2nd year drug names (not ABX or psych) Flashcards
Strong mu agonists
Morphine, oxycodone, fentanyl, methadon, meperidine
Weak mu agonists
Codeine, hydrocodone, tramadol, diphenoxylate, loperamide
Mixed opioids
Buprenorphine - u-ago/k-antago
Nalbuphine - u-antago/k-ago
Pure opioid antagonists
Naloxene, naltrexone
Important NSAIDs
Ibuprofen - COX1>COX2
Aspirin - irreversible binding
Diclofenac - COX1 = COX2
Meloxican - long acting 20-70h
Gout - drugs against acute flare
NSAIDs except aspirin
Specific
- Colchicin
- Canakinumab
Gout prophylaxis
Inhibits uric acid synthesis
Allopurinol
Febuxostat
Treatment options for neuropathic pain
- Gabapentin, pregabilin (n-type Ca++ chn blockers)
- tri/tetracyclic antidepressants
- Duloxetin
- 8% capsaicin patch
- Tramadol, cannabinoids
Neuralgia treatment options
- neurolysis
- tricyclic antidepressants, carbamezapine, gabapentin, clonezapam, NSAIDs
ANTIMETABOLITES
6-MP (6-merkaptopurine) - purine analog that disrupts DNA production and nucleotide production - LEUKEMIAS; ALL CML
Cytarbine - pyrimidine analog - Leukemia, lymphoma
5-FU - pyrimidine analog - Solid tumors; colorectal, pancreatic, head/neck
Methotrexate - foleate analog - decreases DNA, RNA and protein prod. - leukemia, lymphoma, solid tumors
Alkylating agents
Cyclophosphomide - leukemia, lymphoma, solid tumors; ovarian/breast cancer
Attach alkyl group to guanine base in DNA, damaging it and causing cell death
specific SE: SIADH
Platinum meds
Not cell cycle specific - cross links between DNA strands
Cisplatin - solid tumors; osteosarcoma, lung cancer
Oxaliplatin - advanced colorectal cancer
Carboplatin - lung cancer, etc
Anti-tumor ABX
Dactinomycin
Bleomycin - creates free oxygen radicals
interfere with DNA replication
Topoisomerase inhibitors
Ironotecan - metastatic colon cancer
Etopside - solid tumors; testicular tumor, SmCc
Microtubule inhibitors
Vincristine - acts in M phase - solid tumors, pediatric, leukemia
docetaxel - same
Monoclonal AB (onco) and their targets
Trastuzumab - HER2
Bevacizumab - VegF
Rituximab - CD20 - activates compliment -> induces apoptosis
Anasthetics, parenteral
Stimulates GABAr or increases sensitivity to GABA: - Thiopental - Propofol - Etomidate Rapid onset, best for induction
NMDAr blocker
- Ketamine
Inhaled anasthetics
N2O - blocks NMDA; contraindication: pneumothorax (gas expansion)
Halogenated inhalational anesthetics - blocks NMDA; GABA agonists
- isoflurane
- desflurane
- sevoflurane
OBS! malignant hyperthermia due to Ca++ release in muscles
Short acting benzo
Alprazolam
Midazolam
Intermediate benzo
Clonazepam
Long acting benzo
Diazepam
Benzo antidote
Flumazenil
Barbiturates
Enhances GABA effect by prolonging the Cl- channel opening
Also blocks AMPA receptors
- thiopental
- PhenoBarbital - first line treatment for neonatal seizures
General/partial seizure drugs
PHENYLTOIN - prophylaxis of status epelepticus
Carbamazipine
Phenobarbital
Valproate
Vigabitrine
Absence seizures
Ethosuximide Valproate Lamotrigine Clonazepam Diazepam