drug specifics test 1 Flashcards

1
Q

H1 agonists (for sleep)

A

can cross BBB

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2
Q

interferon

A

works through all phases of viral process

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3
Q

What not to give in pt with cocaine intoxication

A

beta blockers

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4
Q

carbapenems can cause what at high enough dose

A

seizures

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5
Q

secondary amines

A

norepinephrine effect

sedating/anticholinergic reduced compared to tertiary

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6
Q

AUC/MIC

A
VANCO
azithromycin
FQs
aminoglycosides
tigencycline
linezolid
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7
Q

MAOIs

A

lots of drug interactions

diet interaction

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8
Q

codeine transformed to

A

morphine

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9
Q

penciclovir and famcclovir

A

varicella and shingles

following activation, inhibit viral DNA synthesis

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10
Q

acyclovir and valacyclovir

A

inhibit viral DNA synthesis

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11
Q

clozapine

A

for recurrent suicidality, violence, comorbid substance abuse
REMS program: neutropenia
only second generation to show superiority to first

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12
Q

flumazenil (romazicon)

A

can cause seizures!

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13
Q

meperidine transformed to

A

normedperidine

build up can lead to seizures

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14
Q

ampho B

A

bind to fungal membrane component (ergosterol) to alter fungal cellular permeability

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15
Q

venlafaxine (effexor)

A

dose related hypertension; discontinuation syndrome

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16
Q

T>MIC

A

B-LACTAMS
vanco
macrolides
clindamycin

17
Q

Fluoxetine (Prozac)

A

CNS activation

18
Q

st. john’s wort interaction

A

CYP inducer

19
Q

Fluvoxamine (luvox)

20
Q

suvorexant (belsomra)

A

orexin antagonist
orexin involved in wakefullness
erection antagonist

21
Q

citalopram (celexa)

A

QT prolongation

22
Q

Escitalopram (lexapro)

A

most selective

23
Q

tertiary amines

A

higher sedation
anticholinergic
serotonin effect

24
Q

Paroxetine (Paxil)

25
duloxetzne (cymbalta)
orthostatic hypertension (bad for elderly)
26
azoles
inhibit CYP450 enzymes thereby inhibiting fungal ergosterol synthesis
27
ganciclovir and valganciclovir
similar MOA to acyclovir (inhibit viral DNA synthesis)
28
sofosbuvir
inhibitor of RNA dependent polymerase to terminate viral replication
29
bupropion contraindication
seizures
30
Cmax/MIC
AMINOGLYCOSIDES | FQs