Autacoids Flashcards
Enzyme required in the formation of histamine
L-histidine decarboxylate
Precursor of histamine
L-histidine
Local hormones wherein the site of secretion is near the site of action
Autacoids
For examples of autacoids
H
S
E
B
Histamine
Serotonin
Eicosanoids
Bradykinin
Function of this H receptor is vasodilation,brochodilation, pain & itch, local edema
H1
Function of this H receptor is gastric Acid secretion
H2
Function of this H receptor is inhibition of H release
H3
Used in pulmonary stress test and determination of gastric acid secretion
Histamine
H1 agonist
H3 antagonist
Used in mgt of vertigo
Betahistine
Components of cold medications
Aklylamines like brompheniramine and chlorpheniramine
Most potent H2 blocker
Famotidine
Least potent H2 blocker
Cimetidine
1st line tx for acid peptic diseases
A. PPIs
B. H2 blockers
Choose 1
PPIs
1st line tx in the mgt of acute GI ulcer bleeding
A. PPIs
B. H2 blockers
Choose 1
H2 blockers
AE of cimetidine
Antiandrogenic effects
Precursor of serotonin
Tryptophan
5 HT means
5-hydroxytryptamine / serotonin
5-HT1a function
Inhibition of further release of H
5-HT1B and 5-HT1D function
Vasoconstriction
5-HT2a function
Oxytocic effect
5-HT3 function
Chemoreceptor trigger zone
Vomiting center
Emesis
5-HT1A partial agonist (anxiolytic)
Buspirone
5-HT 1B/ 1D agonist
“Triptans” like sumatriptan, zolmitriptan, etc.
5-HT2a agonist
Ergotamine
Ergonovine
Ergometrine
5-HT2a antagonist
Methy sergide
Mgt of post partum bleeding
Ergonovine
5-HT3 antagonists
“Setrons”
Ondasetron, etc.
Tx in the mgt of chemotherapy-induced N&V
5-HT3 antagonists
Mgt of constipation
5-HT4 agonists like
Tegaserod
Prucalopride
5,8,11,14-eicosatetraenoic acid
Arachidonic acid
Arachidonic acid has ______ unsaturations
4
Major source of arachidonic acid
Phospholipids
Minor source of arachidonic acid
Phosphatidyl inisitol
Enzyme needed to convert phospholipids into arachidonic acid
Phospholipase 2 (PLA2)
Enzyme needed to convert phosphatidyl inositol into arachidonic acid
Phospholipase C
Enzyme needed to convert arachidonic acid into leukotrienes
5-LOX aka 5 Lipoxygenase
Enzyme needed to convert arachidonic acid into prostaglandin
COX aka Cyclooxygenase