CNS stimulants are drugs which increase
the muscular (motor) and the mental
(sensory) activities
Their effects vary from the increase in the
alertness and wakefulness (as with
caffeine) TO the production of convulsion
( as with strychnine) or death due to over
stimulation
Drugs that stimulate a specific area of the
brain or spinal cord
Heart rate
Resiprotary rare
Sympathomimetic drugs
According to:
•Structural similarities
or
•Site of therapeutic action in the central
nervous system (CNS)
or
•Major therapeutic usages
Analeptics
–Reversal of anesthesia-induced respiratory depression
Anorexiants
–Thought to suppress the appetite control center in the brain
ADHD
–Stimulate the areas in the brain responsible for mental
alertness and attentiveness
Narcolepsy
–Increase mental alertness
Migraine headaches
–Caffeine, co-administered with other drugs, used to treat
headaches
Wide range, dose related
Tend to “speed up” body systems
Common adverse effects include:
–Palpitations, tachycardia, hypertension, angina,
dysrhythmias, nervousness, restlessness, anxiety,
insomnia, nausea, vomiting, diarrhea, dry mouth,
increased urinary frequency, others
Analeptic
Ananaleptic, inmedicine, is acentral nervous
systemstimulant. The termanaleptictypically
refers to respiratory analeptics (for
example,doxapram). Analeptics are central
nervous system stimulants that include a wide
variety of medications used to treat depression,
attention deficit hyperactivity disorder (ADHD),
andrespiratory depression. Analeptics can also
be used asconvulsants, with low doses causing
patients to experience heightened awareness,
restlessness andrapid breathing.
Medical use
•used to increase the speed of recovery
frompropofol,remifentanil, andsevoflurane. In
clinical settings, analeptics such
asDoxapramhave been used to help patients
recover from anesthesia better, as well as
removing some of the potential negative side
effects of potent anesthetics.
Anesthesia
recovery
•three most prevalent clinical analeptic uses of
caffeine are in the treatment ofasthma,apnea
of prematurity, andbronchopulmonary
dysplasiain newborn infants.Caffeineis a
weakbronchodilator, which explains the relief
of the effects of asthma.
Respiratory
distress
management
Side effect of analeptic
Sweating
Nausea
Vomiting
Urinary retention and musclespasticity
Diarrhea
•Doxapram -used to counteract postanesthetic
respiratory depression and for acute
hypercapnia in chronic pulmonary disease.
–Used with caution with neonatal apnea
–Administered IV
–Onset of action: within 20-40 secs
–SE: (overdose)
Hypertension
Tachycardia
Trembling
convulsions
Migraine headaches-characterized by a
unilateral throbbing head
pain, accompanied by N/V and
photophobia
Cluster headaches-characterized by
severe unilateral nonthrobbing pain
usually located around the eye. Usually
not associated with N/V