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Dental Therapeutics Exam 1 > Drug Abuse > Flashcards

Flashcards in Drug Abuse Deck (10)
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1
Q

Bupropion

A

(Zyban, Welbutrin); Atypical antidepressant - Blocks NE, DA uptake (Not 5HT) - Weak nicotinic receptor antagonist; May reduce nicotine use, No CNS depression, Sexual dysfunction, Seizure threshold lowered, Insomnia, Agitation, Pruritis, Bruxism; MAY PRESCRIBE TO PREVENT ORAL CANCER, Chemically related to canthinones in Khat

2
Q

Canthinones and Bath Salts

A

Khat plants, More toxic; MDPV, Mephedrone, Meththylone, Flakka = Alpha PVP; Pleasant experience with sociability and sex drive sought with paranoia, agitation, tachycardia, delusion, hallucination, psychosis, seizures, violent behavior, amnesia, death - Bruxism and Dry mouth; Hospitalizations; Benzodiazepine treatment (Diazepam/Lorazepam)

3
Q

Varenicline

A

Nicotine receptor partial agonist: alpha4-beta2, limits nicotine from further stimulating receptors, Moderates DA release in nucleus accumbens and cortex to reduce withdrawal symptoms; Nausea, vomit, sleep disturbance, Neuropsychiatric effects - Behavior, agitation, mood and suicidal ideation

4
Q

Ethyl

A

Ch3Ch2OH (ethanol); Methanol/Ethylene glycol detox - Treat stroke(Caffinol)

5
Q

Methyl

A

Ch3OH (methanol, wood alcohol) - Dental bench torch fuel

6
Q

Isopropyl

A

Ch3Ch3ChOH (rubbing alcohol) - Disinfectant and cleansing agent

7
Q

Benzodiazepine

A

Manage Ethanol dependence, Sedation, Seizures, Stage withdrawl; Antipsychotics - Hallucinations, Clonidine - Autonomic hyperactivity

8
Q

Disulfiram

A

(Antabuse); Chelates metal ion cofactors necessary for acetaldehyde dehydrogenase activity; N&V, Flushing, Headache, Sweating, Hypotension, Confusion; Slow elimination (Negative reinforcement for drinking)

9
Q

Naltrexone

A

(ReVia); Opioid receptor antagonist, Reduce craving

10
Q

Acamprosate

A

(Campral); Competitive inhibitor of NMDA Glutamate receptor