Cogentin Flashcards
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Cogentin Flashcards

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Questions and Answers

What is the trade name for the drug Benzotropine?

  • Zoloft
  • Ativan
  • Benadryl
  • Cogentin (correct)

    • What is the classification of Benzotropine?

    Anti-parkinson; Drug induced extra-pyramidal symptoms

    What is the pharmacological classification of Benzotropine?

    Central Cholinergic Receptor Blocker

    What is the mechanism of action of Benzotropine?

    <p>Diminished excess cholinergic effect associated with dopamine deficiency. Suppresses tremor/rigidity. Not tardive dyskinesia.</p> Signup and view all the answers

    What is the correct dosage of Benzotropine?

    <p>PO/IM: 0.5-1mg/day up to 6mg/day; IM: used undiluted; IV: undiluted: 1mg or fraction over 1 min; IV: Extrapyramidal: 1-4 mg 1-2x/day</p> Signup and view all the answers

    What are common side effects of Benzotropine?

    <p>Sedation, drowsiness, dizziness, insomnia, hallucinations, confusion, palpitations, tachycardia, flushing, blurred vision, nausea, vomiting, paralytic ileus, dysuria</p> Signup and view all the answers

    What are the contraindications of Benzotropine?

    <p>Narrow angle glaucoma; myasthenia gravis; obstructive GU/GI tract; tendency to tachycardia; tardive dyskinesia (children); tricyclic antidepressants, quinidine, nifedipine</p> Signup and view all the answers

    What is the pre-administration assessment for Benzotropine?

    <p>Monitor I&amp;O ratio and pattern, monitor muscle weakness or inability to move, monitor HR</p> Signup and view all the answers

    How should Benzotropine be administered?

    <p>Administer PO with food to prevent stomach upset</p> Signup and view all the answers

    What is important patient teaching regarding Benzotropine?

    <p>Initiate and withdraw drug gradually; Report difficulty in urination or infrequent voiding; Avoid hazardous activities until effects are known; Avoid alcohol and other CNS depressants; Do not take OTC cold, cough, hay fever meds; Diminished sweating may occur.</p> Signup and view all the answers

    How is Benzotropine excreted?

    <p>Urine</p> Signup and view all the answers

    What is the drug classification of Benzotropine?

    <p>Preg C</p> Signup and view all the answers

    What is the brand name of Benzotropine?

    <p>Cogentin</p> Signup and view all the answers

    What is the mechanism of action of Benzotropine?

    <p>Anticholinergic</p> Signup and view all the answers

    What conditions does Benzotropine treat?

    <p>Parkinson's Disease</p> Signup and view all the answers

    What are the primary focuses of Benzotropine treatment?

    <p>Both A and B</p> Signup and view all the answers

    What is the opposite of SLUDGE as a side effect of Benzotropine?

    <p>Opposite of SLUDGE</p> Signup and view all the answers

    What is the side effect represented by A?

    <p>Anorexia</p> Signup and view all the answers

    What is the side effect represented by B?

    <p>Blurred vision</p> Signup and view all the answers

    What are the side effects represented by C?

    <p>Confusion, constipation, cognitive difficulty</p> Signup and view all the answers

    What are the side effects represented by D?

    <p>Dry mouth, dilation</p> Signup and view all the answers

    What is the side effect represented by S?

    <p>Sedation</p> Signup and view all the answers

    What is the side effect represented by U?

    <p>Urinary retention</p> Signup and view all the answers

    What is the target population for Benzotropine?

    <p>Younger patients</p> Signup and view all the answers

    Can Benzotropine be used alone or in combination?

    <p>Both</p> Signup and view all the answers

    Study Notes

    Drug Overview

    • Cogentin is the trade name for the drug benzotropine.
    • Classified as an anti-parkinson drug and used to treat drug-induced extra-pyramidal symptoms.

    Pharmacology

    • Benzotropine is a central cholinergic receptor blocker.
    • It works by diminishing the excess cholinergic effects associated with dopamine deficiency.

    Mechanism of Action

    • Suppresses tremor and rigidity but does not address tardive dyskinesia.

    Dosage Information

    • Oral/IM dosage ranges from 0.5 to 1 mg daily, with a maximum of 6 mg/day.
    • For IM use, administer undiluted; IV dosage should also be undiluted, with 1 mg or a fraction given over one minute. For extrapyramidal symptoms, administer 1-4 mg 1-2 times daily.

    Side Effects

    • Common side effects include sedation, drowsiness, dizziness, insomnia, hallucinations, confusion, palpitations, tachycardia, flushing, blurred vision, nausea, vomiting, paralytic ileus, and dysuria.

    Contraindications

    • Not recommended for patients with narrow angle glaucoma, myasthenia gravis, obstructive gastrointestinal or genitourinary tract issues, a tendency for tachycardia, tardive dyskinesia in children, or those taking tricyclic antidepressants, quinidine, or nifedipine.

    Pre-administration Assessments

    • Monitor intake and output ratio, muscle weakness or immobility, and heart rate prior to administration.

    Administration Techniques

    • Administer orally with food to minimize stomach upset.

    Patient Education

    • Gradual initiation and withdrawal of the drug is necessary.
    • Advise patients to report difficulties with urination, avoid hazardous activities until effects are known, abstain from alcohol and CNS depressants, and not take OTC cold or allergy medications.
    • Inform about potential for diminished sweating.

    Excretion

    • Benzotropine is excreted through urine.

    Pregnancy Risk

    • Classified as Pregnancy Category C.

    Treatment Focus

    • Primarily targets conditions such as Parkinson's disease (PD) and symptoms like tremor and sialorrhea.

    Side Effects Documentation

    • Side effects can be characterized as the opposite of SLUDGE:
      • Anorexia
      • Blurred vision
      • Confusion, constipation, cognitive difficulties
      • Dry mouth, dilation
      • Sedation
      • Urinary retention

    Target Population

    • More effective in younger patients.

    Usage Context

    • Can be used alone or in combination with other treatments.

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    Test your knowledge on Cogentin with these flashcards. Learn about its trade name, classification, pharmacological properties, and the mechanism of action. Perfect for students and healthcare professionals alike!

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