Drugs list Block 13 Flashcards
Isoniazid
Prodrug- inhibits synthesis if mycelic acids in mycobacterium TB cell wall
Bacteriacidal
Treats TB
Ethambutol
Inhibits arabinosyl transferases involved in cell wall synthesis to increase cell wall permeability
Bacteriacidal
Treats TB
Pyrazinamide
Active only at slightly acidic pH
Disrupts membrane potential and interferes with fatty acid synthesis
BActeriacidal
Treats TB
Salbutamol
Beta 2 agonist
Short acting, causes bronchodilator
Asthma
Salmetrol
Beta 2 agonist
Long acting
Asthma
Formetrol
Long acting beta 2 agonist
Quicker acting and more potent than salmetrol
Asthma
Budesonide
Inhibits mast cells, eosinophils, neutrophils, macrophages and lymphocytes Anti-inflammatory Corticosteroid Asthma Crohn UC
Montelukast
Leukotriene receptor antagonist
Used for asthma if beta agonists and steroids not effective
Ipratropium
Anticholinergic agent
Inhibits muscarinic cholinergic receptors, resulting in decrease in cGMP concentration and causing smooth muscle relaxation
COPD
Verapamil
Blocks L type calcium channels in heart to reduce heart rate and blood pressure
Class IV antiarrythmic
Diltiazem
Blocks calcium channels so less intracellular calcium- causes coronary artery dilation, increases oxygen to myocardium, decreases blood pressure and reduces after load
Calcium channel inhibitor
Hypertension
Angina
Atropine
Inhibits muscarinic M2 receptor
Treats bradycardia
Glyceryl trinitrate
Nitroglycerin converted to NO- activates gluanylate cyclase- stimulates CGMP- activates protein kinase G- vasodilation
Angina treatment
Amiodarone
Class III antiarrythmic
Prolongs myocardial action potential by blocking K channels
Treats AF and VF
Adenosine
Inhibits slow inward calcium channels and activation of adenylate cyclase, causes relaxation of smooth muscles. Needed to slow conduction through AV node
Antagonised by methylxantines like caffeine
Treats SVT