Drugs Flashcards

1
Q

Salbutamol

A
SABA 
- short term bronchodilation 
- agonises B2 receptors
COPD + Asthma
5mg per 15mins in acute asthma attack 
Over dose = Beta 1 activation + CO
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2
Q

Salmeterol/ formoterol

A
LABA 
- long acting bronchodilation 
- agonises B2 
3rd line asthma 
COPD + LAMA
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3
Q

Beclometasone Diproprinate

A
ICS 
- Prevents inflammation 
- promotes anti inflammation 
- Lipophilic 
2nd line asthma 
eosinophilic COPD
Immune suppression 
- HIGH WBC count
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4
Q

Budesonide/ fluticasone

A

ICS

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5
Q

Prednisolone

A

Oral corticosteroid
- 2 week max usage
side effects
Pneumonia in COPD

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6
Q

Theophylline

A
Methyl xanthine 
- Inhibits Phosphodiesterase 
- Greater PKA activity 
4th line asthma treatment 
- narrow therapeutic window
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7
Q

Montelukast/ zafirlukast

A
Leukotriene Receptor Antagonists 
- Block leukotriene binding 
- NSAIDs asthma 
- Prevents oedema + mucous hypersecretion 
3rd line asthma treatment
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8
Q

Sodium Chromoglicate

A

Chromone
mast cell stabiliser
prevents degranulation
4th line

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9
Q

Omalizumab

A

Anti IgE
- Prevents mast cell response
4th line

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10
Q

mepolizumab/ benralizumab

A

Anti Il - 5

Prevents eosinophil influx

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11
Q

Dupilumab

A

Anti IL 4 alpha

  • block IL-4 + IL13 binding
  • Prevents B cell activation + goblet cell hyper secretion
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12
Q

Ipratropium

A

SAMA

  • Antagonised M3 receptors
  • prevents bronchoconstriction
  • 0.5mg every 15 mins in acute asthma attack
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13
Q

Tiotropium

A

LAMA
- long acting M3 antagonist
1st line COPD + LABA

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14
Q

Rifampicin

A

TB treatment

Jaundice/ acute porphyria/ hepatitis/ sickness/ thrombocytopenia/ leucopenia

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15
Q

Isoniazid

A

TB treatment

Acute porphyria/ hepatitis

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16
Q

Pyrazinamide

A

TB treatment

Dysuria/ Malaise/ photosensitivity/ sickness

17
Q

Ethambutol

A

TB treatment

Visual impairment/ nerve disorders/ sickness/ confusion/ hyperuricaemia

18
Q

Active TB treatment

A

2 months
- RIPE
4 months
- RI

19
Q

Latent TB

A

3 months

RI

20
Q

Lumacaftor

A

CF - F508 del only
Class II CF
Incorporates CFTR into membrane

21
Q

Ivacaftor

A

Opens CF channel
Type III CF
Non functioning channel
- Ivacaftor potentiates

22
Q

Roflumilast

A

phosphodiesterase inhibitor
- decreased conversion of cAMP -> 5’AMP
greater PKA activity
bronchodilation

23
Q

PIRFENIDONE/ NINTEDANIB

A

Idiopathic Pulmonary Fibrosis
- anti fibrotic agents
slow down fibrosis process

24
Q

Fostair

A

ICS + LABA inhaler
beclomethasone + fomoterol
Asthma

25
Q

Relvar Ellipta

A

ICS + LABA
fluticasone furate + vilanterol
Asthma

26
Q

Spirival/ Respimat

A

tiotropium - LAMA

Asthma -