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71 Cards in this Set

  • Front
  • Back
Ketamine

Ketamine

Targets glutamate



NMDA channel blocker



Dissociative anaesthetic

Drugs to treat parkinsons

Drugs to treat parkinsons

'Loz and sue ride bikes past royal bakeries'


Levodopa


Amantidine


Selegiline,rasegiline


Benzatropine


Paramipexole,ropinirole,bromocriptine

Levodopa

Levodopa

Treatment of parkinsons


Replaces dopamine (that is depleted in PD)


in the brain


(can cross the BBB)

Amantidine

Amantidine

Treatment of parkinsons


Releases dopamine

Selegiline
rasegiline

Selegiline


rasegiline

Treatment of parkinsons


MAO-B inhibitors

Benzatropine

Benzatropine


Treatment of parkinsons


Acetylcholine antagonist

Paramipexole 
Ropinirole
Bromocriptine

Paramipexole


Ropinirole


Bromocriptine

Treatment of parkinsons


Mimic dopamine

Treatment of Alzheimers disease

Treatment of Alzheimers disease

'Moose goes river dancing'


Donepezil


Galantamine


Rivastigmine


Memantine

Donezepil
Galantamine
Rivastigmine

Donezepil


Galantamine


Rivastigmine

Treatment of parkinsons


Cholinesterase inhibitors (increase Ach)



Memantine

Memantine

Alzheimers treatment


Partial NMDA receptor antagonist

Management of MS

Management of MS

Suppress inflammation


Reduce relapse and suppress


Control muscle tone

Methyprednisolone

Methyprednisolone

MS: suppress inflammation

Interferon-B
Glatiramer acetate
Natalizumab

Interferon-B


Glatiramer acetate


Natalizumab

Reduce relapse of MS and suppress

Baclofen
Benzodiazepines
Tizadine
Bot.toxin
dantrolene

Baclofen


Benzodiazepines


Tizadine


Bot.toxin


dantrolene

Control muscle tone in MS patients

Anti obesity drugs

Anti obesity drugs

Sibutramine



Phentermine



Fenfluramine

Sibutramine

Sibutramine

NA/ 5-HT reuptake inhibitor

Fenfluramine

Fenfluramine

5-HT reuptake inhibitor

Phentermine

Phentermine

Sympathomimetic

Fluoxetine
Paroxetine

Fluoxetine


Paroxetine

SSRI



Anorexia and bulimia treatment


Antidepressants


Anxiolytics

Typical antidepressants

Typical antidepressants

Monoamine oxidase inhibitors


SSRIs


TCA


Selective NA reuptake inhibitors (NARI)

Iproniazid

Iproniazid

Monoamine oxidase inhibitors


Increases monoamines


Irreversible/reversible inhibitor of MAO-a or MAO-b (found in all tissues)


Phenelzine

Phenelzine

Monoamine oxidase inhibitors


Increases monoamines


Irreversible/reversible inhibitor of MAO-a or MAO-b (found in all tissues)

Tranylcypromine moclobemide

Tranylcypromine moclobemide

Monoamine oxidase inhibitors


Increases monoamines


Irreversible/reversible inhibitor of MAO-a or MAO-b (found in all tissues)

Amitriptyline 
Desipramine 
Clomipramine

Amitriptyline


Desipramine


Clomipramine

TCA


Inhibit reuptake of:



Amitriptyline= 5-HT and NA


Desipramine= NA


Clomipramine= 5-HT


Fluoxetine
Citalopram
Paroxetine

Fluoxetine


Citalopram


Paroxetine


SSRI


Better selectivity than TCAs with better efficacy and time



Less toxicity in overdose, less weight gain, reduced drug interactions. Be aware of teens and increased suicide risk

Lithium

Lithium

Treat mood disorder



Stabilises mood and controls mania


Must be monitored

Atypical antidepressants

Atypical antidepressants

Venlafaxine


Nefazodone


Mirtazapine

Venlafaxine

Venlafaxine

SNRI


Mixed repute inhibitor



Used in severely depressed

Nefazodone

Nefazodone

SNRI and 5-HT2 antagonist



Improved slow wave sleep, Reduced anxiety, reduces sexual dysfunction, sedation


Mirtazapine

Mirtazapine

NA and 5-HT reuptake inhibition



Reduce anxiety, better sleep!

Anxiolytic drugs

Anxiolytic drugs

Barbituates


Benzidiazepines


Antidepressants


Azapirones


Non-benzodiazepines


B-adrenoR antagonists


Antihistamines

Phenobarbitone

Phenobarbitone

Barbituate


Potentiate effect of GABA at GABAa Rs




Anxiolytic

Chlorodiazepoxide

Chlorodiazepoxide

Benzodiazepine


Enhances effect of GABA at GABAa Rs



Anxiolytic


Lorazepam
Diazepam
Midasolam

Lorazepam


Diazepam


Midasolam

Benzodiazepine


Enhances effect of GABA at GABAa Rs



Anxiolytic

Buspirone

Buspirone

Azapirone class


5-HT1A receptor partial agonist



Anxiolytic

Zopiclone
Zolpidem

Zopiclone


Zolpidem

Non benzodiazepine



Anxiolytic

Propanolol

Propanolol

Inhibits SNS outflow and effects

Chloral hydrate
Promethazine

Chloral hydrate


Promethazine

H1 receptor antagonist



Anxiolytic

Carbamazepine

Carbamazepine

Anti-epileptic drug


Inhibits Na+ channels


Phenytoin 

Phenytoin

Anti-epileptic drug



Inhibit Na+ and Ca2+ channels

Phenobarbitone


Diazepam (BDZ)

