Drugs to Know 3 Flashcards
Antacids
Preanesthetic Medication
facilitate smooth induction of anesthesia
Anticholinergics
Preanesthetic Medication
facilitate smooth induction of anesthesia;
prevent bradycardia and secretion of fluids into the respiratory tract
Antiemetics
Preanesthetic Medication
facilitate smooth induction of anesthesia;
prevent nausea and possible aspiration of stomach contents
Antihistamines
Preanesthetic Medication
facilitate smooth induction of anesthesia;
prevention of allergic reactions
Benzodiazepines
Preanesthetic Medication; General Anesthetic: IV
facilitate smooth induction of anesthesia
Opioids
Preanesthetic Medication
facilitate smooth induction of anesthesia
Desflurane
General Anesthetic: Inhaled
no specific receptor; interactions with proteins comprising ion channels; some facilitate GABA mediated inhibition and others antagonize the excitatory action of glutamic acid
Isoflurane
General Anesthetic: Inhaled
no specific receptor; interactions with proteins comprising ion channels; some facilitate GABA mediated inhibition and others antagonize the excitatory action of glutamic acid
Nitrous Oxide
General Anesthetic: Inhaled
no specific receptor; interactions with proteins comprising ion channels; some facilitate GABA mediated inhibition and others antagonize the excitatory action of glutamic acid
Sevoflurane
General Anesthetic: Inhaled
no specific receptor; interactions with proteins comprising ion channels; some facilitate GABA mediated inhibition and others antagonize the excitatory action of glutamic acid
Barbiturates
General Anesthetic: Intravenous
exact mechanism of action unknown; thought to be similar to inhaled
Etomidate
General Anesthetic: Intravenous
exact mechanism of action unknown; thought to be similar to inhaled
Ketamine
General Anesthetic: Intravenous
exact mechanism of action unknown; thought to be similar to inhaled
Opioids
General Anesthetic: Intravenous
exact mechanism of action unknown; thought to be similar to inhaled
Propofol
General Anesthetic: Intravenous
exact mechanism of action unknown; thought to be similar to inhaled
Benoxinate
Local Anesthetic: Topical
bind to a location on the Na channel; alters depolarization (blocks channel); increase recovery time; primarily used to block information about painful stimuli from the point of stimulus to the spinal column
Cocaine
Local Anesthetic: Topical
bind to a location on the Na channel; alters depolarization (blocks channel); increase recovery time; primarily used to block information about painful stimuli from the point of stimulus to the spinal column
also has alpha adrenergic agonist activity; causes vasoconstriction
Lidocaine
Local Anesthetic: Topical
bind to a location on the Na channel; alters depolarization (blocks channel); increase recovery time; primarily used to block information about painful stimuli from the point of stimulus to the spinal column
Proparacaine
Local Anesthetic: Topical
bind to a location on the Na channel; alters depolarization (blocks channel); increase recovery time; primarily used to block information about painful stimuli from the point of stimulus to the spinal column
Tetracaine
Local Anesthetic: Topical
bind to a location on the Na channel; alters depolarization (blocks channel); increase recovery time; primarily used to block information about painful stimuli from the point of stimulus to the spinal column
Articaine
Local Anesthetic: Injection
bind to a location on the Na channel; alters depolarization (blocks channel); increase recovery time; primarily used to block information about painful stimuli from the point of stimulus to the spinal column
Bupivicaine
Local Anesthetic: Injection
bind to a location on the Na channel; alters depolarization (blocks channel); increase recovery time; primarily used to block information about painful stimuli from the point of stimulus to the spinal column
Mepivicaine
Local Anesthetic: Injection
bind to a location on the Na channel; alters depolarization (blocks channel); increase recovery time; primarily used to block information about painful stimuli from the point of stimulus to the spinal column
Procaine
Local Anesthetic: Injection
bind to a location on the Na channel; alters depolarization (blocks channel); increase recovery time; primarily used to block information about painful stimuli from the point of stimulus to the spinal column
Succinylcholine
Neuromuscular Blocker
produce muscle paralysis; lack CNS activity;
depolarizing agent - reacts with nicotinic receptor to open the ion channel and cause depolarization; muscle fibers remain depolarized because succinlycholine is not metabolized at the synapse; flaccid paralysis results because the muscle fibers can’t repolarize (phase I block)
Cisatracurium
Neuromuscular Blocker
produce muscle paralysis; lack CNS activity;
non-depolarizing agent - competes with acetylcholine for binding site; will also enter and block the ion channel at high doses
Rocuronium
Neuromuscular Blocker
produce muscle paralysis; lack CNS activity;
non-depolarizing agent - competes with acetylcholine for binding site; will also enter and block the ion channel at high doses
Vecuronium
Neuromuscular Blocker
produce muscle paralysis; lack CNS activity;
non-depolarizing agent - competes with acetylcholine for binding site; will also enter and block the ion channel at high doses
