Autacoids Flashcards
Chlorpheniramine
1st Gen H1 receptor antagonist
Allergic rhinitis & utricaria, motion sickness, sedative.
AE: sedation, dry mouth.
Cyclizine
1st Gen H1 receptor antagonist
Allergic rhinitis & utricaria, motion sickness, sedative.
AE: sedation, dry mouth.
Diphenhydramine
1st Gen H1 receptor antagonist
Allergic rhinitis & utricaria, motion sickness, sedative.
AE: sedation, dry mouth.
Dimenhydrinate
1st Gen H1 receptor antagonist
Allergic rhinitis & utricaria, motion sickness, sedative.
AE: sedation, dry mouth.
Hydroxyzine
1st Gen H1 receptor antagonist
Allergic rhinitis & utricaria, motion sickness, sedative.
AE: sedation, dry mouth.
Meclizine
1st Gen H1 receptor antagonist
Allergic rhinitis & utricaria, motion sickness, sedative.
AE: sedation, dry mouth.
Promethazine
1st Gen H1 receptor antagonist
Allergic rhinitis & utricaria, motion sickness, sedative.
AE: sedation, dry mouth.
Fexofenadine
2nd Gen H1 receptor antagonist
Allergic rhinitis & utricaria
Loratidine
2nd Gen H1 receptor antagonist
Allergic rhinitis & utricaria
Cetirizine
2nd Gen H1 receptor antagonist
Allergic rhinitis & utricaria
Cimetidine
H2 receptor antagonist
Reduce gastric acid secretion. Treat ulcers, GERD
AE: headache, dizziness, diarrhea, constipation, muscle pain, confusion, hallucinations
Specific to Cimetidine: anti-androgenic effects, CP450 inhibition.
Ranitidine
H2 receptor antagonist
Reduce gastric acid secretion. Treat ulcers, GERD
AE: headache, dizziness, diarrhea, constipation, muscle pain, confusion, hallucinations
Famotidine
H2 receptor antagonist
Reduce gastric acid secretion. Treat ulcers, GERD
AE: headache, dizziness, diarrhea, constipation, muscle pain, confusion, hallucinations
Nizatidine
H2 receptor antagonist
Reduce gastric acid secretion. Treat ulcers, GERD
AE: headache, dizziness, diarrhea, constipation, muscle pain, confusion, hallucinations
Cromolyn
Histamine Release Inhibitor
Nedocromil
Histamine Release Inhibitor
Sumatriptan
5-HT 1D/1B receptor agonist
First line for acute severe migraine attacks.
Contraindicated in patients with CAD or angina due to coronary vasospasm.
Metoclopramide
5-HT4 receptor agonist
Prokinetic (helps poop), anti-emetic
AE: Somnolence, nervousness, dystonia. Rarely: extrapyramidal effects.
Cisapride
5-HT4 receptor agonist
Prokinetic (helps poop)
No longer available due to severe cardiac AE.
Cyproheptadine
5-HT2 receptor antagonist + H1 antagonist
Treat allergic rhinitis, vasomotor rhinitis, manage serotonin syndrome
Ondansetron
5-HT3 receptor antagonist
Anti-emetic. Used for nausea & vomiting associated with chemotherapy.
Ergotamine
Ergot Alkaloid
Agonist, partial agonist, antagonist at alpha adrenoreceptors & 5-HT receptors.
Used to treat migraine pain.
Dihydroergotamine
Ergot Alkaloid
Agonist, partial agonist, antagonist at alpha adrenoreceptors & 5-HT receptors.
Used to treat migraine pain.
Bromocriptine
Ergot Alkaloid
Agonist, partial agonist, antagonist at alpha adrenoreceptors & 5-HT receptors.
Used to treat prolactinemia.
Cabergoline
Ergot Alkaloid
Agonist, partial agonist, antagonist at alpha adrenoreceptors & 5-HT receptors.
Used to treat prolactinemia.
Ergonovine
Ergot Alkaloid
Agonist, partial agonist, antagonist at alpha adrenoreceptors & 5-HT receptors.
Used to treat post-partum hemorrhage & diagnose variant angina via provocative test.
Methylergonovine
Ergot Alkaloid
Agonist, partial agonist, antagonist at alpha adrenoreceptors & 5-HT receptors.
Used to treat post-partum hemorrhage.
Misoprostol
Eicosanoid (PGE1 analog)
Peptic ulcer prevention. Abortifacent with mifepristone or methotrexate.
Dinoprostone
Eicosanoid (PGE2)
Ripen cervix near term. Abortifacent.
Alprostadil
Eicosanoid (PGE1)
Maintain ductus arteriosus. Treat impotence.
Epoprostenol
Eicosanoid (PGI2)
Treat severe pulmonary hypertension. Prevent platelet aggregation in dialysis machines.
Latanoprost
Eicosanoid (PGF2a derivative)
Treat glaucoma.
Zileuton
Leukotriene inhibitor
Inhibits 5-lypoxygenase
Zafirlukast
Leukotriene inhibitor
LTD4 receptor antagonist
Montelukast
Leukotriene inhibitor
LTD4 receptor antagonist
Aspirin
Irreversible nonselective COX inhibitor
Prototype salicylate. Treat Kawasaki in pediatrics, prophylaxis of colon cancer.
Contraindicated for gout.
Diclofenac
Nonselective COX inhibitor
Ibuprofen
Nonselective COX inhibitor
Indomethacin
Nonselective COX inhibitor
DOC for closure of ductus arteriosus in premature infants. NSAID of choice to treat acute gout attacks.
Ketorolac
Nonselective COX inhibitor
Naproxen
Nonselective COX inhibitor
Least cardiac toxicity of any NSAID
Piroxicam
Nonselective COX inhibitor
Celecoxib
COX-2 selective inhibitor
Meloxicam
COX-2 selective inhibitor
Less selective than Celecoxib and therefore safer for heart
Acetaminophen
Weak COX-1 and 2 inhibitor
No significant anti-inflammatory or anti-platelet effects