drugs Flashcards
what are the uses of NSAID drugs
Relieve pain, reduce inflammation, bring down high temperature
name some NSAID drugs
aspirin, ibuprofen, naproxen
describe the mechanism of action of NSAID’s
injury/irritation → arachidonic acid released → COX catalyse oxygenation of AA to create prostaglandins and thromboxane → NSAID administered → pain and inflammation decrease as COX-1 and COX-2 inhibited
what are the adverse effects of NSAID’s
Haemorrhage, indigestion/constipation , stomach ulcers, headache, laboured breathing/asthma, allergic reactions, anemia
what are the contra-indications of NSAID’s
active gasto bleeding /ulceration/haemorrhage, severe heart failure, active bleeding (especially intracranial or gastro-intestinal) and thrombocytopenia
what is paracetamol used for
Mild to moderate pain and lowering fever
what is paracetamols mechanism of action
Blocks COX enzymes indirectly to suppress production of prostaglandins
what is paracetamols adverse effects
Thrombocytopenia, anorectal erythema, hypotension, neutropenia, angioedema, liver injury, allergic reactions, tachycardia, agranulocytosis
what is paracetamols contra-indications
Liver/kidney issues, regularly drink >14 units a week
how does paracetamol and NSAID’s differ in treating a fever
- paracetamol doesn’t inhibit cyclooxygenase in peripheral tissues so, has no peripheral anti-inflammatory effects
- antipyretic actions of paracetamol attributed to direct action on heat-regulating centres in brain, resulting in peripheral vasodilation, sweating, and loss of body heat
what are opioids used for
mostly pain BUT also cough/breathlessness, myocardial infarction, acute pulmonary oedema, diarrhoea
what is the mechanism of action of opioids
act as agonists on opioid receptors -> activation of the reward pathway in brain is mediated by agonism of the delta-opioid receptor in the nucleus accumbens,2 while modification of the respiratory system and addiction disorder are mediated by agonism of the mu-opioid receptor
what are opioids adverse effects
Sedation, dizziness, nausea, vomiting, constipation, dependency and tolerance, respiratory depression
what are opioids contra-indications
Acute respiratory depression, comatose patients, head injury (opioid analgesics interfere with pupillary responses vital for neurological assessment), raised intracranial pressure (opioid analgesics interfere with pupillary responses vital for neurological assessment), risk of paralytic ileus
what are antibiotics used for
treat and prevent some types of bacterial infections
what is the mechanism of action for antibiotics
inhibit cell wall synthesis, depolarize the cell membrane, inhibit protein synthesis, inhibit nuclei acid synthesis, and inhibit metabolic pathways in bacteria
what are antibiotics adverse effects
Vomiting, nausea, diarrhoea, bloating/indigestion, abdominal pain, loss of appetite
what are antibiotics contra-indications
hypersensitivity to penicillin/cephalosporins/components, bleeding disorders, renal dysfunction, gastrointestinal disease
what are antivirals used for
treat viral infections
what is the mechanism of action of antivirals
slow down replication by interfering with viruses replication process within host cells in different ways
what are antivirals adverse effects
Headache, dizziness, nausea/vomiting, diarrhoea, photosensitivity
what are the contra-indications of antivirals
Pregnancy and breastfeeding, renal dysfunction, hepatic impairment
what are antifungals used for
to treat fungal infections
what is the mechanism of action of antifungals
interference with cell membrane (synthesis inhibition/interference with ergosterol, responsible for preserving cell integrity, viability, function and normal growth) and cell wall (synthesis inhibition of glucans)
what are the adverse effects of antifungals
Allergic reaction, severe skin reaction (peeling/bliserting), liver damage, loss of appetite, vomiting/nausea, jaundice, fatigue
what are the contra-indications of antifungals
Hepatic dysfunction, endrocine/dertility problems, pregnancy and lactation, patients taking drugs that can prolong QTc interval
name some opiates
codeine, morphine
name some antibiotics
amoxicillin, trimethoprim, cefuroxime, gentamycin, erythromycin, ciprofloxacin
name an antiviral
aciclovir
name some antifunals
nystatin, flaconazole
what is the use of angiotensin-converting enzyme (ACE) inhibitors
Help relax veins and arteries and lower blood pressure
name some angiotensin-converting enzyme (ACE) inhibitors
ramipril, captopril