Phenobarbitone


Diazepam (BDZ)

Anti-epileptic drug



Potentiate GABA at GABAa receptors

Valproate 

Valproate

Anti-epileptic drug



Potentiate GABA at GABAa receptors


Inhibits GABA-T


Inhibits SS dehydrogenase


Inhibits NA+ channels


Ethosuxamide

Ethosuxamide

Anti-epileptic



Inhibit (T-type) Ca2+ channels

Iamotrigine

Iamotrigine

Anti-epileptic



Inhibit Na+ channels


Inhibits L,N and P type Ca2+ channels

Gabapentin

Gabapentin

Anti-epileptic



Originally synthesised to be a GABAmimetic


Inhibits Na+ channels

Vigabatrin

Vigabatrin

Anti-epileptic



Inhibition of GABA-T

Tiagabin 

Tiagabin

Anti-epileptic



Inhibit GABA repute by blocking GABA transporter

Talampenel


Tezampanel 

Talampenel


Tezampanel

Anti-epileptic



AMPA antagonist

Salicilates 

Salicilates

Non steroidal anti inflammatories


E.g aspirin



Target COX


Reduce TxA2 and Increase PGI2

Ibuprofen

Ibuprofen

Non steroidal anti inflammatories



COX1 and COX 2

Paracetamol

Paracetamol

Non steroidal anti inflammatories



Target COX 2 and COX 3


Celecoxib


Rofecoxib 

Celecoxib


Rofecoxib

Non steroidal anti inflammatories



COX 2 selective

Fluticasone


Proprionate

Fluticasone


Proprionate

Glucocorticoids



Asthma treatment

Hydrocortisone


Prednisone


Dexamethasone 

Hydrocortisone


Prednisone


Dexamethasone

Glucocorticoids



Treat Eczema


Prednisone also Rheumatoid arthritis

Beclometasone


Diproprionate

Beclometasone


Diproprionate

Glucocorticoids



Treat rhinitis, allergy

Budesonide


Dexamethasone

Budesonide


Dexamethasone

Glucocorticoids



Treat IBS and Chrohns disease

Opioid 


Desirable effects


 

Opioid


Desirable effects


Analgesia


Euphoria


Constipation


Sedation


Cough supression



Opiod


Undesirable effects

Opiod


Undesirable effects

Resp depression


Constipation


Sedation


Nausea, vomiting


Tolerance


Physical dependancy


Psych dependancy

Opioid drugs

Opioid drugs

Morphine: 'gold standard analgesic'


Heroin: drug of abuse, rapid brain penetration


Codiene:Weaker analgesic


Oxycodone


Methadone


Tramadol:Weak NA uptake inhibitor


Fentanyl: Potent anaesthesia


Emifentanyl:Potent anaesthesia


Naloxone

Naloxone

Treat drug dependance



Blocks response

Disulfiram

Disulfiram

Treat drug dependance



For alcoholics


Aversive therapy

Baclofen 

Baclofen

Treat drug dependance


GABAb receptor agonist


Reduces alcohol, opioid and stimulant craving

Cocaine


Crack cocaine

Cocaine


Crack cocaine

Blocks dopamine reuptake into nerves



Crack cocaine vaporises at 90.. can be smoked

Amphetamine


Methamphetamine 

Amphetamine


Methamphetamine

Block repute of dopamine


Inhibits degradation of dopamine by MAO


Stimulates dopamine release



ACUTE: Increased mood, alertness, insomnia, stamina, anorexia, aggression, psychosis increase HR and BP


POST: Fatigue, sedation, deression

Ecstacy (MDMA)

Ecstacy (MDMA)

Stimulate Seratonin release


Inhibits serotonin reuptake



Can cause neurodegeneration (prozac doesn't)


Acute: As amphetamine but no aggression, increase body temp, thirst


Post: Depression, anxiety

Cannabis 

Cannabis

Acts at CB1 and CB2 Rs


(Gi/o GPCRs)



Acute: sedation, feeling of wellness, perceptual change (time), lowered temp, increase HR, hunger, analgesia


Post: No physical dependancy- psych?

LSD


Psilocybin

LSD


Psilocybin

Hallucinogens


5-HT2a agonists



Acute: visual disturban, hallucination, euphoria, psychosis, panic flashbacks



Withdrawal: panic attacks, flashbacks, psych disturbance

Phenylcyclidine (PCP)


Ketamine

Phenylcyclidine (PCP)


Ketamine

Hallucinogens


NMDA receptor agonists



Acute: visual disturban, hallucination, euphoria, psychosis, panic flashbacks



Withdrawal: panic attacks, flashbacks, psych disturbance

Methadone

Methadone

Treatment of Heroin addiction



orally active


Stabilise and maintain or stabilise and withdraw

Buprenorphine 

Buprenorphine

Treatment of Heroin addiction



MOPr agonist



KOPr, DOPr antagonist

Pentazocine 

Pentazocine

KOPr agonist


MOPr antagonist



Potential for abuse


If used on heroin addicts they'll show signs of 'withdrawal'