Drugs Not in Lange Flashcards
1
Q
Pegvisomant
A
- growth hormone (GH) receptor antagonist
- treatment for acromegaly
2
Q
Conivaptan
A
-ADH inhibitor
3
Q
Tolvaptan
A
-ADH inhibitor
4
Q
Lispro
A
- insulin
- rapid acting
5
Q
Aspart
A
- insulin
- rapid acting
6
Q
Glulisine
A
- insulin
- rapid acting
7
Q
NPH
A
- insulin
- intermediate acting
- combination of insulin (neg. charge) w/ protamine (pos. charge) such that neither is present in uncomplexed form
- action is highly unpredictable and clinical use is waning
8
Q
Pramlintide
A
- amylin analog
- treats DM1 and DM2
- decreases gastric emptying
- decreases glucagon
- toxicities: hypoglycemia, nausea, diarrhea
9
Q
Triiodothyronine
A
- thyroxine replacement
- treatment of hypothyroidism and myxedema
- toxicity: tachycardia, heat intolerance, tremors, arrhythmias
10
Q
Ristocetin
A
- activates vWF to bind to GpIb
- useful for diagnosis: normal platelet aggregation response is not seen in von Willebrand disease
11
Q
Eculizumab
A
- monoclonal antibody that is a first-in-class terminal complement inhibitor
- treats paroxysmal nocturnal hemoglobinuria
12
Q
Cladribine (2-CDA)
A
- an adenosine analog (inhibits adenosine deaminase)
- treatment for hairy cell leukemia
13
Q
Tenecteplase
A
- TNK-tPA
- thrombolytic
- directly or indirectly aid conversion of plasminogen to plasmin, which cleaves thrombin and fibrin clots
- increase PT and PTT
- no change in platelet count
- treatment in early MI, early ischemic stroke, direct thrombolysis of severe PE
- adverse effect: bleeding
14
Q
Adriamycin
A
- similar to doxorubicin and daunorubicin
- antitumor antibiotic
- generates free radicals
- intercalates in DNA –> breaks in DNA –> dec. replication
- treatment for solid tumors, leukemias, lymphomas
- toxicity: cardiotoxic (dilated cardiomyopathy), myelosuppresion, alopecia, toxic to tissues following extravasion
- Dexrazoxane (iron chelating agent) is used to prevent cardiotoxicty
15
Q
Irinotecan
A
- inhibit topoisomerase I and prevent DNA unwinding and replication
- treatment for colon cancer
- toxicity: severe myelosuppression, diarrhea
16
Q
Topotecan
A
- inhibit topoisomerase I and prevent DNA unwinding and replication
- treatment for ovarian cancer and small cell lung cancer (SCLC)
- toxicity: severe myelosuppression, diarrhea
17
Q
Vemurafenib
A
- small molecule inhibitor of forms of the B-Raf kinase with the V600E mutation
- treatment for metastatic melanoma
18
Q
Bevacizumab
A
- monoclonal antibody against VEGF
- inhibits angiogenesis
- treatment for solid tumors (colorectal cancer, renal cell carcinoma)
- toxicity: hemorrhage and impaired wound healing
19
Q
Ketorolac
A
-NSAID
20
Q
Febuxostat
A
- non-purine inhibitor of xanthine oxidase
- treatment for gout
- less side effects than allopurinol
21
Q
Nimodipine
A
-calcium channel blocker that helps reduce brain damage after a bleed
22
Q
Cabergoline
A
- dopamine agonist
- treatment for prolactinoma
23
Q
Curare
A
- alkaloid poison extracted from plants
- competes with ACh for receptors on the motor end plate
- decreases size of end plate potential (EPP)
- maximal doses produce paralysis of respiratory muscles and death
24
Q
Hemicholinium
A
- blocks reuptake of choline into presynaptic terminal
- depletes ACh stores from presynaptic terminal
25
Yohimbine
-alpha-2 antagonist
26
Cyclopentolate
- muscarinic antagonist
- used in pediatric eye exams
- produces mydriasis and cycloplegia (reduced accommodation)
- short acting
27
Darifenacin
- muscarinic antagonist
- genitourinary
- reduces urgency in mild cystitis and reduces bladder spasms
28
Solifenacin
- muscarinic antagonist
- genitourinary
- reduces urgency in mild cystitis and reduces bladder spasms
29
Tolterodine
- muscarinic antagonist
- genitourinary
- reduces urgency in mild cystitis and reduces bladder spasms
30
Trospium
- muscarinic antagonist
- genitourinary
