DRUG1USE Flashcards
-Cimetidine (OAT)
Increase circulating drug level
-Proadifen (OCT)
Increase circulating drug level
-Probenecid
Increase circulating drug level
- Ethanol
Decrease circulating drug level
- Phenobarbital
Decrease circulating drug level
Bethanechol
Stimulate smooth muscle post-operatively – increased GI motility, sphincters relax, stimulate secretions
Carbachol
Wide-angle glaucoma (constrict ciliary muscle)
Methacholine
Slow heart in severe tachycardia
Pilocarpine
Glaucoma (short term treatment of acute angle-closure), treat dry mouth
Ambenonium
Myasthenia gravis
Edrophonium
Myasthenia gravis, ileus, arrhythmias, reversal of neuromuscular blockade (short)
Neostigmine
Myasthenia gravis (reference therapeutic agent), ileus, reversal of neuromuscular blockade (long)
Physostigmine
Glaucoma – given for short term treatment of acute angle-closure
Pyridostigmine
Myasthenia gravis
- Diisopropyl-fluorophosphate
None
- Echothiopate
Echothiopate for glaucoma
- Carbaryl
None
- Malathion
Lice
- Parathion
None
- Tetraethyl-pyrophosphate
None
- Sarin
none
- Soman
none
Pralidoxime
Step 2 following OP intoxication
Atropine
OP and cholinergic agonist toxicity, elicit tachycardia following brady from MI, anti-parkinson, relieves urinary incontinence, mydriasis (7-10 days), anti-motion sickness
Homatropine
Mostly used for eye effects (topical agent) – mydriasis (1-3 days)
Scopolamine
Anti-motion sickness, amnesia (pre-anesthetic), mydriasis (3-7 days), induction of amnesia
Methscopolamine
Mostly GI diseases
Trihexyphenidyl
Decrease uncoordinated movement and excess salivation for parkinsons
Tropicamide
Mostly used as topical ocular treatment – mydriasis (6 hours)
Cyclopentolate
Mydriasis – 1 day
Ipratropium
Topical - minimizes mucociliary clearance issues (pts with airway problems – COPD)
Tiotropium
Topical - targets bronchodilation and minimizes mucociliary clearance issues
- Darifenacin
Urinary urgency, bladder spasms
- Solifenacin
Urinary urgency, bladder spasms
- Tolterodine
Urinary urgency, bladder spasms
Mecamylamine
Improve absorption from GI tract (oral – 12 hours), adjunct therapy for hypertension and peripheral vascular disease
Trimethaphan
IV infusion use (lasts minutes), adjunct therapy for hypertension and peripheral vascular disease, short-acting IV to minimize blood loss in surgery
Succinylcholine
Muscle relaxation for surgery, tracheal intubation, control of ventilation, convulsions
Curare
Muscle relaxation for surgery, tracheal intubation, control of ventilation, convulsions
Atracurium
Muscle relaxation for surgery, tracheal intubation, control of ventilation, convulsions
Cisatracurium
Muscle relaxation for surgery, tracheal intubation, control of ventilation, convulsions
Mivacurium
Muscle relaxation for surgery, tracheal intubation, control of ventilation, convulsions
Pancuronium
Muscle relaxation for surgery, tracheal intubation, control of ventilation, convulsions
Vecuronium
Muscle relaxation for surgery, tracheal intubation, control of ventilation, convulsions
Metaraminol
Vasopressor (hypotension – not shock)
Methoxamine
hypertension?
Phenylephrine
Nasal decongestant, vasopressor, mydriatic, overcome hypotension, local vasoconstrictor
- a-methyldopa
Can be used for hypertension
- Clonidine
Can be used for hypertension
- Guanabenz
Can be used for hypertension
Amphetamine
Vasopressor
Ephedrine
Vasopressor, mydriatic, nasal decongestant, CNS stimulant, chronic orthostatic hypotension, stress incontinence
Dipivefrin
Open angle glaucoma
Epinephrine
Anaphylactic shock, severe allergic reactions, open glaucoma, slow profuse bleeding, increase systolic BP (B1/A1 effects), heart block/cardiac arrest
Norepinephrine
Vasopressor (shock) (IV only)
Dobutamine
Congestive heart failure, cardiogenic shock following MI
Isoproterenol
AV block, asthma – increase in cardiac output and decreased MAP with vasodilation