Pharmacology of Drugs and Their Mechanisms
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Questions and Answers

Which drug is primarily used to treat chronic neuropathic pain and also acts as a dual action antidepressant?

  • Venlafaxine
  • Selegiline
  • Duloxetine (correct)
  • Imipramine

What is the mechanism of action of Naloxone in opioid treatment?

  • Full agonist
  • Partial agonist
  • Pure antagonist (correct)
  • Weak agonist

Which of the following antidepressants also targets norepinephrine reuptake?

  • Duloxetine (correct)
  • Gabapentin
  • Selegiline
  • Imipramine

Which substance is characterized as a cannabinoid antagonist that suppresses appetite?

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

What is the primary function of Suboxone in opioid treatment?

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

Which drug acts as a melatonin agonist to aid sleep?

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

Which drug is identified as a partial mu agonist used to limit respiratory depression and abuse potential?

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

Which type of drug is considered an effective treatment for alcohol withdrawal seizures?

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

Flashcards

Duloxetine's action

Duloxetine treats pain by affecting nerve signals (neuropathic pain), and is also an antidepressant targeting both serotonin and norepinephrine

Morphine's receptor action

Morphine primarily binds to Mu (μ) opioid receptors within the body, causing a powerful effect.

Naloxone's function

Naloxone is used to counter opioid overdoses by blocking opioid receptors, preventing the dangerous effects.

Ramelteon's mechanism

Ramelteon works by mimicking the effects of melatonin, a hormone crucial for sleep regulation.

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Caffeine's receptor action

Caffeine blocks adenosine receptors, preventing adenosine's sleep-inducing effects.

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Disulfiram's alcohol treatment

Disulfiram causes unpleasant side effects when alcohol is consumed, discouraging alcohol use.

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Methadone's role in addiction

Methadone is often used opioid addiction treatment because it acts on opioid receptors similar to heroin, often reducing withdrawal.

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Antidepressants pain relief

Some antidepressants, like duloxetine, have additional pain-treating effects by acting on pathways involved in pain.

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Study Notes

Drugs and Their Mechanisms

  • Depression:

    • Duloxetine: Treats chronic neuropathic pain, dual-action antidepressant, active metabolite is desvenlafaxine.
    • Selegiline: Transdermal patch, effective in patients unresponsive to SSRIs and TCAs.
    • Venlafaxine: Dual-action antidepressant, targets serotonin and norepinephrine reuptake.
    • Impramine: A tricyclic antidepressant.
  • Pain and Opioids:

    • Morphine, Codeine, Heroin: Pure Mu agonists.
    • Naloxone: Pure antagonist, reverses opioid overdose.
    • Buprenorphine: Partial Mu agonist, limits respiratory depression and abuse potential.
    • Suboxone: Buprenorphine + Naloxone.
    • Pentazocine: Weak Mu antagonist + Kappa agonist, analgesic but dysphoric effects.
    • Fentanyl: Mu antagonist
    • Tramadol: Mixed agonist.
    • Laudanum: Alcohol + Opioids
    • Salvinorin A: Targets Kappa receptors.
    • Kratom: Targets Delta receptors.
    • Aspirin/NSAIDs: Decrease inflammation.
    • Gabapentin/Pregabalin: Decrease nociceptor excitation.
    • Opioids: Decrease neurotransmitter release by nociceptors.
    • Antidepressants/Opioids: Activate anti-pain pathways.
    • Opioids: Influence cognitive and emotional processing.
  • Sleep:

    • Ramelteon: Melatonin agonist.
    • Suvorexant: Orexin receptor antagonist.
    • Caffeine: Adenosine receptor antagonist.
    • Barbiturates and Alcohol: Suppress REM sleep.
    • Z-drugs (Zaleplon, Zolpidem, Eszopiclone): Varying durations of action.
  • Psychedelics:

    • Scopolamine: Anticholinergic, sedation and twilight anesthesia.
    • Ololiuqui: Chemically similar to serotonin.
    • Bufotenine: Chemically similar to serotonin, found in toad skin.
    • Psilocybin: Chemically similar to serotonin, found in mushrooms.
    • MDMA: Enhances communication and empathy.
    • LSD: Visual, auditory, and space/time distortions.
    • Mescaline: Chemically similar to dopamine and norepinephrine.
    • Ketamine: Antiglutamatergic, NMDA receptor antagonist.
    • PCP: Antiglutamatergic.
    • Salvinorin A: Kappa opioid antagonist.
  • Weed (Marijuana):

    • Rimonabant: Cannabinoid antagonist, suppresses appetite.
    • Carboxy THC: Identifies THC in urine tests.
    • Sativex: Analgesic, THC + CBD combination, suppresses pain in inflammatory conditions.
  • Drinking (Alcohol):

    • Diazepam: Prevents withdrawal seizures.
    • Disulfiram: Elongates unpleasant effects of alcohol, prevents relapse.
    • Naltrexone: Prevents relapse.
    • Lamotrigine: Anticonvulsant.
  • Addiction:

    • Naloxone: Heroin antagonist.
    • Methadone: Heroin agonist.
    • Nicotine patches: Cigarette alternative.
    • Varenicline (Chantix): Partial nicotine agonist.
    • Disulfiram (Antabuse): Alcohol aversive treatment.
    • Suboxone: Aversive treatment for opioids.

Key Drug Targets and Actions

  • Opioids: Primarily target Mu receptors, and also Kappa/Delta receptors in some cases, either as agonists or antagonists. Actions include pain relief, but also potential for respiratory depression and euphoria.

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Description

Explore the pharmacological mechanisms of various drugs used to treat depression and pain. This quiz covers antidepressants, opioids, and their effects on neuroreceptors. Test your knowledge on the specific actions and classifications of these medications.

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