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11 Cards in this Set

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  • Back
METHYLXANTHINES:

Caffeine
Theophylline
Aminophylline
Theobromine
Non-specific PDEi – increases levels of cGMP and cAMP
bronchodilation and positive effects on the heart
Side Effects: Insomnia, Agitation, Tremors, Anxiety, Arrhythmias, can worsen angina, seizures
Indications: Asthma and COPD
Nicotine
Ganglionic Agonist
Adverse Effects: Irritability, diarrhea, tremors, increase in heart rate and blood pressure
Varenicline is a partial agonist used in smoking cessation
Cocaince
blocks reuptake of catecholamines
Also local anesthetic with vasoconstrictive effects
causes alertness, relieves depression, euphoria
Stimulation in the PNS causes sympathetic overexcitation (tachycardia, hypertension, ↑ C.O., mydriasis, ↑ PVR, hyperthermia, arrhythmias
AMPHETAMINES
: Stimulation of the cardiovascular system, CNS stimulatory effects (decreased fatigue, alertness, euphoria, increased motor activity and reflexes), anorexia, stimulation of medullary respiratory centers
Side Effects:
Irritability, Psychosis, Physical and Psychological dependence, Withdrawal syndrome, Insomnia, Arrhythmias, Hypertension, Seizures
used for ADD/ADHD and narcolepsy
Not to be used with MAOIs, hypertension, glaucoma, hyperthyroidism, anticholinergics (hyperthermia)
METHYLPHENIDATE
Psychostimulant used for ADD/ADHD and Narcolepsy
Blocks DAT and NET
Side Effects: GI disturbances, insomnia, restlessness, anorexia, hyperthermia, seizures
ANALEPTICS:

Modafinil
Armodafinil
used for treating Narcolepsy and ADD/ADHD
Mechanism of Action is the release of Dopamine and Norepinephrine in the CNS. Also increases histamine release in the hypothalamus
Adverse Effects: Erythema Multiforme, Steven-Johnson Syndrome and Toxic Epidermal Necrolysis
ANALEPTICS:

Doxapram
Used to stimulate respiratory centers
Side Effects: Tachycardia, Hypertension, Anxiety, Tremors, Convulsions
Undine's Curse
HALLUCINOGENS:

LSD and DMT
Serotonin receptor agonist
Activation of the Sympathetic Nervous System causing mydriasis, hypertension, piloerection, hyperthermia
Psilocybin only acts on the serotonergic receptors

Adverse Effects: Nausea and vomiting, hyperreflexia
HALOPERIDOL and other neuroleptics can block the hallucinatory effects
HALLUCINOGENS:

THC
as partial agonist at endocannabinoid receptors

Dronabinol (agonist) is used to increase appetite and decrease pain perception

Rimonabant (antagonist) is used for weight loss
Phencyclidine (PCP)
Inhibition of NMDA receptors. May have some action at dopamine receptors (partial agonist).
Effects of PCP: decreased pain sensation, hypersalivation (cholinergic), nystagmus, muscle rigidity, delirium
MDMA
Methylenedioxymethamphetamine
ecstacy
Altered sense of time, euphoria, enhanced perception, increased energy, sexual arousal
Side effects: tachycardia, xerostomia, increased motor activity (jaw clenching), hallucinations, hyperthermia, agitation (anxiety)
hallucinatory and CNS stimulant