Neuro Meds

Question 1

benzodiazepine, antiseizure, sedative, antianxiety, muscle relaxant, GABA agonist, no pregnancy, metoprolol interactions

Answer 1

diazepam

Question 2

antidote to benzodiazepines

Answer 2

flumazenil

Question 3

barbiturate, antiseizure, sedative, no hormonal birth control, may take weeks if PO, long-acting

Answer 3

phenobarbital

Question 4

may not be effective in the elderly, may increase anxiety

Answer 4

lorazepam

Question 5

hydantoin, antiseizure, antidysrhythmic, blocks sodium channels, narrow therapeutic range, can’t talk or walk is toxic, bleeding gums is okay, cardio risk with rapid infusion

Answer 5

phenytoin

Question 6

phenytoin-related, antiseizure, unknown action, may cause aggressive behavior, angioedema, hyponatremia, acute renal failure, narrow therapeutic range

Answer 6

levetiracetam

Question 7

GABA analog, antiseizure, analgesic adjunct, mood stabilizer, unknown action except blocks calcium channels, don’t withdraw abruptly, monitor renal

Answer 7

gabapentin

Question 8

succinimide, for absence seizures, may cause tongue swelling, psychosis, interactiosn with phenytoin, narrow range

Answer 8

ethosuximide

Question 9

for absence seizures, can cause liver issues in the first six months, can cause pancreas issues

Answer 9

valproic acid

Question 10

dopamine agonists, anticholinergic, for Parkinson’s, mood changes means toxicity, many interactions, monitor liver function

Answer 10

levodopa-carbidopa

Question 11

centrally acting anticholinergic, for Parkinson’s, tremor suppression, can cause restlessness and loss of balance, antidote is physostigmine, monitor liver

Answer 11

benztropine

Question 12

acetylcholinesterase inhibitor, cholinergic, for Alzheimer’s, inhibits acetylcholinesterase breakdown, improve memory, do not use if GI bleed or jaundice, antidote is atropine

Answer 12

donepezil

Question 13

n-methyl-d-aspartate antagonist, for Alzheimer’s, prevents glutamate binding, decreases dementia symptoms, can cause SJS, long-acting, monitor renal function

Answer 13

memantine

Question 14

central muscle relaxant, inhibits catecholamine reuptake, for acute muscle spasms, can cause tongue swelling, not for CAD patients, interacts with potassium

Answer 14

cyclobenzaprine

Question 15

direct muscle relaxant, blocks calcium, for muscle spasms, spasticity, and malignant hyperthermia, warning for hepatotoxicity, monitor liver

Answer 15

dantrolene sodium

Question 16

direct muscle relaxant, blocks acetylcholine, neurotoxin, can cause dysphagia and ptosis, can spread distantly from site

Answer 16

onabotulinum