Drug quiz 2 MOA Flashcards
Epoetin alfa
Glycoprotein that stimulates RBC production. Stimulates division and differentiation of committed erythroid progenitors in the bone marrow
Bivalirudin
Reversibly inhibit coagulation by preventing thrombin-mediated effects, such as cleavage of fibrinogen to fibrin monomers and thrombin-induced platelet aggregation
Dabigatran
Reversibly inhibit coagulation by preventing thrombin-mediated effects, such as cleavage of fibrinogen to fibrin monomers and thrombin-induced platelet aggregation
Metformin
Improve glucose tolerance by lowering both basal and postprandial plasma glucose. Decrease hepatic glucose production and intestinal absorption of glucose and improve insulin sensitivity by increasing peripheral glucose uptake and utilization through activation of AMPK
Alendronate
Inhibit osteoclast bone resorption – decreased osteoclast activity and the prevention of bone destruction
Glyburide
Lowers blood glucose by stimulating insulin release from the beta cells of the pancreatic islets
Teriparitide
Stimulates new bone formation/growth
• Stimulates osteoblast function, increases calcium absorption from GI tract & kidneys
Insulin glargine
Stimulates peripheral glucose uptake, especially in skeletal muscle and fat and by inhibiting hepatic glucose production
Empagliflozin**
Inhibition of sodium-glucose cotransporter 2 in the proximal renal tubules, leads to reduced reabsorption of filtered glucose from the tubular lumen and lowers the renal threshold for glucose
Calcitonin
Inhibits osteoclastic bone resorption
Unfractionated heparin
Binds to antithrombin and accelerates antithrombin’s ability to inhibit factors IXa, Xa, XIa, XIIa, IIa
Pioglitazone
Increase insulin sensitivity by affecting PPAR-y. Decreases insulin resistance in adipose tissue, skeletal muscle and liver
Rivaroxaban
Inhibits platelet activation and fibrin clot formation by selectively and reversibly inhibiting factor Xa
Vancomycin
Bind to D-alanyl-D-alanine in the growing bacterial cell wall, preventing the elongation of peptidoglycan strands and halting cell wall synthesis.
Darbepoetin alfa
Glycoprotein that stimulates RBC production. Stimulates division and differentiation of committed erythroid progenitors in the bone marrow
Levothyroxine
Synthetic T4 that functions to replace deficient levels of thyroid hormone
• Believed to be exerted through control of DNA transcription and protein synthesis
Penicillin
Inhibits transpeptidase enzymes (penicillin-binding proteins). Prevents cross-linking of peptidoglycan strands, thereby inhibiting synthesis of the bacterial cell wall
Apixaban**
Inhibits platelet activation and fibrin clot formation by selectively and reversibly inhibiting factor Xa
Benztropine
Decrease activity of acetylcholine to balance out the production of dopamine and ACh
Nystatin
Bind to ergosterol in fungal cell wall, causing cell-wall instability and leakage of cytoplasmic contents
Dexamethasone
Prevent unraveling of DNA off histones → Deacetylation
• Cause lysis and redistribution of lymphocytes resulting in a reduction in total blood lymphocyte numbers
• Increase apoptosis of lymphocytes
• Inhibit synthesis of pro-inflammatory cytokines
Ibandronate
Inhibit osteoclast bone resorption – decreased osteoclast activity and the prevention of bone destruction