Drugs by Name Flashcards
DMSO
enhances topical absorption, may be toxic
Cimetidine
treats GERD in stomach by inhibiting P450
phenobarbital
barbituate, induces CYP3A4,5,7
probenecid
Co-penicillin drug, decreases excretion via urine
bethanechol
Muscarinic antagonist, Gi bladder atony,
muscarine
muscarinic agonist, treats glaucoma
pilocarpine
muscarinic agonist, treats dry mouth and glaucoma
nicotine
nicotinic agonist, CNS, both relaxing and stimulating
physostigmine (for atropine OD), neostigmine
anticholinesterases, work GI, increase Ach, PS effects
atropine
muscarinic antagonist, treats bradycardia, dilates pupils
scopolamine
muscarinic antagonist, vestibular stimulation, locally for motion sickness
hexamethonium
nicotinic antagonist, treats hypertension by lowering autonomic ganglia’s predominant input
epinephrine
nonselective agonist, heart, lungs, vasculature (cardiac arrest, anaphylaxis)
norepinephrine
agonist of alpha1, beta1, heart and vasculature, treats hypotension
phenylephrine
Alpha 1 agonist, treats hypotension
clonidine
Alpha 2 agonist, decreases NE secretion at synapse, treats hypertention
isoproterenol
Beta1 and 2 agonist, heart, treats hypotension
terbutaline, albuterol
Beta 2 agonist, treats asthma
cocaine, amphetamine, ephedrine
indirect sympthomimetic psychostimulant
imipramine
indirect sympthomimetic antidepressant
tyramines can’t be broken down by MAOs (MAO inhibition)
hypertensive crisis when ______ causes increase in NE
phenoxybenzamine,
alpha blocker, noncompetitive, treats hypertension
phentolamine
alpha blocker, competitive, treats hypertension
prazonsin
Alpha 1 blocker, treats hypertension
yohimbine
Alpha 2 blocker, treats erectile dysfunction
propranolol, pindolol, timolol
nonspecific beta blockers: reduce cardiac output, bronchoconstriction
atenolol
Beta 1 blocker, treats hypertension
carvedilol
Beta 1 & Alpha 1 blocker, lowers cardiac output and vasodilates
methyldopa
false transmitter for NE, alpha 2 agonist (treats hypertension)
reserpine
lowers NE uptake by VMAT, treats hypertension
EDTA
Lead and Ca chelator
Calcium Disodium EDTA
lead chelator, not Ca, fewer side effects than EDTA
Dimercaprol (BAL)
Pb, As, Hg, Ag chelator
Penicillamine (Cuprimine)
Pb and Cu chelator
DMSA (2,3-dimercaptosuccinic acid)
Pb chelator with multistep therapy to combat rebound
deferoxamine
Fe chelator, treats hemochromatosis
diphenhydramine (benadryl), dimenhydrinate (dramamine), Chlorpheniramine (chlortrimeton), Cyclizine (Marezine), Meclizine (Antivert, Bonine), Promethazine (Phenergan)
treat allergies by blocking peripheral H1 receptors + CNS
Loratadine, Desloratadine, fexofenide, Cetirizine (Claritin, Clarinex, Allegra, Zyrtec)
treat allergies by blocking peripheral H1 receptors (not in CNS)
Cimetidine, Ranitidine, Famotidine (Tagamet, Zantac, Pepcid)
treat stomach acid but lowering gastric acid secretion (H2)
PGI2 (prostacyclin)
COX path: vasodilation, lowers platelet aggregation, lows gastric acid, increases mucus in stomach
PGE2 (causes fever, pain) PGF2alpha, Misoprostol
COX path: induces labor, increases uterine contraction
TXA2 (thromboxane A2)
COX path: increases platelets (TXB2 is product)
corticosteroids
COX and Lipox pathway: anti-inflammation through lowered formation of free arachadonic acid
LTB4
Lipoxy path: BLT1 receptor, attracts neutrophils
LTC4
Lipoxy path: cycLT2 receptor, causes edema
LTD4
Lipoxy path: cysLT1 receptor, causes bronchoconstriction
Zileuton (Zyflo)
Lipoxy path: decreases 5-lipoxygenase, treats asthma, allergies
aspirin
analgesic, antipyretic, anti-inflammatory: irreversibly inhibits COX, inhibits TXA at low doses
salsalate
analgesic, antipyretic, anti-inflammatory: weakly inhibits COX, less GI irritation
sodium salicylate
analgesic, antipyretic, anti-inflammatory: reversibly inhibits COX1,2, NF-kb
diflusinal
analgesic, antipyretic, anti-inflammatory: competitively binds COX
mesalamine, sulfasalazine
reversibly inhibits COX, treat inflammatory bowel disease
acetaminophen (tylenol)
antipyretic, analgesic. Induces M404 in CNS, which reduces COX, not a good anti-inflammatory
N-acetylcysteine
antidote for acetominophen OD, repletes glutathione levels in liver
Indomethacin/Indocin (CNS side effects), Sulindac
Nonselective COX inhibitors: analgesics for arthritis (joints)
Ibuprofen, naproxen
Nonselective COX inhibitors: analgesics for arthritis, dysmenorrhea (joints and muscles)
ketorolac (Toradol)
Nonselective COX inhibitor: post-surgical
Celecoxib (Celebrex), Rofecoxib (Vioxx)
COX-2 selective inhibtors: no GI side effects, but increased TXA causes cardiac effects