Antihistamines Flashcards

1
Q

First generation antihistamines

able to

3 ex and what they tx

A
  • Cross BBB–> sedative
  • Diphenyhydramine
  • Promethazine
    • entiemetic
  • Hydroxyzine
    • Antipuritic (anti-itch)
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2
Q

Second generation antihistamines

do not

3 ex

risk

A
  • DO NOT cros BBB
  • Fexofenadine
  • Loratadine
  • Cetirizine
  • SOme cardiac arrythmias risk with high doses
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3
Q

H2 antagonists

A
  • Cimetidine
    • tx GERD, ulcers, dyspepsia
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4
Q

Cyclophosphamide

class

A
  • Alkylating agent
  • Most widely spread
  • Kills rapid prolif cells and non
  • intrastrand DNA cross linking
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5
Q

Methotrexate

class and sub class

A
  • Antimetabolite
    • Folate antagonists
  • Most widely used chemotherapeutic
  • Leucovorin used to rescue normal cells
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6
Q

Base analogs

subclass of

6 ex

moa

A
  • Antimetabolite
  • 5-flurouracil, Cytarabine, 6-Mercaptopurine, 6-Thioguanine, Pentostatin, Azathioprine
  • Interferes with copying DNA
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7
Q

Cytotoxic AB

2 ex (1 has 2 names)

moa

often tx

A
  • Doxorubicin (Adriamycin)
    • Topoisomerase II inhibitors
    • inhibits DNA rep
  • Bleomycin
    • Squamous cell tumors
    • single strand breaks
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8
Q

Plant derivatives

ex

moa

tx 2 cancers

A

Paclitaxel (Taxol)

Inhibits mitosis (microtubule assembly)

Breast and ovarian

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9
Q

Hormones

1 ex

type of drug-moa

for

mediates

A

Prednisone

Glucocorticoid- inhibits lymphocyte proliferation

Mediates nausea

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10
Q

Hormone anatagonist

1 ex

moa

tx

A

Tamoxifen

Estrogen Receptor antagonist

Breast cancer

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11
Q

Monoclonal AB

ex

blocks

A

Bevacizumab (Avastin)

blocks angiogenesis

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12
Q

Protein Kinase Inhibitors

ex with 2 names

inhibits

A
  • Imatinib (Gleevec)
    • inhibits Bcr/Abl kinase
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13
Q

Management for side effects

A
  • Ondansetron
    • Emesis
  • Myelosuppression
    • Erythropoietin: RBC
    • Filgastrim- diff of hematopoietic drugs
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