Drugs Flashcards
NNRTIs stand for
Non-Nucleoside Reverse Transcriptase Inhibitor
3 drugs that are NNRTI?
Delavirdine, Efavirenz, Nevirapine (Never Ever Deliver Phosphate!)
HIV integrase blocker?
Raltegravir
What HIV drug boosts other drug conc by inhibiting P-450?
Ritonavir
what drug is contraindicated with protease inhibitor b/c it decreases PI conc?
Rifampin
HIV drug that causes pancreatitis?
Didanosine
what HIV drug has side effects of vivid dreams and CNS symptoms?
efavirenz
3 hep C drugs?
ribavirin, simeprevir, sofosbuvir
HIV drug that binds to CCR5 and inhibit gp120?
Maraviroc
HIV drug that binds to gp41?
Enfuvirtide
what HIV drugs don’t require phosphorylation?
NNRTIs (Delavirdine, Efavirenz, Nevirapine)
what NRTI (Nucleoside) is Nucleotide?
Tenofovir
what is the target of natalizumab?
alpha 4 integrin (WBC adhesion)
clinical application of natalizumab?
MS, Crohn dz
side effects of natalizumab?
risk of PML in pts with JC virus
mech of action of ribavirin?
blocks guanine nucleotide synthesis by competitively inhibiting inosine monophosphate dehydrogenase
clinical usages of ribavirin?
HCV, RSV
In RSV what drug is preferred over ribavirin?
Palivizumab in children
which drug blocks the HCV protease inhibitor?
simeprevir
which drug blocks HCV RNA-dependent RNA pol?
sofosbuvir
what drug is used for acyclovir-resistant HSV that is does not require activation by viral kinase?
forscarnet
DOC for P. falciparum resistant to chloroquine?
artemether/lumefantrine or atovaquone/proguanil
DOC for life treatening malaria?
use quinidine or artesunate
what is the mech of chloroquine?
blocks detoxification of heme into hemozoin –> heme accumulates and is toxic to plasmodia
mech of resistance of chloroquine?
due to membrane pump that dec intracellular conc of drug
side effects of chloroquine?
retinopathy, pruritius especially in dark skinned ppl
what are anti-mite/louse drug used to treat scabies and lice?
Permethrin, Malathion, Lindane
mech of Permethrin?
blocks Na+ channel
mech of Malathion?
acetylcholinesterase inhibitor
mech of Lindane
blocks GABA channels
what drug blocks 14 alpha demethylase and inc lanosterol conc?
Azoles
which drug blocks the synthesis of sterol?
Azoles
drug that blocks squalene epoxidase?
terbinafine
2nd gen H1 blockers?
ends with “adine”
loratadine, fexofenadine, desloratadine, cetirizine
1st gen H1 blockers?
diphenhydramine, dimenhydrinate, chlorpheniramine
aspirin toxicity leads to mixed resp alkalosis and metabolic acidosis, what would be the values of gas panel?
low pCO2 (resp alkalosis) and low bicarb (metabolic acidosis)
two methylxanthines (theophylline) toxicities?
cardiotoxicity, neurotoxicity
alpha 2 agonist used for glaucoma?
brimonidine