Comprehensive Drugs to Know for Final Flashcards
Pilocarpine
Parasympathetic
MOA: cholinergic agonist
Clinical Use: glaucoma, urinary retention problems, dry mouth, reverse neuromuscular blockade from surgical anesthesia, Alzheimer’s
SLUD- salivation, lacrimation, urination, diarrhea
Ocular Side Effects: miosis, accommodation, opening of TM (decreases IOP)
Varenicline
Parasympathetic
MOA: cholinergic agonist
Clinical Use: glaucoma, urinary retention problems, dry mouth, reverse neuromuscular blockade from surgical anesthesia, Alzheimer’s
SLUD- salivation, lacrimation, urination, diarrhea
Ocular Side Effects: miosis, accommodation, opening of TM (decreases IOP)
Edrophonium
Parasympathetic
MOA: short-acting anticholinesterase (indirect-acting cholinomimetic)
Clinical Use: diagnosis of Myasthenia Gravis*, glaucoma, urinary retention problems, dry mouth, reverse neuromuscular blockade from surgical anesthesia, Alzheimer’s;
SLUD- salivation, lacrimation, urination, diarrhea
Ocular Side Effects: miosis, accommodation, opening of TM (decreases IOP)
Atropine
Parasympathetic
MOA: cholinoceptor blocking
Clinical Use: cholinomimetic toxicity*, CNS disorders, ocular disorders (accurate refraction, dilated fundus exam, treatment of uveitis), respiratory disorders, urinary disorders, cardiovascular system, cholinergic poisoning;
opposite of SLUD
Ocular Side Effects: mydriasis (contraindicated in glaucoma patients), cycloplegia
Cyclopentolate
Parasympathetic
MOA: cholinoceptor blocking
Clinical Use: CNS disorders, ocular disorders (accurate refraction, dilated fundus exam, treatment of uveitis), respiratory disorders, urinary disorders, cardiovascular system, cholinergic poisoning;
opposite of SLUD
Ocular Side Effects: mydriasis (contraindicated in glaucoma patients), cycloplegia
Homatropine
Parasympathetic
MOA: cholinoceptor blocking
Clinical Use: cholinomimetic toxicity*, CNS disorders, ocular disorders (accurate refraction, dilated fundus exam, treatment of uveitis), respiratory disorders, urinary disorders, cardiovascular system, cholinergic poisoning;
opposite of SLUD
Ocular Side Effects: mydriasis (contraindicated in glaucoma patients), cycloplegia
Ipratropium
Parasympathetic
MOA: cholinoceptor blocking
Clinical Use: cholinomimetic toxicity*, CNS disorders, ocular disorders (accurate refraction, dilated fundus exam, treatment of uveitis), respiratory disorders, urinary disorders, cardiovascular system, cholinergic poisoning;
opposite of SLUD
Ocular Side Effects: mydriasis (contraindicated in glaucoma patients), cycloplegia
Tiotropium
Parasympathetic
MOA: cholinoceptor blocking
Clinical Use: cholinomimetic toxicity*, CNS disorders, ocular disorders (accurate refraction, dilated fundus exam, treatment of uveitis), respiratory disorders, urinary disorders, cardiovascular system, cholinergic poisoning;
opposite of SLUD
Ocular Side Effects: mydriasis (contraindicated in glaucoma patients), cycloplegia
Tropicamide
Parasympathetic
MOA: cholinoceptor blocking
Clinical Use: cholinomimetic toxicity*, CNS disorders, ocular disorders (accurate refraction, dilated fundus exam, treatment of uveitis), respiratory disorders, urinary disorders, cardiovascular system, cholinergic poisoning;
opposite of SLUD
Ocular Side Effects: mydriasis (contraindicated in glaucoma patients), cycloplegia
Epinephrine
Sympathetic
MOA: non-selective alpha and beta agonist
Clinical Use: cardiac arrest, anaphylaxis
Ocular Side Effects: n/a
Phenylephrine
Sympathetic
MOA: alpha-1 agonist
Clinical Use: acute hypotension, chronic orthostatic hypotension, induce local vasoconstriction
Ocular Side Effects: mydriasis
Apraclonidine
Sympathetic
MOA: alpha-2 agonist
Clinical Use: hypertension, glaucoma, produces dilation of abnormal pupil in Horner syndrome*
Ocular Side Effects: decreased aqueous production, decreased IOP
Brimonidine
Sympathetic
MOA: alpha-2 agonist
Clinical Use: hypertension, glaucoma
Ocular Side Effects: decreased aqueous production, decreased IOP
Albuterol
Sympathetic
MOA: beta-2 agonist
Clinical Use: treatment of asthma
Ocular Side Effects: relaxes ciliary muscle, production of aqueous (increases IOP)
Formoterol
Sympathetic
MOA: beta-2 agonist
Clinical Use: treatment of asthma
Ocular Side Effects: relaxes ciliary muscle, production of aqueous (increases IOP)
Salmeterol
Sympathetic
MOA: beta-2 agonist
Clinical Use: treatment of asthma
Ocular Side Effects: relaxes ciliary muscle, production of aqueous (increases IOP)
Tamsulosin
Sympathetic
MOA: alpha-1 antagonist
Clinical Use: chronic hypertension
Ocular Side Effects: intraoperative floppy iris syndrome
Timolol
Sympathetic
Cardiovascular Agent
MOA: non-selective beta antagonist
Clinical Use: HTN, ischemic heart disease, cardiac arrhythmias, heart failure, glaucoma, hyperthyroidism, neurologic diseases
Ocular Side Effects: lowers IOP
Nebivolol
Sympathetic
Cardiovascular Agent
MOA: beta-1 selective antagonist
Clinical Use: HTN, ischemic heart disease, cardiac arrhythmias, heart failure, glaucoma, hyperthyroidism, neurologic diseases
Ocular Side Effects: lowers IOP
Atenolol
Sympathetic
Cardiovascular Agent
MOA: beta-1 selective antagonist
Clinical Use: HTN, ischemic heart disease, cardiac arrhythmias, heart failure, glaucoma, hyperthyroidism, neurologic diseases
Ocular Side Effects: lowers IOP
Carvedilol
Sympathetic
Cardiovascular Agent
MOA: non-selective beta antagonist
Clinical Use: HTN, ischemic heart disease, cardiac arrhythmias, heart failure, glaucoma, hyperthyroidism, neurologic diseases
Ocular Side Effects: lowers IOP
Metoprolol
Sympathetic
Cardiovascular Agent
MOA: beta-1 selective antagonist
Clinical Use: HTN, ischemic heart disease, cardiac arrhythmias, heart failure, glaucoma, hyperthyroidism, neurologic diseases
Ocular Side Effects: lowers IOP
Amoxicillin
Antimicrobial- antibiotic
MOA: 3rd generation penicillin; targets transpeptidase in cell wall synthesis
Clinical Use: some gram negative coverage
Ocular Side Effects: n/a
Cephalexin
Antimicrobial- antibiotic
MOA: 1st generation cephalosporin; targets transpeptidase in cell wall synthesis
Clinical Use: gram positive coverage; skin infections
Ocular Side Effects: n/a