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21 Cards in this Set

  • Front
  • Back
Xanthines act in the CNS to block which type of receptors:

A. Muscarininc
B. Adrenergic
C. Adenosine
D. 5-HT
C. Adenosine
What is the effect of xanthines on the kidneys?
Xanthines induce diuresis by increasing glomerular filtration and inhibiting reabsorption of Na+
Are adenosine receptors inhibitory or stimulatory?
Inhibitory
Which has more stimulation, caffeine or theophylline?
Trick question! They are about the same
Name 3 xanthine derivatives:
Caffeine, theophylline, theobromine
Which xanthine derivative is used in asthma prophylaxis (this is a review question from PB&T)
Thophylline
Which two drugs are used in conjunction to treat migraine attacks?
Ergotamine and Caffeine
How does caffeine help in the treatment of migraines?
Caffeine causes constriction of the cerebral vasculature and decreases the discomfort of the attack produced by vasodilatation
What is the most common ingredient in stay awake pills and diet pills?
Caffeine
In terms of sensitivity to amphetamines, which monoamine is the most sensitive? Which is the least sensitive?
NE is the most sensitive, 5-HT is the least sensitive.
What are the major side effects of amphetamines?
Restlessness, insomnia, decreased fatigue, decreased appetite, and incr. blood pressure
Overall, what is the clinical use of amphetamines as appetite suppressants?
Limited since tolerance develops in a few weeks
What is phenylpropanolamine?
An OTC amphetamine with minimal CNS effects used to suppress appetite and enhance satiety.

Stimulates 5-HT2C receptors.
What is sibutramine? How does it work?
An amphetamine that blocks the reuptake of NE and 5-HT. Used in appetite suppression.
Which drug is similar to dl-amphetamine, weakly crosses the BBB and is a nasal decongestant?
Ephedrine
(T/F) Amphetamines are useful in the treatment of narcolepsy
True
What is Modafinil (Provigil)?
A newer amphetamine used to treat narcolepsy. It produces less edginess than other amphetamines.
In what sense is methylphenidate (Ritalin) a milder CNS stimulant than amphetamine?
in the sense that stimulation produced before convulsant doses are reached is less than with amphetamine.
Which has more abuse potential, methylphenidate or amphetamine?
Amphetamine probably has a little more abuse potential
Which substance produces more pronounced cardiovascular side effects - methylphenidate or amphetamine?
Amphetamine
How is atomoxetine (Strattera) different than the traditional stimulants?
It is a NE transporter inhibitor.

Also it does not have abuse potential and may not exacerbate tics as much.