ࡱ> Q@ :1bjbj͘ /:)~\~\~\~\z]|c````````$[Rxb``xbxb``ToToToxb&``ToxbToFTooo`_ p+ ~\j"ow30co3j3o3o`L)a6To_a,a```DMN Jo NBenzodiazepines(sedatives & hypnotics)Diazepam (Valium) Long-acting (IV or IM dose)Muscle injuries, MS & CP Status epilepticus EtOH withdrawalCIpregnancy & nursing (cleft palates)10X less potent than Xanax 1st prescription until 1992 10s onset (MOST lipophilic)ClorazepateLong-actingPartial seizures EtOH withdrawalCombo w/ anti-convulsants Decarboxylated in stomachClonazepam (Klonopin)Long-actingPanic disorder Phobic disorders (2nd-line) Spasticity (w/o sedation) Absence seizuresTolerance w/in 1-6mFlurazepamLong-actingInsomnia (inpatients, up to 4w)Daytime sedation CIsleep apnea, snorerst1/2 > 100hLorazepam (Ativan)Intermediate-acting (IV or IM dose)GAD (2nd) Status epilepticusSafe for elderly & liver dz (NO active metabolite)2-3min onsetAlprazolam (Xanax)Intermediate-actingDOC for GAD Panic disorder (higher doses) Phobic disorder (2nd-line)10th prescription in USTemazepamIntermediate-actingInsomnia (w/ frequent waking)Safe for elderly & liver dz (NO active metabolite) CIsleep apnea, snorersPeaks 2-3h after oral doseOxazepamShort-actingAnxiety, EtOH withdrawalSafe for elderly & liver dz (NO active metabolite)TriazolamShort-actingInsomnia (falling asleep)Tolerance (ONLY 7-10d), rebound insomnia, REM rebound, amnesia, disinhibitionMOST potent (4X Xanax)MidazolamUltra-short-actingPre-op anesthesia, oral surgeryCInarcotics & COPDNOT general anesthesiaFlumazenilBenzo antagonist (IV dose ONLY)Benzo overdose Rx for sedationBuspirone5-HT1A agonistSelective anxiolytic (elderly & alcoholics)NO dependence or WD NO interaction w/ EtOHNOT muscle relaxant OR anti-convulsant Slow 2-4w onsetZolpidem (Ambien) Zaleplon (Sonata)Benzo receptor agonistsSelective hypnoticMinimal rebound insomnia Interacts w/ EtOH NO WD or REM effectsAnti-depressantsNortryptalineTCAs (block reuptake of 5-HT & NE)Refractory depression (1st-line)Anti-cholinergic (esp. elderly), sedation (anti-histamine), seizures, hypotension, arrhythmias, fallsSertraline (Zoloft)SSRIs (block reuptake of 5-HT)MDDN/D, activating, weight gain, sexual dysfxn (30-50%), 5-HT syndrome (combo w/ MAOIs) LEAST inhibits P450t1/2 = 26hParoxitine (Paxil)SSRIsMDDLESS GI upset, anti-cholinergic, extra-pyramidal effects, MOST sexual dysfxnFluoxetine (Prozac)SSRIsMDDMOST activating MOST inhibits P450t1/2 = 192hPhenelzineMAOIs (block degradation of 5-HT & NE)Reserved for atypical depressionFood (tyramine) OR Pseudoephedrine ( HTN crisis, headaches, arrhythmiasBupropion (Wellbutrin)Blocks reuptake of 5-HT, NE, & DAHypericum (St. Johns Wort)Inhibits MAO & reuptake of 5-HT & NE1st-line MDD in GermanyNefazadoneBlocks reuptake of 5-HTLiver toxicityTrazadoneStrongly blocks reuptake of 5-HTSedative in elderlyShort t1/2VenlafaxineStrongly blocks reuptake of 5-HT & NE (like TCA)LESS SE than TCAsAnti-psychoticsChlorpromazinePhenothiazines (DAR antagonist & (-blocker)Anti-cholinergic, anti-NE, anti-histamine, PD-like effects sedativeThioridazinePhenothiazines (anti-cholinergic)MORE anti-cholinergic LESS sedative & PD-like effectsFluphenazinePhenothiazines (w/ 3 halogen substituents)MOST potentLESS sedative MORE PD-like effectsHaloperidolTypical anti-psychotic (NOT phenothiazine)LESS sedative, LESS cholinergic MORE PD-like effectsEliminated in bileClozapineAtypical anti-psychotics (blocks 5-HT, NOT D2R)Low potencyAnti-cholinergic, LESS PD-like effects, agranulocytosis (rare)RisperidoneAtypical anti-psychotics (blocks 5-HT & DAR)LESS PD-like effects, minimal sedation Parkinsons DiseaseBenztropine Trihexyphenidyl Anti-cholinergics (1st drugs for PD)Moderate PD (esp. in young) NOT for bradykinesiaDry