PHM 2105 WEEK 4 Dopamine

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Galen College of Nursing *

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Course

2105

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Biology

Date

May 9, 2024

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docx

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6

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PHM 2105 WEEK 4.3 Dopamine Modulators Levodopa Pharmacological Classification Levodopa: dopamine precursor; Carbidopa: inhibitor of DOPA decarboxylase Levodopa/Carbidopa Mechanism of Action Levodopa is a precursor that is converted to dopamine in the CNS and periphery. Carbidopa increases the bioavailability of dopamine in the CNS. It is administered together with carbidopa, to inhibit enzyme DOPA decarboxylase. Carbidopa inhibits DOPA decarboxylase to prevent premature formation of dopamine before reaching the brain. Levodopa/Carbidopa Indications Parkinson's Disease Side Effects Nausea Somnolence On-off phenomenon Adverse Reactions Orthostatic hypotension Fainting Movement disorders
Contraindications MAO-A inhibitors used in treating mental depression also should not be taken with levodopa. Therapeutic Considerations for Levodopa Patients should take medication on time to prevent on and off phenomenon. Ropinirole Drug Classification Dopamine receptor agonist Ropinirole Mechanism of Action Stimulates dopamine D2 receptors by mimicking dopamine action Ropinirole Indications Parkinson's disease Side Effects Nausea and vomiting Abdominal pain Somnolence Dizziness Adverse Reactions Orthostatic hypotension Hallucinations Liver toxicity
Contraindications Persons who misuse alcohol Patients with liver failure Therapeutic Considerations for Ropinirole Patients and caregivers should receive education about the medication, its use, side effects, signs of toxicity, and compliance. Assess Blood Pressure periodically during therapy, Assess patient for signs and symptoms of psychotic-like behavior. The risk of symptoms increases with age. Bupropion Pharmacological Classification Antidepressant Bupropion Mechanism of Action Decreases neuronal reuptake of dopamine in the CNS, and neuronal uptake of serotonin and norepinephrine. Bupropion Indications Bipolar disorder Smoking cessation Obesity Side Effects Dry mouth Insomnia Nausea Tremor
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