7. Central nervous system stimulants Flashcards

(23 cards)

1
Q

What are central nervous system stimulants?

A

Class of drug that increase the activity of the brain and spinal cord. They can be helpful in treating various conditions: respiratory depression, seizures and stimulate appetite in animals.

They are classified based on the site of action

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2
Q

Name the classification of CNS stimulants

A
  1. Cortical
  2. Central analeptics, medullary
  3. Peripheral analeptics
  4. Mixed analeptics
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3
Q

Give example of drug group for each of the site of actions

A

1. Cortical: Xanthine
2. Central analeptics, medullary: Xanthine
3. Peripheral analeptics
4. Mixed analeptics: Xanthine, doxopram

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4
Q

Active substances for xanthine

A
  • Caffeine
  • Theophylline
  • Theobromine
  • Aminophylline
  • Propenthophylline
  • Doxapram
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5
Q

Caffeine

A

Sometimes used to stimulate CNS and improve the respiratory function

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6
Q

Theophylline

A

Primarily used as a bronchodilator to treat respiratory conditions in animals.
They work by relaxing the smooth muscles in the airways.
It can also have an anti-inflammatory effect and can increase the strength of the diaphragm contractions.

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7
Q

Theophylline, indications:

A
  • Bronchodilator
  • Dogs with congestive heart failure and fluid build up in the lungs.
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8
Q

Theophylline, administration:

A

Usually in tablet or capsule form, given orally.

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9
Q

Theophylline, side effects:

A
  • Restlessness
  • Vomiting
  • Diarrhoea
  • High dose ⭢ seizures
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10
Q

Theophylline, Precautions:

A

Heart and liver disease, seizure disorder
Can also interact with other medications.

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11
Q

Theobromine

A

Even though it is a CNS stimulant, it is toxic to dogs and can cause a range of side effects
In dogs and cats, theobromine is slowly metabolised and allows for toxic levels to accumulate in the system.

The toxin can be found in chocolate

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12
Q

Aminophylline, Indications:

A
  • Bronchodilator
  • Dogs with congestive heart failure and fluid build up in the lungs.
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13
Q

Aminophylline, Administration:

A

Usually given oral, in tablet of liquid form
IV = In emergency situations for rapid effect

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14
Q

Aminophylline, Side effects:

A
  • Restlessness
  • Vomiting
  • Diarrhoea
  • High dose ⭢ seizures
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15
Q

Side effects of xanthine

A
  • Stimulate peptic acid secretion
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16
Q

Indications for xanthine

A
  • Acute heart failure
  • Bronchodilation
  • Blood circulation disorders ⭢ Theophylline, aminophylline
  • Overdosing of anaesthetics ⭢ coffeine
17
Q

Doxapram, Indications:

A
  • Stimulation of respiration of new born animals
  • Respiratory depression caused by CNS inhibitory drugs and poisons
18
Q

Doxapram, Contraindications:

A
  • Convulsions
  • Heart arrhythmias
19
Q

Doxapram

A

Has a mixed effect, on both central and peripheral centre.

It has a broad therapeutic index, making it a safe drug

20
Q

Pharmacological effect of xanthine

A
  1. CNS stimulation, but overdosing can lead to seizures.
  2. Peripheral effects: Vasodilation, increased blood flow to the brain, heart, muscls and kidneys
21
Q

Aminophylline, Precautions:

A
  • Heart and liver disease, seizure disorder
  • Can also interact with other medications.
  • Monitor the blood levels, to avoid toxicity
22
Q

Aminophylline

A

Primarily used as a bronchodilator to treat respiratory conditions in animals.
They work by relaxing the smooth muscles in the airways.
It can also have an anti-inflammatory effect and can increase the strength of the diaphragm contractions.

23
Q

Theobromine, Side effects:

A
  • Hyperactivity
  • Tremors
  • Seizures
  • Increased urination ⭢ hydration
  • Vomting
  • Diarrhoea
  • Increased heart rate