mouth, blurred vision, cognitive impairment, hallucinations CIglaucoma, heart dz, GI obstructionSynthetic derivative similar to AtropineL-DOPA(bypasses rate-limiting step of DA synthesis)Best in first 2-5y NOT for cognitive declineOrthostatic hypotension, arrhythmias, GI upset, accelerated cell loss?, abnormal movements & behavior95% metabolized by COMT or L-AAD in peripheryCarbidopa (Lodosyn)Inhibits L-AAD in periphery (prevents L-DOPA metabolism)(L-DOPA dose by 75%LESS SEsCombo w/ L-DOPA (Sinemet) NOT cross BBBTolcapone EntacaponeCOMT inhibitors (prevent L-DOPA metabolism to O-methylated metabolite)Force conversion of L-DOPA to DA ((on-off phenomenon)Diarrhea, hepatitic necrosisHighly metabolizedBromocryptineD2-agonist & partial D1-agonistL-DOPA adjunctHallucinations, confusion, nausea, hypotension Peritoneal fibrosisSelegilineMAOB inhibitor (prevents DA metabolism)Early PD (delay L-DOPA use)Nausea, dry mouth, confusion, euphoria, insomnia, psychosisMAOA metabolizes 5-HT & NE Metabolized to amphetamineAmantidineDA-releasing agent (blocks uptake into vesicles)Mild PD (short-term) InfluenzaDry mouth, confusion, anxiety, anorexia, hallucinationsWeak M-antagonistGeneral AnestheticsMethoxyfluraneInhalation MOST potent (MAC 0.16%) OB surgery Muscle relaxant (except uterus) Low-dose analgesiaSensitizes heart, renal toxicity (20% mortality)Highly metabolized (produces F-)HalothaneInhalation (halogenated alkane) High potency (MAC <1%) Anesthesia in kids & asthma Limited muscle relaxant NO low-dose analgesiaHypotension, sensitization to catecholamines, (BF to kidneys & liver, (GFR, hypoxia, (ICP Malignant hyperthermia Halothane hepatitisLiver metabolism NON-flammable Corrosive to most metals, rubbers, & some plasticsDesfluraneInhalation Potent (MAC 6%)Outpatient surgeriesRespiratory irritant, (HRONLY 0.02% metabolized VERY rapid onset (LEAST blood soluble)SevofluraneInhalationEsp. kidsLESS irritating, NOT (HR100X liver metabolism VS. Desflurane (some F- release)IsofluraneInhalation Lower potency (faster induction) DOC neuroanesthesia Better muscle relaxantHypotension NOT (ICP or sensitize heartONLY 0.2% liver metabolismNitrous oxideInhalation NOT potent (MAC >1atm)Low-dose analgesia (release of endorphins) NOT muscle relaxantMinimal toxicity Diffusional anoxiaOften in comboThiopental IV (ultrashort-acting barbiturate)Rapid sequence induction NOT analgesiaInjection site necrosis (>2.5% concentration), laryngospasm, hyperalgesiaRapid redistribution (LOC in 10-20s, recovery in 20-30min) (opening of GABAA channelsEtomidateIV (ultrashort-acting, NON-barbiturate sedative)Very short procedures ONLYMuscle spasms, (cortisolRecovery in 5minPropofolIV (rapid-acting, NON-barbiturate sedative)Regional (continuous infusion) NOT analgesiaHypotension, (RR, allergies (egg products) NOT impair renal or hepatic fxn milk of anesthesia (ICPKetamineIV (dissociative anesthetics)Marked anesthesia w/ amnesia ER, radiology in kids Good analgesiaHallucinations, excitement, delirium; preserves respiratory responses & (COBlocks glutamate receptors in cortex & limbic system, blocks ( opioid receptorsMidazolamBenzos (anesthetic adjunct)Pre-op anxiety & sedation w/ amnesiaCNS depressionNOT analgesic Reverse w/ FlumazenilFentanylOpioids (anesthetic adjunct)Cardiac surgery analgesiaN/V, pruritis, respiratory depression (reverse w/ Naloxone)Succinylcholine d-TurbocurarineMuscle relaxants (anesthetic adjuncts)(MAC of inhalation anestheticsHyperkalemia, malignant hyperthermiaDepolarizing NON-depolarizingLocal AnestheticsLidocaineAmides (oral, parenteral, topical)Anti-arrhythmic Local, regional, epidural, topicalVentricular fibrillationHighly protein bound Hepatic metabolism Combo