Block 2 Flashcards
1
Q
Beta-2 adrenergic agonists
A
- Used to treat airway disease
- Generic drug names: salbutamol (SABA), terbutaline (SABA), salmeterol (LABA), formoterol (LABA)
- Mechanism of action: Stimulation of airway smooth muscle relaxation via adrenergic activation
2
Q
Antimuscarinics (anticholinergics)
A
- Used to treat airway disease
- Generic drug names: ipratropium (short-acting), tiotropium (long-acting), glycopyrronium (long-acting)
- Mechanism of action: blockade of muscarinic receptors of cholinergic activity in airway smooth muscle leading to muscle relaxation
3
Q
Methylxanthines
A
- Used to treat airway disease
- Generic drug names: theophylline, aminophylline
- Mechanism of action: inhibition of phosphodiesterase, sustaining intracellular cAMP levels
4
Q
Glucorticoids
A
- Used to treat airway disease
- Generic drug names: beclometasone, fluticasone - inhaled, prednisolone - oral, hydrocortisone - IV
- Mechanism of action: Activation of glucocorticoid receptors in immune cells, reducing airway inflammation
5
Q
Leukotreine receptor antagonists
A
- Used to treat airway disease
- Generic drug names: montelukast, zafirlukast
- Mechanism of action: blockade of pro-inflammatory leukotriene signalling
6
Q
Angiotensin-converting enzyme (ACE) inhibitors
A
- This is a drug that acts on the heart and circulation
- Generic drug names: ramipril, lisinopril
- Mechanism of action: Inhibits conversion of angiotensin I to angiotensin II, therefore lowering angiotensin II levels. This reduces vasoconstriction and cardiac afterload
7
Q
Angiotensin II receptor blockers (ARBs)
A
- This is a drug that acts on the heart and circulation
- Generic drug names: losartan, valsartan
- Mechanism of action: Blockade of cell signalling induced by angiotensin II. This reduces vasoconstriction and cardiac afterload
8
Q
Beta adrenergic receptor antagonists (Beta-blockers)
A
- This is a drug that acts on the heart and circulation
- Generic drug names: Bisoprolol, atenolol (cardioselective, beta-1 antagonist), propranolol (both beta-1 and beta-2 antagonist properties)
- Mechanism of action: Blockade of beta-adrenergic receptors on cardiomyocytes, reducing inotropy and chronotropy
9
Q
HMG-CoA Reductase Inhibitors (statins)
A
- This is a drug that acts on the heart and circulation
- Generic drug names: atorvastatin, simvastatin
- Mechanism of action: inhibitor of mavelonate metabolism in cholesterol synthesis pathway, enhances low density lipoprotein uptake and reduces plasma cholesterol
10
Q
Calcium channel antagonists
A
- This is a drug that acts on the heart and circulation, and is used for heart failure and hypertension.
- Generic drug names: Nifedipine, amlodipine
- Mechanism of action: Blockade of L-type calcium channels on vascular smooth muscle cells, promoting vasodilation
11
Q
Nitrate vasodilators
A
- This is a drug that acts on the heart and circulation
- Generic drug names: glycerol trinitrate (GTN) and isosorbide mononitrate (ISMN)
- Mechanism of action: release of nitric oxide - which promotes relaxation of vascular smooth muscle in coronary arteries and veins
12
Q
Anti-muscarinic
A
- This is a drug that acts on the heart and circulation. This is used for emergency bradycardia treatment.
- Generic drug names: atropine
- Mechanism of action: blockade of cardiac muscarinic receptors leading to increased chronotropy
13
Q
Sympathomimetics
A
- This is a drug that acts on the heart and circulation.
- Generic drug names: adrenaline, dobutamine, noradrenaline
- Mechanism of action: stimulation of cardiac inotrophy and chronotropy via direct stimulation of adrenergic receptors of the sympathetic nervous system in the heart
14
Q
Neprilysin inhibitors
A
- This is a drug that acts on the heart and circulation. This is an ARB drug.
- Generic drug names: sacubitril (used with Valsartan, which is an ARB drug
- Mechanism of action: Inhibitor of natriuretic peptide breakdown, promoting natriuresis and reduced cardiac preload
15
Q
Antiplatelet drugs
A
- This is a drug that acts on the heart and circulation
- Generic drug names: aspirin (COX inhibitor), clopidogrel (ADP receptor antagonist)
- Mechanism of action: reduces the activation of platelets to prevent thrombosis: inhibition of thromboxane A2 production (aspirin). It causes the blockade of platelet ADP receptors (clopidogrel)