what is the mechanism of action of angiotensin-converting enzyme (ACE) inhibitors
Prevent enzyme in body from making angiotensin 2, substance that narrows blood vessels
what are the adverse effects of angiotensin-converting enzyme (ACE) inhibitors
First-dose hypotension, renal dysfunction, hyperkalemia (high potassium in blood), cough, angioedema, hepatoxicity, skin rashes
what are the contra-indications of angiotensin-converting enzyme (ACE) inhibitors
history of angioedema, diabetes mellitus, pregnant women/breastfeeding/planning to become pregnant
what are beta-adrenoreceptor antagonists (beta blockers) used for
To treat hypertension, angina pectoris, cardiac arrhythmias
name an beta-adrenoreceptor antagonists (beta blockers)
atenolol
what is the mechanism of action for beta-adrenoreceptor antagonists (beta blockers)
Block effects of epinephrine, widening veins and arteries and making heart beat slower
what are the adverse effects of beta-adrenoreceptor antagonists (beta blockers)
Bradycardia. Dizziness, depression, memory loss, insomnia, impotence, cold peripheries, hypotension, acute bronchospasm
what are the contra-indications of beta-adrenoreceptor antagonists (beta blockers)
Peripheral vascular diseases, diabetes, COPD, asthma
what are diuretics used for
Help reduce fluid buildup in the body
name some diuretics
bendroflumethiazide, frusemide, amiloride
what is the mechanism of action of diuretics
Diminish sodium reabsorption at different sites in nephron, increasing urinary sodium and water losses
what are the adverse effects of diuretics
Impotence, skin rashes, nausea, dizziness, lethargy
what are the contra-indications of diuretics
Hyopkalemia (administer once corrected), severe hyponatremia, hypotension, azotemia, hepatic coma
what are statins used for
Reduce level of cholesterol in blood, protect inside of arteries
name a statin
simvastatin
what is the mechanism of action of statins
Inhibit HMG- CoA reductase, rate-limiting enzyme in cholesterol biosynthesis pathway
what are the adverse effects of statins
Muscle pain/damage, liver damage, increases blood sugar/T2 diabetes, digestive issues, fatigue
what are the contra-indicators of statins
Hypersensitivity to medication, pregnancy and lactation, acute liver failure/cirrhosis, aged 70+
what is insulin used for
Helps body use glucose for energy, decreasing blood sugar level in diabetes
what is the mechanism of action for insulin
- inhibits gluconeogenesis in liver
- glucose transporter proteins on fat/storage/adipose cells are insulin-sensitive so Insulin binds to specific receptors on the membranes, stimulating them to activate glucose transporter proteins to cell surface membrane, increasing permeability of cells to glucose
what are insulins adverse effects
Hypoglycaemia, weight gain, electrolyte disturbances eg hypokalemia
what are insulins contra-indications
Allergies
what is metformin used for
Treats/prevents type 2 diabetes and gestational diabetes if at high risk
what is the mechanism of action for metformin
Inhibits hepatic gluconeogenesis and glycogenolysis
what are the adverse effects of metformin
Metformin (hydrochloride) toxicity, lactic acidosis, decreased renal function, hypoglycaemia
what are the contra-indications of metformin
Renal dysfunction, congestive cardiac failure needing drug failure, hypersensitivity, acute/chronic metabolic acidosis, impaired hepatic function
what are mood stabilisers used for
Treat bipolar/disorder with mood swings
name some mood stabilisers
lithium carbonate, seroquel
what is the mechanism of action of mood stabilisers
Via GABA neurotransmitter, suppress electrical activity and modulate enzyme/ion/intracellular activity involved in synaptic plasticity
what are the adverse effects of mood stabilisers
Blurred vision, tiredness, vomiting/diarrhoea, impaired memory, difficulty concentrating, sleep difficulties, weight gain
what are the contra-indications of mood stabilisers
Severe liver damage, bone marrow disorder/blood cell disorder, renal failure, untreated hypothyroidism, cardiovascular insufficiency
what are antidepressants used for
To treat clinical depression, OCD, and anxiety
name some antidepressants
sertraline, amitriptyline
what is the mechanism of action of antidepressants
Increase serotonin by blocking serotonin and norepinephrine reuptake in synapse, increasing postsynaptic receptors stimulation
what are the adverse effects of antidepressants
Sleep issues, weight gain, dry mouth/nausea, dizziness, blurred vision, headaches, joint/muscle pain
what are the contra-indications of antidepressants
