Shared Flashcard Set

Details

Exam 1 Drug list
Pharmaceutical tx for Exam 1 conditions
34
Medical
Graduate
06/12/2012

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Cards

Term
Name which Exam 1 conditions to treat with baclofen
Definition
down beat nystagmus

PAN (Periodic Alternating Nystagmus)
Term
Name which Exam 1 conditions to treat with clonazepam
Definition
down beat nystagmus
Term
What is a significant possible SE of gabapentin?
Definition
increased ataxia
Term
Name which Exam 1 conditions to treat with gabapentin
Definition
APN due to oculopalatal tremor
Term
Name which Exam 1 conditions to treat with acetazolamide
Definition
glaucoma of the ear' also known as hydrops

gaze-evoked nystagmus

downbeat nystagmus associated with episodic ataxia Type II
Term
Name which Exam 1 conditions to treat with 4-aminopyridine
Definition
down beat nystagmus
Term
Name drugs that can alter VOR fxn
Definition
streptomycin

gentamicin
Term
Treatment for APN and MS
Definition
Memantine
Term
What is the mechanism of memantine?
Definition
low to moderate uncompetitive NMDA receptor agonist
Term
What drug and dose does Wong recommend for APN and MS?
Definition
Memantine; 5 mg PO QD, increased by 5mg per week to maximum daily dose of 10 mg PO BID
Term
Name which Exam 1 conditions to treat with scopolamine
Definition
vestibular sedative/anti-emetic
Term
Name which Exam 1 conditions to treat with promethazine
Definition
anti-emetic used for vestibular dysfunction (vertigo)
Term
How is labyrynthitis treated?
Definition
Anti-biotics
Term
What is used to treat down-beat nystagmus?
Definition
4-aminopyridine

clonazepam

baclofen

3,4-diaminopyridine
Term
Name which exam 1 conditions to treat with 3,4-diaminopyridine
Definition
down beat nystagmus
Term
What is the mechanism of aminopyridines?
Definition
potassium channel blockers
Term
What are possible SE of aminopyridines?
Definition
seizures
Term
What are SE of scopolamine?
Definition
mydriasis

confusion
Term
What is the dosage of scopolamine for dizziness?
Definition
trans dermal patch every 3 days, peak effect 4-8 hours after application
Term
What are contra-indications for scopolamine?
Definition
asthma

enlarged prostate

glaucoma

drug dependence
Term
What are two drugs used for dizziness tx that OD's can NOT Rx
Definition
valium and xanax
Term
Which drug is surgically delivered to the cochlea for Meniere's treatment?
Definition
gentamicin
Term
What is a Silverstein microwick?
Definition
Implanted in middle ear to deliver gentamicin
Term
What drugs are used for treatment of up-beat nystagmus?
Definition
4-aminopyridine for some pt's

clonazepam may help some

baclofen
Term
What drugs may work for torsional nystagmus?
Definition
baclofen

gabapentin

clonazepam

However, Wong says that no tx is definitive
Term
What drugs may work for torsional nystagmus?
Definition
baclofen

gabapentin

clonazepam
Term
What drug is used to treat Periodic Alternating Nystagmus (PAN)?
Definition
baclofen
Term
What is the mechanism of baclofen?
Definition
GABA B agonist
Term
What group of pt's typically respond less optimally to baclofen for PAN?
Definition
infants w/ congenital nystagmus
Term
How are square wave jerks treated?
Definition
Diazepam

Phenobarbitol
Term
What is used to treat infantile opsoclonus?
Definition
IV corticosteroids

IV Immunoglobin
Term
What is used to reat adult opsoclonus?
Definition
plasmapheresis

Immunoadsorpin

Thiamine (B1) Biotin (B7)
Term
What are Vit B1 and B7 used to reat?
Definition
Adult opsoclonus
Term
What can phenytoin intoxication cause?
Definition
Convergence spasm
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