USMLE / Lesson

Pharmacology - CNS

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  • Tranylcypromine
    MAO inhbitor - irreversible inhibition of MAOA and MAOB Use: atypical depressions Drug interactions- serotonin syndrome- ↑ NE: hypertensive crisis
  • Bupropione
    Antidepressant - dopamine reuptake blocker - used in smoking cessation
  • Lithium
    - DOC for bipolar disorders - usually antidepressants/antipsychotics also required - prevents recycling of inositol (↓PIP2) by blocking inositol monophosphatase- ↓ cAMP Side effects:- narrow therapeutic index; requires therapeutic monitoring- tremor, flu-like symptoms, life-threatening seizures- hypothyroidism with goiter- nephrogenic diabetes insipidus (↓ADH effect)
  • Methylphenidate
    - amphetamine-like - Used in ADHD Side effects:- agitation- restlessness- insomnia- cardiovascular toxicity
  • Atomoxtine
    - SNRI Used in ADHD
  • Phenobarbital
    Barbiturate - prolonges GABA activity with GABA mimetic activity at high doses - used for seizures
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