Parkinson's Disease Drugs

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Questions and Answers

Which drug class directly provides the substrate for dopamine synthesis?

  • COMT inhibitors
  • Dopamine precursor (correct)
  • MAO-B inhibitors
  • Dopamine facilitator

Entacapone and tolcapone increase dopamine levels, working by which mechanism?

  • Inhibiting COMT (correct)
  • Inhibiting dopamine reuptake
  • Stimulating dopamine release
  • Inhibiting MAO-B

Why are carbidopa and benserazide typically administered alongside levodopa?

  • To inhibit peripheral decarboxylase (correct)
  • To reduce central nervous system side effects
  • To enhance dopamine receptor sensitivity
  • To directly stimulate dopamine release

Selegiline and rasagiline exert their effects on dopamine levels through which mechanism?

<p>Inhibiting MAO-B (D)</p> Signup and view all the answers

Which of the following drugs acts as a dopamine agonist?

<p>Bromocriptine (D)</p> Signup and view all the answers

Which of the following medications used to influence brain dopaminergic systems is classified as a dopamine facilitator?

<p>Amantadine (C)</p> Signup and view all the answers

A patient is prescribed benztropine for Parkinson's disease. How does this medication alleviate symptoms?

<p>By blocking central muscarinic receptors (D)</p> Signup and view all the answers

Which drug, primarily used as an antihistamine, can also influence the brain's cholinergic system?

<p>Orphenadrine (C)</p> Signup and view all the answers

A patient taking levodopa begins experiencing motor fluctuations. What adjunctive therapy aims to stabilize dopamine levels by preventing its breakdown?

<p>COMT inhibitors (B)</p> Signup and view all the answers

A patient with drug-induced parkinsonism might be prescribed which of the following to reduce symptoms?

<p>Benztropine (A)</p> Signup and view all the answers

Flashcards

Levodopa

A dopamine precursor drug used to increase dopamine levels in the brain.

Dopamine agonists

Drugs that directly stimulate dopamine receptors in the brain.

Dopamine facilitator

A drug that enhances the effects of dopamine.

Peripheral decarboxylase inhibitors

Drugs that inhibit peripheral decarboxylase, preventing the breakdown of levodopa before it reaches the brain.

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MAO-B inhibitors

Drugs that inhibit monoamine oxidase B, an enzyme that breaks down dopamine.

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COMT inhibitors

Drugs that inhibit catechol-O-methyltransferase, an enzyme that degrades dopamine.

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Central anticholinergics

Drugs that block acetylcholine receptors in the brain, reducing cholinergic activity.

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Antihistaminic (H1-blocker)

Drugs that block histamine H1 receptors, often used for allergy relief.

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Inhibition of Dopamine Metabolism

Drugs that prevent the breakdown of dopamine which leads to increased dopamine

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Dopamine receptor agonist

Drugs that mimic the action of dopamine at its receptors.

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Study Notes

  • Pharmacology classification of drugs

Drugs Influencing Brain Dopaminergic System

  • Dopamine Precursor: Levodopa
  • Dopamine Agonists: Bromocriptine, Pergolide, Ropinirole, Pramipexole
  • Dopamine Facilitator: Amantadine
  • Peripheral Decarboxylase Inhibitors: Carbidopa, Benserazide
  • MAO-B Inhibitors: Selegiline, Rasagiline
  • COMT Inhibitors: Entacapone, Tolcapone

Drugs Affecting Brain Cholinergic System

  • Central Anticholinergics: Benztropine, Benzhexol, Procyclidine, Biperiden, Trihexyphenidyl, Procyclidine
  • Antihistaminic (H1-blocker): Orphenadrine, Promethazine

Drugs Increasing Brain Dopaminergic Activity

  • Precursor of Dopamine
  • Inhibition of Dopamine Metabolism
  • Dopamine Receptor Agonist
  • Drugs Increasing Presynaptic Release of Dopamine

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