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44 Cards in this Set
- Front
- Back
CTZ has what receptors?
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M1, 5HT, H1, Mu, NK1
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vestibular receptors CMZ receptors are
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H1 and M1
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Acepromazine MOA etc
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Acts on H1 receptor
Is a phenothyazine Dop 2 antagonist so blocks vomiting. Also an alpha 1 and muscarinic antagonist |
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Morpitant MOA etc
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NK-1 antagonist,
Approved in dogs Acts centrally and periferally Substance P inhibitor |
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Metaclopramide
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D2 antagonist
Prokinetic 5HT 4 agonist 5HT 3 antagonist *** Prokinetic Acts in stomach and early GI |
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To treat motion sickness
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Antihistamine
NK-1 blocker |
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3 mediators of gastric acid secretion
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Gastrin, histamine and acetylcholine
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Antiemetics drug types
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Antihistamines
Phenothiazine Antiserotonins NK-1 Receptor blockers Other category |
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Antiemetic/antihistamine
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Diphenhydramine
Blocks H-1 |
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Phenothiazine antiemetic
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Acepromazine
Dopamine antagonist - anit-emetic action Alpha 1 blocker, hist/musc blocker |
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Antiserotonin antiemetic
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Onsansetron
5HT3 antagonist |
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NK-1 receptor blocker antiemetic
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Maropitant
NK-1(substance P) antagonist |
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Metoclopramide
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D2 antagonist,
5HT-4 agonist, 5HT-3 antagonist pro-kinetic |
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Prokinetics should not be used
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with GI blockage
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Prokinetics
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Metoclopramide
Cisapride Bethanecol Lidocaine Domperidone |
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Acepromazine
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Phenothiazines
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Ondansetron
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Antiserotonins
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Maropitant
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NK-1 receptor blocker
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Cisapride
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5HT-4 agonist,
5HT 3 antagonist entire GI tract |
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Bethanecol
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cholinergic agonist
entire GI and elsewhere because not specific |
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Lidocaine
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local anesthetic - Na channel blocker,
unknown how it increases GI motility Mostly horses for ileus |
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Domperidone
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dopamine antagonist
Early GI Doesn't cross BBB. |
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Acid suppressant drugs
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Cimetidine
Ranitidine Famotidine Omeprazole magnesium hydroxide |
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H2 blockers least to most potent
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Cimetidine, Ranitidine, Famotidine
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H2 receptor MOA
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Block H2 receptors
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Proton pump inhibitors
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Omeprazole
Inhibits pump on luminal surface Continues working in cell after Blood levels decreased |
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magnesium hydroxide
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neutralizes acidic pH
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GI protective med
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Misoprostotal
synthetic PGE-1 analog Used to prevent ulcers w/chronic NSAID use ADE abortion |
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Sucralfate
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coats stomach, protects from acid, coats edges of ulcers to promote healing, needs acidic env't to work
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Antimuscarinics:
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Atropine
Glycopyrrolate |
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Antimuscarinic effect on GI tract
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decrease GI motility
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Antidiarrheal drugs
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Loperamide
Diphenoxylate |
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Loperamide common name
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immodium
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Loperamide and Diphenoxylate
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Mu receptors
stop symptom, but doesn't treat problem: bacterial/viral infection |
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Diphenoxylate unique characteristics
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Cross BBB
Mu receptor action, so get a high - add atropine |
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If give too much Bethanecol you can give
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Atropine to counteract, but be aware of heart effects as well
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appetite stimulants
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Benzodiazepine
Cyproheptadine Mirtazapine |
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Benzodiazepine action as appetite stimulant
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potentiates effects of GABA
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Cyproheptadine MOA
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anti-serotonin and antihistamine
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Emetics
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Apomorphine
Xylazine H2O2 |
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Mirtazapine
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antidepressant
A2 agonist antihistamine antiserotonin |
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Apomorphine emetic action
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Mu agonist
stimulate dopamine receptors in CRTZ |
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Xylazine emetic action
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alpha 2 agonist
used mostly in cats |
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H2O2
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direct irritant effect on oropharynx/gastric lining
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