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Central Nervous System Stimulants

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Central Nervous System Stimulants
CENTRAL NERVOUS SYSTEM STIMULANTS
CENTRAL NERVOUS SYSTEM STIMULANTS

Definition
Stimulants are a substance which tends to increase behavioral activity when administered. Primary action of a diverse group of pharmacologic agents – adverse effect associated with many drugs.

Signs and symptoms * Elevate Mood * Increase Motor Activity * Increase Alertness * Decrease need for Sleep

*In case of overdose lead to convulsion and death.

Mode of Action * Block neurotransmitters reuptake: Cocaine * Promote neurotransmitters release : Amphetamine * Block Metabolism - MAO inhibitors (monoamine oxidase):ex. Phenelzine * Antagonize the effect of inhibitory neurotransmitter:
Picrotoxin & Strychnine

Classification of CNS Stimulants * Analeptic Stimulants * Respiratory Stimulants * Convulsants * Methylxanthines * Psychomotor Stimulants * Sympathomimetics or Andrenergic CNS Stimulants

Analeptic Stimulants * To diverse chemical class of agents * Majority can be absorbed orally * Have a short duration of action * Pharmacological effect is terminated through hepatic metabolism * Ability to alter movement of chloride ions across neuronal membranes. (Possible common mechanism of action)

Pentylenetetrazole
Used clinically as a tool for screening latent epileptics and experimentally to screen compounds for anti-epileptic activity.

Picrotoxin
Used to study CNS mechanisms; it interferes with pathways that are strychnine resistant.

Strychnine
Is a source of accidental poisoning. Also used to study CNS mechanism, because of its relatively specific action as a glycine antagonist

Treatment for Strychnine Poisoning * Remove or reduce external sensory stimuli * Diazepam or Clonazepam IV or Nitrous Oxide by inhalation to depress CNS and stop convulsions which can be fatal.
Methylxanthines
Increase

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