Drugs by Effect Flashcards
enhances topical absorption, may be toxic
DMSO
treats GERD in stomach by inhibiting P450
Cimetidine
barbituate, induces CYP3A4,5,7
phenobarbital
Co-penicillin drug, decreases excretion via urine
probenecid
Muscarinic antagonist, Gi bladder atony,
bethanechol
muscarinic agonist, treats glaucoma
muscarine
muscarinic agonist, treats dry mouth and glaucoma
pilocarpine
nicotinic agonist, CNS, both relaxing and stimulating
nicotine
anticholinesterases, work GI, increase Ach, PS effects
physostigmine (for atropine OD), neostigmine
muscarinic antagonist, treats bradycardia, dilates pupils
atropine
muscarinic antagonist, vestibular stimulation, locally for motion sickness
scopolamine
nicotinic antagonist, treats hypertension by lowering autonomic ganglia’s predominant input
hexamethonium
nonselective agonist, heart, lungs, vasculature (cardiac arrest, anaphylaxis)
epinephrine
agonist of alpha1, beta1, heart and vasculature, treats hypotension
norepinephrine
Alpha 1 agonist, treats hypotension
phenylephrine
Alpha 2 agonist, decreases NE secretion at synapse, treats hypertention
clonidine
Beta1 and 2 agonist, heart, treats hypotension
isoproterenol
Beta 2 agonist, treats asthma
terbutaline, albuterol
indirect sympthomimetic psychostimulant
cocaine, amphetamine, ephedrine
indirect sympthomimetic antidepressant
imipramine
hypertensive crisis when ______ causes increase in NE
tyramines can’t be broken down by MAOs (MAO inhibition)
alpha blocker, noncompetitive, treats hypertension
phenoxybenzamine,
alpha blocker, competitive, treats hypertension
phentolamine
Alpha 1 blocker, treats hypertension
prazonsin
Alpha 2 blocker, treats erectile dysfunction
yohimbine
nonspecific beta blockers: reduce cardiac output, bronchoconstriction
propranolol, pindolol, timolol
Beta 1 blocker, treats hypertension
atenolol
Beta 1 & Alpha 1 blocker, lowers cardiac output and vasodilates
carvedilol
false transmitter for NE, alpha 2 agonist (treats hypertension)
methyldopa
lowers NE uptake by VMAT, treats hypertension
reserpine
Lead and Ca chelator
EDTA
lead chelator, not Ca, fewer side effects than EDTA
Calcium Disodium EDTA
Pb, As, Hg, Ag chelator
Dimercaprol (BAL)
Pb and Cu chelator
Penicillamine (Cuprimine)
Pb chelator with multistep therapy to combat rebound
DMSA (2,3-dimercaptosuccinic acid)
Fe chelator, treats hemochromatosis
deferoxamine
treat allergies by blocking peripheral H1 receptors + CNS
diphenhydramine (benadryl), dimenhydrinate (dramamine), Chlorpheniramine (chlortrimeton), Cyclizine (Marezine), Meclizine (Antivert, Bonine), Promethazine (Phenergan)
treat allergies by blocking peripheral H1 receptors (not in CNS)
Loratadine, Desloratadine, fexofenide, Cetirizine (Claritin, Clarinex, Allegra, Zyrtec)
treat stomach acid but lowering gastric acid secretion (H2)
Cimetidine, Ranitidine, Famotidine (Tagamet, Zantac, Pepcid)
COX path: vasodilation, lowers platelet aggregation, lows gastric acid, increases mucus in stomach
PGI2
COX path: induces labor, increases uterine contraction
PGE2 (causes fever, pain) PGF2alpha, Misoprostol
COX path: increases platelets (TXB2 is product)
TXA2
COX and Lipox pathway: anti-inflammation through lowered formation of free arachadonic acid
corticosteroids
Lipoxy path: BLT1 receptor, attracts neutrophils
LTB4
Lipoxy path: cycLT2 receptor, causes edema
LTC4
Lipoxy path: cysLT1 receptor, causes bronchoconstriction
LTD4
Lipoxy path: decreases 5-lipoxygenase, treats asthma, allergies
Zileuton (Zyflo)
analgesic, antipyretic, anti-inflammatory: irreversibly inhibits COX, inhibits TXA at low doses
aspirin
analgesic, antipyretic, anti-inflammatory: weakly inhibits COX, less GI irritation
salsalate
analgesic, antipyretic, anti-inflammatory: reversibly inhibits COX1,2, NF-kb
sodium salicylate
analgesic, antipyretic, anti-inflammatory: competitively binds COX
diflusinal
reversibly inhibits COX, treat inflammatory bowel disease
mesalamine, sulfasalazine
antipyretic, analgesic. Induces M404 in CNS, which reduces COX
acetaminophen (tylenol) not a good anti-inflammatory
antidote for acetominophen OD, repletes glutathione levels in liver
N-acetylcysteine
Nonselective COX inhibitors: analgesics for arthritis (joints)
Indomethacin/Indocin (CNS side effects), Sulindac
Nonselective COX inhibitors: analgesics for arthritis, dysmenorrhea (joints and muscles)
Ibuprofen, naproxen
Nonselective COX inhibitor: post-surgical
ketorolac (Toradol)
COX-2 selective inhibtors: no GI side effects, but increased TXA causes cardiac effects
Celecoxib (Celebrex), Rofecoxib (Vioxx)