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and Sales Optimization Verified Questions
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Comprehensive Clinical Pharmacology, Toxicology, Withdrawal Management, and Therapeutic
Interventions for Marijuana, PCP, LSD, Dextromethorphan, Ketamine, Alcohol, and Opioid Use
Disorders Questions Verified and Provided with A+ Graded
• Cognitive behavioral therapy (CBT)
• If severe: dronabinol, gabapentin
• Sleep disturbance with sedative hypnotics (zolpidem) or BZDs
Treatment for Marijuana Withdrawal
• Supportive care; fluids
• BZDs for agitation
-Chlorpromazine (hyperemesis)
-Albuterol (bronchospasms)
Treatment for acute Marijuana toxicity
Marijuana
____________________ Toxicity:
• Tachycardia, blood pressure changes (hypo or hypertension); tachypnea, conjunctival
injection, dry mouth, increased appetite, impaired attention, concentration and memory
• Severe effects at higher doses include delirium, panic attacks, myoclonic jerking and rarely
psychosis/hallucinations
Marijuana
Therapeutic uses (NOT FDA approved):
• Treatment of chronic severe pain (e.g., cancer), refractory nausea/vomiting,
anorexia/cachexia, glaucoma, seizures
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, CB2
Receptor that is assoc with regulation of immune response and inflammatory reactions
CB1
Receptor that Inhibits release of ACh, L-glutamate, GABA, NE, DA, and 5-HT into CNS
Marijuana
-Partial agonist to GPCR cannabinoid receptors CB1 and CB2, inhibits adenylyl cyclase, ↓cAMP
-Supportive
-Benzodiazepines
-Haloperidol
-Barbituates
-Nitroglycerin or Nitroprusside (htn)
Treatment for PCP intoxication
Phencyclidine (PCP)
________________ Toxicity:
• Adrenergic Stimulation: Hypertension, tachycardia, hypo or hyperthermia, rhabdomyolysis
• Altered mental status: CNS stimulation or depression, odd or violent behavior secondary to
hallucinations, diminished perception of pain
• Rotary nystagmus and pain insensitivity (hallmark)
• Psychomotor agitation similar to acute psychosis
• Severe intoxication can include acute brain syndrome, seizures, respiratory depression and
coma
Phencyclidine (PCP)
• Non-competitive antagonist of NMDA receptors which leads to excess of excitatory
neurotransmitter release
• DA, NE and 5HT reuptake inhibitor
• Therapeutic uses: non-narcotic dissociative anesthetic in 1950s; post-op dysphoria and
hallucinations occurred frequently
Lysergic Acid Diethylamide (LSD)
__________________ Toxicity:
• Patients feel a heightened perception of sensory input, distorted sense of time, euphoria/well-
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