w/ vasoconstrictorBupivacaineAmidesEpidural or spinal, NOT regional (parturition & LE orthopedics)Hypotension, (contractility, MORE ventricular fibMORE potent & long-actingRopivacaineAmidesEpidural or spinalLESS cardiotoxicLESS potentProcaineEsters (parenteral, NOT topical)LESS potentRespiratory depression AllergiesShorter actingChloroprocaineEsters MORE potent than ProcaineRapid metabolismTetracaineEstersSpinal (10X MORE potent)10X MORE toxicSlower onset & longer durationBenzocaineEstersTopical ONLYALWAYS unionized (lacks amine group)CocaineLocal anesthetic & inhibit catecholamine reuptakeEuphoria, (HR, (RR ( agitation, HTN, dyspnea ( seizure, arrythmias, respiratory failureNOT combo w/ vasoconstrictorsAnti-convulsantsPhenobarbitalBarbiturates (long-acting)Unclassified seizures Status epilepticusSedation, cognitive impairment, behavioral changes (40% kids), addiction, rebound seizuresInduce P450Phenytoin (Dilantin)HydantoinsPartial & grand mal seizures Status epilepticus (Fosphenytoin)Muscle necrosis, thickened facial features, darkened hair, gum hypertrophy (esp. kids), macrocytosis (folate deficiency)Rate-limited hepatic metabolism ( p-HPPH Induce P450CarbamazepineIminostilbenes ((noradrenergic neuron firing & (SHRFR)Partial & grand mal seizures ManiaLethargy, ataxia, diplopia, neutropenia, aplastic anemia (rare), hyponatremia (esp. elderly)Slow absorption Similar to TCAs Induce P450LamotriginePhenyltriazines (blocks Na2+ & Ca2+-channels, inhibits Glu & Asp release, blocks photic stimulation)Partial & absence seizures Lennox-Gastaut syndromeRash, dizziness, headache, diplopia, ataxia, somnolence Metabolism induced by Phenytoin & Carbamazepine, inhibited by Valproic acidLevetiracetam(blocks n-type Ca2+-channels)Partial seizures (esp. w/ comorbid liver dz)Somnolence, dizziness, headacheNOT metabolized NO drug interactionsTopiramateSulfate-substituted fructose (blocks Na+ & Ca2+-channels, (GABA binding, inhibits kainate/AMPA-activated Glu receptor)Adjunct for partial seizuresSomnolence, fatigue, impaired concentration, word-finding difficulties, renal stones, paresthesias, weight lossONLY 20% metabolized Metabolism inhibited by Phenytoin & CarbamazepineValproate (Depakote)Branched-chain COOH ((SHRFR, (GABA 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""" #<#=#C###$%P%%&5&&''''((6(a((((((((")9)<)<)Michael David Barnettwildcat@f J\e2prYP*0ncwCH1aeDT4 mE NK mm }u e _{ | 8 **6C>dN2#,<YAI$zQ,CHzsx&{P/5f%Ds.S Vd6W/  NM S 6!|!jI""P"4$d$t$<&R&ot&'H'3)5)!*Ll*|+H,0-,I,--v.f/~/c0;0<0d,1k`1v2Z3(3E455C5s6u68(8ha8q8Ru85 ;O#;c;(<<1(< ==v}=#>B@TA^C6DrDvE\zE/Fq)G[7HBH1I"KgKoKL<LMqEM7vM*N"N,N!4N}?NO?#P\!Q?8Q)qQ5R2^R#Sn)S:S$rSMTT= TUj+U`UjUWoU"V6VOVmV{VgWiCX~Z.[C[M[_[\X.\j]E^Y_:`aLAbwb&1d9d$g`g*hfh4iPOiXij8jk=k'lclnnvnspHq `qgrTSsxjt1uBuUu0vw7w47wauw4xyDxWx*yQ:yUyPiy/z72z{{|Xf}\NS9U%},52UpY7_C;-@2u{UW9oC'/fC*B]qH8?e0Pnp38 UXZV:[J)Kaxh^w $}8EJ!#';8iwBT(,Ds?kBWaQ#+ :%:wMxjza FYZi`lmPui {+y~"KXV*](a5_ #5`3R&)3F));&67Sq EP$q}+/B?@ABCQu15   , 2 6 Y e f q     < = > ? @ ]    * [ \ n o p q r s t u v    > ? u v w   N a b l "#KLMQRSTUVjklmnoHqry;ij~ZDEFQz Fe@r 3M 6a9HIUx?@J|%rB:T<=>?@ABCUVWXYZd!(h$0Q`apx    D E M  !!!!!!!!$q$$$$%#%P%p%%%%&5&&&&'c'''(()(6(a(r(((((((")8)9)<)@ ty :)@@UnknownGz Times New Roman5Symbol3& z ArialA& Arial Narrow"qh՛&A&f'#J'#J9@24d%)%) 3QH(?I,DrugMichael David BarnettMichael David BarnettOh+'0 ( D P \hpxDrugfrugMichael David Barnett1ichichNormal Michael David Barnett1358Microsoft Word 10.0@^\9H@^@ '#՜.+,0 hp|   DrJ%)A Drug Title  !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~Root Entry F4Data =1Table3WordDocument/SummaryInformation(DocumentSummaryInformation8CompObjj  FMicrosoft Word Document MSWordDocWord.Document.89q