- reduces urgency in mild cystitis and reduces bladder spasms
31
Glycopyrrolate
- muscarinic antagonist
- gastrointestinal, respiratory
- parenteral: preoperative use to reduce airway secretions
- oral: treats drooling, peptic ulcer
32
Hemicholinium
-blocks choline transport into the presynaptic cleft
33
Vesamicol
-prevents vesicle formation for acetylcholine (ACh)
34
Metyrosine
-blocks tyrosine hydroxylase from converting tyrosine to DOPA
35
alpha-methyldopa
- alpha-2 agonist (sympatholytic)
- treats HTN in pregnancy
- safe in pregnancy
- Toxicity: Direct Coombs positive hemolytic anemia, SLE-like syndrome
36
Fomepizole
- inhibits alcohol dehydrogenase
| - an antidote for methanol and ethylene glycol poisoning
37
Mexilente
Class IB antiarrhythmic
38
Teriparatide
- PTH analog
- given in pulsatile fashion to treat osteoporosis
- decreases hip fracture rate by 53%
- duration of therapy not to exceed 2 yrs, must use bisphosphonate after stopping PTH to maintain BMD
39
Denosumab
- RANK-L inhibitor that inhibits osteoclast activity
| - treatment for osteoporosis
40
Aldesleukin
- recombinant IL-2
- stimulates T cells
- treats renal cell carcinoma and metastatic melanoma
41
Sargramostim
- GM-CSF analog
| - recovery of bone marrow
42
Filgrasstim
- G-CSF analog
| - recovery of bone marrow
43
Epoetin alfa
- recombinant erythropoietin
| - treat anemia (especially in renal failure)
44
Oprelvekin
- IL-11 derivative
| - used to treat thrombocytopenia
45
IFN-alpha
-used to treat hep B and C; kaposi sarcoma, hairy cell leukemia, condyloma acuminatum, renal cell carcinoma, malignant melanoma
46
IFN-beta
-used to treat MS
47
IFN-gamma
-used to treat chronic granulomatous disease (CGD)
48
Basiliximab
- monoclonal antibody
- blocks IL-2R
- used in kidney transplant rejection prophylaxis
- toxicity: edema, hypertension, tremor
49
Muromonab
- monoclonal antibody
- binds to CD3 on surface of T cells
- interferes with T cell signal transduction
- used in transplants
50
Daclizumab
- binds to CD25, which is IL-2 receptor on activated T cells
- blocks IL-2 signaling
- similar to Sirolimus
51
Alemtuzumab
- target is CD52
- used in CLL
- on binding of CD52, alemtuzumab initiates a direct cytotoxic effect through complement fixation and antibody-dependent, cell-mediated cytotoxicity
52
Bevacizumab
- target is VEGF
| - used in colorectal cancer and renal cell carcinoma
53
Cetuximab
- target is EGFR
| - treats stage IV colorectal cancer, head and neck cancer
54
Natalizumab
- target is alpha-4-integrin (necessary for leukocyte adhesion)
- prevents leukocyte adhesion
- treatment for MS and Crohn disease
- risk of PML in patients with JC virus
55
Denosumab
- target is RANKL
- treatment of osteoporosis
- inhibits osteoclast maturation (mimics osteoprotegrin)
56
Omalizumab
- target is IgE
- treatment of severe allergic asthma (very expensive)
- prevents IgE binding to Fc-epsilon-R1
57
Palivizumab
- target is RSV F protein
| - RSV prophylaxis for high-risk infants
58
Pimecrolimus
- similar to sirolimus
- used topically
- inhibits calcineurin
- binds FK506 bindings protein (FKBP)
- blocks T cell activation by preventing IL-2 transcription
- rejection prophylaxis
- increases risk of diabetes and neurotoxicity
59
Pramipexole
- dopamine agonist
- non-ergot (does not cause peripheral vasoconstriction or inc. BP)
- preferred over Bromocriptine, which is an ergot dopamine agonist
60
Ropinirole
- dopamine agonist
- non-ergot (does not cause peripheral vasoconstriction or inc. BP)
- preferred over Bromocriptine, which is an ergot dopamine agonist
61
Entacapone
- COMT inhibitor
- prevents dopamine breakdown
- prevents L-dopa degradation
- often given in conjunction with L-dopa and Carbidopa
- increase dopamine availability
62
Tolcapone
- COMT inhibitor
- prevents dopamine breakdown
- prevents L-dopa degradation
- often given in conjunction with L-dopa and Carbidopa
- increase dopamine availability