Decongestant and Anti-Tussive Pharmacology Flashcards

1
Q

guaifenesin is an example of

A
  • expectorant
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2
Q

MOA of guaifenesin

A
  • reduces viscosity of mucus

- inhibit parasympathetic stimulation of mucus secretion

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3
Q

N-acetylcysteine is an example of

A
  • mucolytic
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4
Q

MOA of mucolytics

A
  • reduces disulfide bonds to degrade mucin
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5
Q

how is N-acetylcysteine administered?

A
  • by inhalation
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6
Q

what is Benzonatate

A
  • peripherally activating anti-tussive
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7
Q

MOA of benzoate

A
  • Na+ channel blocker
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8
Q

what is Dextromethorphan

A
  • centrally acting anti-tussive
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9
Q

Dextromethorphan MOA

A
  • glutamate antagonist

- blocks cough center through medulla

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10
Q

toxicities of dextromethorphan

A
  • dissociative effects

- potential for abuse

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11
Q

what is codeine

A
  • centrally-active antitussive
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12
Q

what drug do we often combine codeine with

A
  • promethazine
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13
Q

MOA of codeine

A
  • inhibits Ca2+ influx and neutrotransmitter release in presynaptic neuron
  • stimulates K+ effects and hyper polarization in postsynaptic neuron
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14
Q

MOA of pseudoephedrine and phenylephrine

A
  • alpha 1 agonists
  • vasoconstriction
  • reduce nasal mucous membrane swelling
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15
Q

what else can we also use phenylephrine to treat

A
  • hemorrhoids
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16
Q

difference between 1st and 2nd generation anti-histamines (H1 receptor antagonists)

A
  • 1st generation crosses blood brain barrier (makes you sleepy)
  • 2nd generation does not
17
Q

examples of 1st generation anti-histamines

A
  • diphenhydramine and promethazine
18
Q

examples of 2nd generation anti-histamines

A
  • loratadine
  • fexofenadine
  • ceterizine
19
Q

H1 receptors are found where

A
  • nasal mucosa endothelium

- brain

20
Q

H2 receptors are found where

A
  • parietal cells of gastric mucosa

- brain

21
Q

MOA of histamine in endothelium

A
  • promotes vascular permeability and vasodilation

- causes swollen nasal mucous membranes

22
Q

MOA of histamine in the brain

A
  • neurotransmitter

- inhibit sleep and promote wakefulness

23
Q

anti-histamines that can cross the blood brain barrier cause

A
  • sedation
24
Q

MOA of promethazine

A
  • H1 receptor antagonist

- D2 (dopamine) receptor antagonist

25
Q

promethazine - H1 receptor antagonist effect

A
  • sedative
26
Q

promethazine - D2 receptor antagonist effect

A
  • anti-emetic

- anti-psychotic