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12 Cards in this Set

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Psychostimulant - Indications

1. Narcolepsy


2. Nocturnal enuresis (self-wetting)


3. Hyperkinetic syndrome


4. Pharmacological interview

Psychostimulant - Drugs

Amphetamine


methamphetamine


phenmetrazine


methlyphenidate



Psychostimulant - C/I

Anxiety


Depression/sucidal behaviour/ drug abuse history


psychosis/ aggressiveness


HTN/ IHD


Mania

Psychostimulant - Adverse mechanism

1. Inaccuracy of mental functions


2. Risk of dependence


3. induction of anxiety


4. increased self-importance, aggressiveness, exhaustion, death


5. Tachycardia/ htn


6. Increase tolerance


hangover

Psychostimulant - Mechanism and clinical effects

Mechanimism: increase conc of NE and DA in Synapse


Clinical effect:


increase of lucidy of conscioussness/ psychomotor pace/ memory recollection/ acelleration of thinking/ decrease fatigue/ shortening of sleep peroid/ decrease apeptite

Notropic drugs USE/ Mechanism

Use:

1. Quantitive and qualitative impairment of consciousness


2. impairment ofmemory/intellect/learning ability




Mechanism: enhance adaptation ability of neurons, keep heostasis/ increase glucose and o2 use in brain/ increase atp pool/improve persfusion in the brain/ scavenge o2 radicals/ increse ach synthesis


Nootropic drugs - names

1. Piracetam


2. Pyritinol


3. meclofenoxate


4. cinnarizine


5. Pentoxifylline


6. Dihydroergotoxine



Nootropic drugs - Adverse effects

1. insomnia


2. psychic tension


3. excitement

Cognition enhancing drugs Use and mechanism

Use: slowing down progression of mild alzheimers dementia for 1-2year



Mechanise, Inhibitors of acetylcholiniesterase/ butrlycholinesterase stimulators of nicotinic receptors.



Cognition enhancing drugs

Donzepil/ rivastigmine/ galantamine

Cognition enhancing drugs ( A/E)

1. nausea/ vommiting/ diarrgoe


2. stomache ache


3.vertigo/ headache

Memantine : mech/indication/a/e

-Antagonis of NMDA glutamate - ionotropic receptors


-supresses neurotoxitiy of exitatory amino acids


indication: Medium - sever dementia


A/E deliriium/ fatigue/headache/sleepiness