Drug names Flashcards
Hemicholinium
Cholinergic
Inhibits Choline uptake into neuron for packaging
Vesamicol
Cholinergic
Inhibits VChAT
Botulinum Toxin
Cholinergic
Inhibits Ach release (dystonia, cosmetics)
Pralidoxine
Cholinergic
Reactivates AchE (after phosphorylation by organophosphates)
Bethanecol
Cholinergic
Non-selective muscarinic agonist (urinary retention, GI hypotonia)
Pylocarpine
Cholinergic
Glaucoma (M3)
Atropine
Cholinergic Non-selective muscarinic antagonist
Neostigmine
Cholinergic nicotinic
AChE inhibitors, Drug to treat myasthenia gravis
Erdophonium
Cholinergic nicotinic
AcheE inhibitor, used to diagnose myasthenia gravis
Succinylcholine
Cholinergic nicotinic Depolarising blocker (muscle relaxant, aids rapid intubation)
Pancuronium
Cholinergic nicotinic
Non-depolarising competitive blocker/antagonist (muscle relaxant)
Epinephrine/Norepinephrine
Adrenergic
a/b agonist (anaphylactic shock, cardiac arrest)
Phenylephrine
Adrenergic
a1 agonist (vasoconstriction - nasal decongestion)
Clonidine
Adrenergic
a2 partial agonist (feedback inhibition - anti-hypertensive agent + decreased sympathetic activity)
Salbutamol
Adrenergic + anti-asthmatic
SABA & B2 agonist (bronchodilator - asthma drug/premature labour)
Propanolol
Adrenergic
Non-selective B antagonist (hypertension, cardiac dysrythmia)
A-methyl-P-tyrosine
Adrenergic
Inhibits tyrosine hydroxylase (converts tyrosine to L-DOPA) = lower NA production (treats phaechromocytoma - overactive adrenergic system with excess NA)
Reserpine
Adrenergic
Inhibits VMaT = lower Na production + higher NA destruction by MAO
Amphetamine
Adrenergic
Sympathomimetic, increases NA release, reduces NA destruction = stronger signal
Has mild inhibitory effects on MOA!
Tyramine
Adrenergic
Sympathomimetic, increases NA release, reduces NA destruction = stronger signal
Depends on MOA to be broken down!
Cocaine
Adrenergic
Inhibits NET (reduces NA uptake)
Moclobemide
Adrenergic
Inhibits MOA (anti-depressant drug, elevates mood via preventing NA breakdown!)
Diphenhydramine
1st class antihistamine
Chlorpheniramine
1st class antihistamine
Promethazine
1st class antihistamine
Citirizine
2nd class antihistamine
Faxofenadine
2nd class antihistamine
Loratidine
2nd class antihistamine
Aspirin
NSAID Irreversibly inhibits COX1/2 (more cox 1 than 2)
Ibuprofen
NSAID non-selective inhibitor of COX1/2 (more cox 1 than 2)
Naproxen
NSAID non-selective inhibitor of COX1/2 (more cox 1 than 2)
Paracetemol
NSAID cox 3 selective inhibitor (CNS)
Celecoxib
NSAID cox 2 selective inhibitor (increases Thromboxane = favours platelet aggregation = risk of thrombosis)
Hydrocortisone
Corticosteroid
Hydrolysed cortisone
Prednisone
Corticosteroid
cortisone + 1,2 double bond (high duration of action, low water retention)
Prednisolone
Corticosteroid
hydrocortisone (cortisol) + 1,2 double bond (high duration of action, low water retention)
Methylprednisolone
Corticosteroid
prednisolone + 6-methyl (high DOA, no water retention)
Dexamethasone
Corticosteroid
methylprednisolone + 9-F + 16-methyl
(highest DOA, very potent, no water retention, anti-inflammatory!)
