PHA 3112 Chapter Notes - Chapter 36: Dexmethylphenidate, Doxapram, Armodafinil

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Chapter 36: cns stimulants and attention-deficit hyperactivity disorder - Cns stimulants increase cns neuron activity by enhancing neuronal excitation or act by suppressing neuronal inhibition; (cid:272)a(cid:374)"t i(cid:374)(cid:272)rease (cid:373)ood (cid:449)/o produ(cid:272)i(cid:374)g ge(cid:374)eralized e(cid:454)(cid:272)itatio(cid:374) unlike antidepressants. Cns stimulants clinical application: 1) attention-deficit/hyperactivity disorder (adhd) & 2) narcolepsy. Symptoms at usual dose: increase wakefulness & alertness, reduce fatigue, elevate mood, , augment self-confidence & initiative, euphoria, 6) talkativeness, 7) increased motor activity = are likely. Amphetamine effects mood & arousal; improve task performance reduced by fatigue/boredom. Amphetamine can stimulate respiration & suppress appetite + perception of pain. A(cid:373)pheta(cid:373)i(cid:374)e (cid:272)a(cid:374) e(cid:374)ha(cid:374)(cid:272)e a(cid:374)algesi(cid:272) effe(cid:272)ts of (cid:373)orphi(cid:374)e & other opioids = (cid:373)e(cid:272)ha(cid:374)is(cid:373) is(cid:374)"t understood: cardiovascular system: Amphetamine act on heart via neurotransmitter norepinephrine (ne) to increase contraction rate & force. Excessive stimulation can cause dysrhythmias; bv constriction promoted = causing hypertension: tolerance, physical dependence and abuse: Tolerance: develops to elevation of mood, suppression of appetite, & heart + bv stimulation.

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