CNS Pharmacology III: Drug Treatments of CNS Disorders Flashcards

1
Q

What are the POSITIVE symptoms of Schizophrenia?

A
  • Delusions
  • Hallucinations
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2
Q

TRUE OR FALSE:
Antipsychotic drugs treat the negative symptoms of Schizophrenia but not the positive symptoms?

A

False.
Treat the POSITIVE symptoms

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3
Q

In the Dopamine (DA) Hypothesis of Schizophrenia, is there increased or decreased DA transmission in the Nigrostriatal Pathway?

A

INCREASED DA transmission

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4
Q

In the Dopamine (DA) Hypothesis of Schizophrenia, which subtype of receptors are acted on in the Mesolimbic Pathway?

A

D2 receptors
* Overactive D2 receptors may cause “positive symptoms”

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5
Q

In the Dopamine (DA) Hypothesis of Schizophrenia, which subtype of receptors are acted on in the Mesocortical Pathway?

A

D1 receptors
* Decreased D1 activity may cause “negative symptoms”

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6
Q

What DA strategies can be effective treatments for Schizophrenia?

A
  • DECREASE DA activity in the limbic areas
  • INCREASE DA activity in prefrontal cortex
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7
Q

Would an increase or decrease in Serotonin cause hypo function of DA system in the prefrontal cortex?

A

Increase

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8
Q

What type of drugs are Anti-Psychotic drugs in regards to receptors?

A

D2 Antagonists

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9
Q

What are TWO examples of Typical Anti-Psychotic drugs?

A
  1. Chlorpromazine
  2. Haloperidol
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10
Q

What are TWO examples of Atypical Anti-Psychotic drugs?

A
  1. Clozapine
  2. Risperidone
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11
Q

What are the FIVE classes of Antidepressant Drugs?

A
  1. Monoamine Oxidase Inhibitors (MAOIs)
  2. Tricyclic Antidepressants (TCAs)
  3. Selective Serotonin Reuptake Inhibitors (SSRIs)
  4. Noradrenaline Selective Reuptake Inhibitors (NRIs)
  5. Serotonin and Noradrenaline Reuptake Inhibitors (SNRIs)
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12
Q

What is the mechanism of action of MAOIs?

A
  • Inhibit MAOa (that metabolises monoamines)
  • Boosts levels of 5-HT, DA, and NA
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13
Q

Which MAOI drugs are Non-Selective?

A
  • Tranylcypromine
  • Phenelzine
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14
Q

Which MAOI drugs are MAO-A Selective?

A
  • Clorgyline
  • Moclobemide
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15
Q

Which MAOI drug is MAO-B Selective (mainly DA)?

A

Selegiline

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16
Q

Which class of MAOIs are the most effective antidepressant?

A

MAO-A inhibitors

17
Q

What are THREE examples of TCA drugs?

A
  1. Imipramine
  2. Clomipramine (5-HT selective)
  3. Desipramine (NA selective)
18
Q

What is the mechanism of action for TCAs?

A

Blocks reuptake of NA and 5-HT

19
Q

What are TWO examples of SSRI drugs?

A
  1. Fluoxetine (Prozac)
  2. Sertraline
20
Q

What is the mechanism of action of SSRIs?

A
  • SSRIs increase levels of 5-HT in the synaptic cleft
  • Prevents 5-HT reuptake by binding to transporters
21
Q

What is an example of an NRI drug?

A

Reboxetine

22
Q

What is an example of an SNRI drug?

A

Venlafaxine

23
Q

What further exacerbates loss of DA nigrostriatal neurons in PD?

A

Enhancement of sriatal cholinergic neurons
* may cause resting tremor

24
Q

What are FIVE pharmacological treatments for PD?

A
  1. Increase synthesis of DA (L-DOPA)
  2. Stimulate DA receptors with agonists (Bromocriptine)
  3. Inhibit degradation of DA (Selegiline - MAO-B inhibitor)
  4. Increase release of DA (Amantadine)
  5. Reduce the overactivity of cholinergic neurons (Benztropine - Muscarininc antagonist)
25
Q

TRUE OR FALSE:
L-DOPA has a large First Pass metabolism?

A

True.
High doses must be given to be able to cross the BBB

26
Q

How does Carbidopa affect L-DOPA?

A
  • Inhibits L-DOPA decarboxylation in GI tract, so increases L-DOPA in CNS
  • Decreases L-DOPA dose required
  • Diminishes peripheral side-effects
27
Q

How does Selegiline affect L-DOPA?

A

Inhibits dopamine degradation
(MAO-B inhibitor)

28
Q

How does Entacapone affect L-DOPA?

A

Inhibits COMT, thereby inhibiting L-DOPA degradation in periphery

29
Q

What is the treatment strategy and clinical therapy for Cholinergic Neurons in AD?

A
  • INCREASE cholinergic neurotransmission
  • Acetylcholine Esterase Inhibitors to enhance acetylcholine action
30
Q

What is the treatment strategy and clinical therapy for Glutamatergic Neurons in AD?

A
  • DECREASE glutamate neurotransmission
  • NMDA receptor antagonists to reduce excitotoxic damage to neurons
31
Q

What are THREE Acetylcholine Esterase Inhibitor drugs used to treat AD?

A
  1. Donepezil
  2. Rivastigmine
  3. Galantamine
32
Q

What is a NMDA Receptor Antagonist drug used to treat AD?

A

Memantine