Analgesics and Antiemetics Flashcards
What nociceptive pain?
Acute
What is neuropathic pain?
Chronic
What is allodynia?
Pain from a stimulus that does not normally cause pain
What is parasthesis?
Painful feelings with no apparent stimulus eg. pins and needles
What are the 4 types of analgesics?
Opioids
Antidepressants
Antiepileptics
Local anaesthetics
Where do opioids act?
Spinal cord and CNS
What is the 3 step mechanism of opioids?
Decrease neurotransmitter release
Block postsynaptic receptors
Activate inhibitory pathways
What are the advantages of opioids?
Variety of routes
Range of effect durations
Highly effective
What are the disadvantages of opioids?
Interactions
Contradictions
Side effects
What are the side effects of opioids?
Nausea Constipation Drowsiness Respiratory depression Hypotension Sedation Dependancy
What are the two types of anti depressants and analgesics?
Serotonin and noradrenaline reuptake inhibitors (SNRI)
Selective serotonin reuptake inhibitors (SSRI)
What are examples of serotonin and noradrenaline reuptake inhibitors?
Ventafaxine
Duloxetine
What are examples of selective serotonin reuptake inhibitors?
Paroxetine
Citalopram
What is duloxetine prescribed for?
Peripheral neuropathy particularly diabetic
What are the side effects of duloxetine?
Nausea
Somnolence
Insomnia
Dizziness