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15 Cards in this Set
- Front
- Back
antipsychotics, reserpine at high doses, and MPTP (product of illicit meperidine analog) and is irreversible
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drug induced parkinsonism
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Agent used in drug therapy of Parkinson's instead of one which has low bioavailability and does not cross the BBB
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L-dopa
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This combined with L-dopa, inhibits DOPA decarboxylase (active only peripherally) which allows lower effective doses of L-dopa and allows for fewer SE's (GI distress, postural hypotension, and dyskinesias)
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carbidopa
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clinical response that may fluctuate in tx of parkinson's dx
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"on-off-phenomenon"
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anti-parkinson's drug which increases IOP and is contraindicated in closed angle glaucoma
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Levodopa
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ergot alkaloid that is a partial agonist at D2 receptors in the brain, used for patients who are refractory or cannot tolerate levodopa, causes erythromelalgia
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bromocriptine
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non ergot agents used as first-line therapy in initial management of Parkinson's
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pramipexol and ropinirole
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enhances dopaminergic neurotransmission SE's including CNS excitation, acute toxic psychosis and livdeo reticularis
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amantadine
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inhibitor of MAO type B which metabolizes dopamine, used adjunct to levodopa or as sole agent in newly diagnosed pts
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selegiline
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inhibitors of catechol-O-methyltransferase (COMT), used as adjuncts in Parkinson's disease and cause acute hepatic failure (monitor LFTs)
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entacapone and tolcapone
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agent decreases the excitatory actions of cholinergic neurons- may improve tremor and rigidity but have LITTLE effect on bradykinesia- atropine-like side effects
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benztropine
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agent effective in physiologic and essential tremor
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propanolol
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agents used in Huntington's Disease
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tetrabenzamine (amine depleting drug), haloperidol (antipsychotic)
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agents used in Tourette's
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Haloperidol or pimozide
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chelating agent used in Wilson's disease
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penicillamine
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