocks serotonin and NE uptake
|
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clmipramine uses
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Anxiolytic urine spraying in cats
|
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Clomipramine NT
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increases serotonin and NE
|
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Fluoxetine MOA
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inhibits serotonin reuptake
|
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Fluoxetine Uses
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Anxiolytic urine spraying in cats, psychogenic alopecia, aggression, stereotypic behavior
In dogs, anorexia, lethargy, anxiety irritability hyperactivity, aggressive behavior |
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Fluoxetine NT
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increases serotonin
|
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Fluoxetine adverse affects
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sedation, anorexia, irritability, disinhibition
Don't use with patients with diabetes mellitus, patients with epilepsy, or seizures, |
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Paroxetine MOA
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inhibits serotonin reuptake
|
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Paroxetine Uses
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Anxiolytic canine aggression
|
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paroxetine NT
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increases serotonin
|
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Paroxetine adverse affects
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dry mouth, sedation, GI upset, irritability
|
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Benxodiazepine effect on post=synaptic cell
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Increases Chloride conductance and hyperpolarizes the cell
|
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GABA antagonist mechanism
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competitively antagonize GABA BZD site, preventing hyperpolarization of the postsynaptic neuron, increasing transmission
|
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Of the behavior modifying drugs, _____ has anticholinergic effects while_____ does not.
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paroxetine - anticholinergic
fluoxetine - no anticholinergic |
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Can be used with
|
Tricyclic anti-depressant to decrease latency effect, reduce panic-like states, or reduce separation anxiety
|
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Diazepam uses
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dogs - behavior disorders - sedation/anxiolytic
Cats - treat urine spraying |
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Diazepam adverse effects
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idiopathic hepatic necrosis in cats,
|
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Clorazepate
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metabolized in acidic stomach,to active metabolite before it is absorbed
|
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Clorazepate adverse effects
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excessive ataxia sedation
|
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Azapirones mechanism
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agonist at presynaptic and postsynaptic 5HT receptors(serotonin agonist)
|
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Azapirones side effects
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GI signs, alteration in social behavior,
Does not cause sedation or disinhibition phenomenon |
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Tricyclic anti-depressants (TCA's) mechanism
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inhibit reputake of serotonin and NE
Alpha 1 antagonist |
|
TCA general effects
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moderate excessive arousal, reduce anxiety, enhance learning, maybe pain relief
|
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TCA metabolism
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metabolized by Cyp450 enzyme
|
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TCA contraindications:
|
don't use with patients with glaucoma, or keratoconjuctivitis
|
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TCA's are effective starting
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in 2 -4 weeks
|
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MAOI's
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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 |
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Serotonin syndrome
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hypertension, hyperthermia, restlessness, tremor, seizures, altered mental status, possible death
|
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Benzodiazepines are modify behavior by
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sedative, tranquilization, anticonvulsant, adjunct to anesthesia,
|
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Benzodiazapine adverse effects
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Disinhibition in animals with fear-induced aggression
agitation, ataxia, muscle fasiciculation etc |
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Benzodiazapine is metabolized in the
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liver
|
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Midazolam has __ the potentcy and _____ the affinity as diazepam
|
twice
twice |
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Lorazepam is used for
|
status epilepticus
lasts longer than Diazepam and Midazolam |
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Flumazenil is an
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antagonist to benzodiazepine
Used to counter act drop in blood pressure caused by benzodiazepine |
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Flumazenil side effects
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arrhythmias, death
contraindications, patients with hypersensitivity to benzodiazepines/flumazenil |