Bipolar/manic phase, bleeding disorders, T1/T2 diabetes
what are anxiolytics used for
treat anxiety
name a anxiolytic
lorazepam
what is the mechanism of action of anxiolytics
Increase amount of circulating neurotransmitters dopamine, GABA and serotonin
what are the adverse effects of anxiolytics
Drowsiness, confusion, nausea, headaches, blurred vision, conspitaion/diarrhoea
what are the contra-indications of anxiolytics
Pregnancy and lactating women
what are antipsychotics used for
Treat schizophrenia/people with psychosis that occurs in bipolar, depression and alzhemiers
name a antipsychotic
chloropromazine
what is the mechanism of action of antipsychotics
Inhibit dopaminergic neurotransmission, lowering amount of dopamine available
what are the adverse effects of antipsychotics
Mild sedation, dry mouth, constipation, sexual dysfunction, weight gain, movement issues eg tremor, agitation
what are the contra-indications of antipsychotics
Allergies, use of central nervous system depressants eg benzodiazepines/opioids, cardiovascular disease, predisposed epilepsy, diabetes
what are corticosteroids used for
Treat rheumatoid arthritis, IBD, asthma, allergies etc
name some corticosteroids
beclometasone inhaler, prednisolone
what is the mechanism of action of corticosteroids
Bind to glucocorticoid receptors, mediating changes in gene expression causing decreased vasodilation, permeability of capillaries, increased leukocyte in blood and migration to sites of inflammation
what are the adverse effects of corticosteroids
Osteoporosis, fractures, diabetes, hyperglycaemia, glaucoma, cataracts, psychiatric disturbances, immunosuppression
what are the contra-indications of corticosteroids
what are beta 2 adrenoreceptor agonists used for
Management/treatment of bronchial asthma and COPD
name a beta 2 adrenoreceptor agonist
salbutamol
what is the mechanism of action for beta 2 adrenoreceptor agonists
Relax airways smooth muscle by stimulating beta 2 adrenergic receptors, increasing cAMP and antagonizes mechanisms of bronchoconstriction
what are the adverse effects of beta 2 adrenoreceptor agonists
Skeletal muscle tremor, tachycardia/palpitations, metabolic effects, headaches
what are the contra-indications of beta 2 adrenoreceptor agonists
Cardiovascular disease (including hypertension), hypersensitivity, diabetes glaucoma, hypokalaemia, seizures
what are bronchodilators used for
Help control symptoms of lung diseases eg asthma, chronic bronchitis, emphysema, COPD
what is the mechanism of action of bronchodilators
Acts as acetylcholine antagonist by blocking muscarinic cholinergic receptors, increasing bronchodilation parasympathetically
what are the adverse effects of bronchodilators
Bronchitis, nausea, dry mouth, shortness of breath, bladder pain/bloody/cloudy urine, lower back/side pain
what are the contra-indications of bronchodilators
Sensitivity, glaucoma, urinary problems or prostate condition
what is levodopa used for
Dopamine replacement for treatment of parkinsons, controls bradykinetic symptoms in parkinsons
what is the mechanism of action for levodopa
Crosses blood-brain barrier where its converted to dopamine by decarboxylation in presynaptic terminals of dopaminergic neurones
what are the adverse effects for levodopa
Allergic reaction, nausea/vomiting, hypotension, loss of appetite, anxiety/depression, hallucinations, sleep problems
what are the contra-indications of levodopa
Pre-existing neuropathy, risk of GI bleeds for peptic ulcer disease, other medications
what is sodium valporate used for
Treat epilepsy and bipolar disorder, prevents migraines
what is the mechanism of action of sodium valporate
Increases amount of GABA neurotransmitters in brain by blocking sodium channels in neurones
what are the adverse effects of sodium valporate
Sedation, vomiting, nausea, weight gain, hepatoxicity, pancreatitis
what are the contra-indications of sodium valporate
Hepatic impairment, hypersensitivity, urea cycle disorders, mitochondrial disorders, pregnancy migraine prophylaxis
what is phenytoin used for
Treats epilepsy and trigeminal neuralgia
what is the mechanism of action of phenytoin
Blocks voltage-gated sodium channels in neurones, stabilizing state of sodium channel and prolonging neuronal refractory period, decreasing amount of neural activity
what are the adverse effects of phenytoin
Headaches, drowsiness/fatigue/dizziness, shaky, nausea/vomiting, constipation, sore/swollen gums
what are the contra-indications of phenytoin
Sensitivity, pregnancy, liver dysfunction
name a bronchodilator
ipratropium bromide