Drug Slides - Week 3 (Part 2) - Exam 1 Flashcards
Drugs for Allergic Rhinitis & Common Cold: Diphenhydramine, Fluticasone, Oxymetazoline, Dextromethorphan
What are the two branches of the Autonomic Nervous System?
- sympathetic branch
- parasympathetic branch
Sympathetic response in r/t allergies or cold
constriction of arterioles, reducing thickness of mucosal layer
parasympathetic response in r/t allergies or cold
dilation increasing thickness of mucosal layer
what is a sympathomimetic?
(of a drug) producing physiological effects characteristic of sympathetic nervous system by promoting stimulation of sympathetic nerves
Sympathothomimetc will therefore …
shrink the nasal mucosa, relieving nasal stuffiness with common cold
what does an H1 receptor do?
histamine
widely distributed through out body (smooth muscle of airway, CV, endothelial cells, and lymphocytes) are associated with allergic reactions
what does an H2 receptor do?
histamine; found in gastric mucosa, responsible for peptic ulcers
Diphenhydramine: therapeutic class?
drug to treat allergies
diphenhydramine: pharmacologic class?
H1-receptor antagonist; antihistamine
Diphenhydramine: trade name?
benadryl
Diphenhydramine: Actions and Uses
H1 receptor antagonist; treat minor allergy symptoms
Diphenhydramine: Adverse effects
significant drowsiness
paradoxical CNS stimulation
anticholinergic effects: dry mouth, tachycardia, mild hypotension
Diphenhydramine: contraindications
hypersensitity to drug; gi obstruction; asthma; hyperthyroidisim
Diphenhydramine: Interactions. drug to drug
alcohol, opioids increase sedation
hyperintensive crisis
Diphenhydramine: lab tests
discontinued 4 days prior to skin allergy test, false negative
Fluticasone: theraputic class?
drug for allergic rhinitis
fluticasone pharmacologic class?
intranasal corticosteroid
Fluticasone: actions and uses
treat seasonal allergic rhinitis; decrease local inflammation in nasal passages
Fluticasone: Adverse Effects
rare; nasal irritation; nose bleed; headache
Fluticasone: interactions drug to drug
increased nasal irritation
Oxymetazoline therapeutic class
nasal dicongestant
oxymetazoline pharmacologic class
sympathomimetic
Oxymetazoline contraindicaitons
thyroid disorders, hypertension, diabetes, heart disease
oxymetazoline: actions and uses
activates alpha-adrenergic receptors in the sympathetic nervous system; nasal arterioles to constric, drying mucous membranes
oxymetazoline: trade name
afrin
oxymetazoline: adverse effects
rebound congestion; minor stinging, dryness;
Dextromethorphan: trade name
delsym, robitussin dm
dextromethorphan: therapeutic class
cough supressant
dextromethorphan pharmacologic class
drug for increasing cough threshold
dextromethorphan: actions and uses
nonopioid drug component in many otc severe cold and flu preparations
rapid onset of action.
dextromethorphan: adverse effects
rare; dizzy; drowsy, gi upset; cns toxicity
dextromethorphan: interactions drug to drug
excitation, hallucinations, hyperpyrexia, sedation
dextromethorphan: contraindicaitons
treatment of chronic cough
children under 6 years old