Anti-Parkinsons Flashcards

1
Q

What are Dopamine agents used for?

A

Relief of tremor and rigidity in Parkinson’s

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2
Q

What is the action of Dopamine agents?

A

Blocks the reuptake of Dopamine

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3
Q

What is the action of Levadopa (dopamine agent)?

A

To turn into Dopamine once it crosses the blood brain barrier

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4
Q

What is Carbadopa (dopamine agent)?

A

Dopamine replacement

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5
Q

What are the side effects of Dopamine agonists?

A

EPS, on-off phenomenon, hepatotoxicity, orthostatic hypotension, nausea, vomiting, blood dyscrasias

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6
Q

What are COMT Inhibitors used for?

A

Relief of tremor and rigidity in Parkinson’s, decrease the on-off phenomenon

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7
Q

What is the action of COMT Inhibitors?

A

Prolongs the duration of Levodopa

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8
Q

What is a consideration we should let our patients know about when taking a COMT Inhibitor?

A

Take at the same time as Levodopa

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9
Q

What are the side effects of COMT Inhibitors?

A

GI upset, urine discoloration, increase dyskinesia

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10
Q

What can COMT Inhibitors cause?

A

Severe liver failure

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11
Q

What are MAO B Inhibitors used for?

A

Improve memory and motor speed, prevents neuron breakdown

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12
Q

What is the action MAO B Inhibitors?

A

Reduces the destruction of Dopamine in the brain

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13
Q

What are the side effects of MAO B Inhibitors?

A

Orthostatic hypotension, ataxia, dyskinesia, hallucinations, dry mouth, EPS, hypertensive crisis with low dosing

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14
Q

What are Anticholinergic agents used for?

A

Reduce severity of tremors, drooling, and other EPS reactions

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15
Q

What is the action of Anticholinergic agents?

A

Reduce hyper stimulation caused by excessive acetylcholine

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16
Q

What are the side effects of anticholinergic agents?

A

Blurred vision, urinary retention, constipation, dryness, nightmares, confusion, orthostatic hypotension, arrhythmias,

17
Q

What is contraindicated in the use of Anticholinergics?

A

Narrow angle glaucoma, prostatic hypertrophy, tardive dyskinesia, myasthenia gravis

18
Q

What should we teach our patients about Anti-Parkinson drugs?

A

Increased fall risk
Avoid Vitamin B12
Therapy is essential for reducing progression
Change positions slowly