Ciclosporin
Immunosuppresant - Calcineurin inhibitor
Sirolimus
Immunosuppresant - mTOR inhibitor
Azathioprine
Immunosuppresant - cytotoxic agent (can cause bone marrow depression: decreased WBC, RBC, platelet etc. levels)
Mycophenolate mofetil
Immunosuppresant
cytotoxic agent (inhibits IMPDH required for purine synthesis)
Fingolimod
Immunosuppresant - S1P receptor agonist (multiple sclerosis)
Receptor downregulation, decreased lymphocyte circulation and infiltration into CNS
Fluticasone
Anti-asthmatic
Inhaled corticosteroid for asthma (anti-inflammatory)
Montelukast
Anti-asthmatic
Leukotriene (mucus secretion, bronchoconstriction) inhibitor
Formoterol
Anti-asthmatic LABA (long acting B2 agonist) - bronchodilation
B2 = increased cAMP production = increased Ca2+ = smooth muscle relaxation
Typical asthmatic treatment: Formoterol + inhaled corticosteroids
Theophylline
Anti-asthmatic drug
Inhibits PDE (aka stops cAMP –> 5’AMP conversion)
- cAMP: promotes bronchodilation
Ipatropium bromide
Anti-asthmatic
non-selective SAMA (short acting muscarinic antagonist) - bronchodilation
Inhibits M3 = inhibits bronchoconstriction & decreased mucus secretion + inflammation etc.
Tiotropium bromide
Anti-asthmatic
non-selective LAMA (long acting muscarinic antagonist) for bronchodilation
More potent than ipatropium bromide
Sildenafil citrate (Viagra)
PDE5 (cGMP specific) inhibitor (shorter DOA, treats erectile dysfunction)
SE: blue tinted vision (cross inhibition with PDE6)
AVOID with NO producing agents!
Tadalafil
PDE5 (cGMP specific) inhibitor (Long DOA, treats erectile dysfunction)
AVOID with NO producing agents!
Roflumilast
PDE 4 (cAMP specific) inhibitor (COPD)
Nitroprusside
NO containing & releasing agent (anti-hypertensive agent!)
Nitroglycerine
NO containing & releasing agent (angina pectoris - chest pain due to narrowed blood vessels)
Morphine
Analgesic agonist of U-opioid receptor (GPCR)
Calcitonin
Agonist of calcitonin GPCR (aids Ca2+ regulation)
Activated charcoal
A form of chemical antagonism (neutralises toxins before reaching receptor; i.e. antagonised in solution)
Mannitol
Osmotic diuretics (anti-hypertensive)
Increases proximal tubule & loop of Henle osmotic pressure = increased loss of both solute and water
Aluminium hydroxide
Antacid (Treats GIT ulcers)
Alkali, neutralises gut acidity
Magnesium hydroxide
Antacid
Alkali, neutralises gut acidity
Lidocaine
Na+ channel blocker (Local anaesthetic agent)
Verapamil
Ca2+ channel blocker
In heart: treats tachyarrhythmia + angina
In smooth muscles: treats hypertension (reduces Ca2+ influx = vasodilation)
Benzodiazepine
GABA receptor (bind = increase Cl- opening and influx = hyperpolarisation = suppressed neuronal activity)
Sedative/anti-anxiety/anaesthetics agonists
a-bungarotoxin
Non-depolarising antagonist for nicotinic acetylcholine receptors (can cause paralysis)
Enalapril
ACE inhibitors (decreases angiotensin II = vasodilation = lower blood pressure)
ALSO increases bradykinin (peptide that promotes inflammation), which vasodilates!!
Captopril
ACE inhibitors (decreases angiotensin II = vasodilation = lower blood pressure)
ALSO increases bradykinin (peptide that promotes inflammation), which vasodilates!!
Losartan
AT1 (angiotensin receptor 1) blocker so angiotensin II cannot bind
Treats hypertension (similar effectiveness to ACE inhibitors, but lower cough incidence)
Valsartan
AT1 (angiotensin receptor 1) blocker so angiotensin II cannot bind
Treats hypertension (similar effectiveness to ACE inhibitors, but lower cough incidence)
Aliskiren
Renin inhibitor (long DOA - treats hypertension)
Desmopressin
V2 selective Vasopressin receptor agonist (long DOA)
Treats Diabetes inspidus (no ADH = high volumes of dilute urine) –> Desmopressin stimulates water reabsorption = decreases urine volume to normal volumes
Conivaptan
Non-selective vasopression receptor antagonist
Treatment for hyponaetremia (low Na+ levels) caused by SIADH (excessive ADH)