Baclofen
Centrally Acting Spasmolytic Drug
reduce spasticity and muscle spasms; CNS depressant; interrupt neuronal communication resulting in sedation and alteration of pain perception
*main effect at GABA receptors; inhibits spinal reflexes
Carisoprodol
Centrally Acting Spasmolytic Drug
reduce spasticity and muscle spasms; CNS depressant; interrupt neuronal communication resulting in sedation and alteration of pain perception
*interrupts neuronal communication; produces sedation and altered pain perception
Cyclobenzaprine
Centrally Acting Spasmolytic Drug
reduce spasticity and muscle spasms; CNS depressant; interrupt neuronal communication resulting in sedation and alteration of pain perception
*main effect at NE and 5HT receptors; increases transmission
Tizanidine
Centrally Acting Spasmolytic Drug
reduce spasticity and muscle spasms; CNS depressant; interrupt neuronal communication resulting in sedation and alteration of pain perception
*main effect at alpha-2 receptors; increase pre-synaptic motor neuron inhibition
Gabapentin
Centrally Acting Spasmolytic Drug
reduce spasticity and muscle spasms; CNS depressant; interrupt neuronal communication resulting in sedation and alteration of pain perception
*thought to bind to a carrier protein at a unique receptor; results in elevated GABA levels in the brain
Dantrolene
Direct Acting Muscle Relaxant
reduces skeletal muscle strength by interfering with excitation-contraction coupling in the muscle fibers; prevents release of calcium by blocking the channel in the sarcoplasmic reticulum; decreases intracellular calcium
Adrenocortioctropic Hormone (ACTH)
Anterior Pituitary Hormone
produced when stimulated by corticotropin hormone; ACTH binds to receptors in the adrenal cortex; stimulates the release of adrenocortiosteroids and adrenal androgens
Growth Hormone (GH)
Anterior Pituitary Hormone
released in response to growth hormone releasing hormone; secretion decreases with age; promotes cell proliferation, bone growth, cartilage synthesis, and others; synthetic GH is used to treat growth failure in children
Luteinizing Hormone (LH)
Anterior Pituitary Hormone- Gonadotropin
regulates gonadal steroid hormones
Follicle Stimulating Hormone (FSH)
Anterior Pituitary Hormone- Gonadotropin
regulates gonadal steroid hormones
Prolactin (PRL)
Anterior Pituitary Hormone
similar in structure to GH; secretion is inhibited by dopamine; primary function is to stimulate and maintain lactation; also involved in reproductive function and immune function
Thyroid Stimulating Hormone
Anterior Pituitary Hormone
Growth Hormone Releasing Hormone
Hypothalamus Hormone
Growth Hormone Inhibiting Hormone
Hypothalamus Hormone
suppress GH and thyroid-stimulating hormone release; also inhibits release of insulin, glucagon, and gastrin
Gonadotropin Releasing Hormone (GnRH)
Hypothalamus Hormone
essential for the release of follicle-stimulating hormone (FSH) and luteinizing hormone (LH) from the pituitary; must be pulse dose- continuous dose actually inhibits release; synthetic GnRH can be used to suppress production of gonadal hormones; administered continuously
Corticotropin Releasing Hormone
Hypothalamus Hormone
Thyrotropin Releasing Hormone
Hypothalamus Hormone
Oxytocin
Hormone of the Posterior Pituitary
hypothalamus synthesizes the precursors; transported to posterior pituitary and stored;
stimulates uterine contraction and milk injection; used clinically to induce labor
Vasopressin/ADH
Hormone of the Posterior Pituitary
hypothalamus synthesizes the precursors; transported to posterior pituitary and stored;
increases water permeability and reabsorption in the kidney; used clinically to treat diabetes insipidus; also causes constriction of vascular smooth muscle
Iodine and potassium iodide
Drug Affecting the Thyroid
inhibits the production of hormone; mechanism not known
Liothyronine
Drug Affecting the Thyroid
treatment of hypothyroidism
Levothyroxine
Drug Affecting the Thyroid
treatment of hypothyroidism
Methimazole
Drug Affecting the Thyroid
inhibition of thyroid hormone synthesis; inhibit step in production of hormone; have no effect on hormone already stored; may cause delay in effect
Propylthiouracil
Drug Affecting the Thyroid
inhibition of thyroid synthesis; inhibit step in production of hormone; have no effect on hormone already stored; may cause delay in effect
Estradiol
Estrogen
steroid hormones diffuse across cell membrane and bind to estrogen receptors; activated complex interacts with nuclear chromatin to initiate RNA synthesis
most potent estrogen produced by the ovary; principal estrogen in the premenopausal woman
Estrone
Estrogen
steroid hormones diffuse across cell membrane and bind to estrogen receptors; activated complex interacts with nuclear chromatin to initiate RNA synthesis
metabolite of estradiol also produced by the ovary; primary circulating estrogen after menopause
Estriol
Estrogen
steroid hormones diffuse across cell membrane and bind to estrogen receptors; activated complex interacts with nuclear chromatin to initiate RNA synthesis
metabolite of estradiol; produced by the placenta; present in significant amounts during pregnancy
Leuprolide
GnRH Analog
pulse dose causes an increase in the production of FSH and LH; males- stimulate spermatogenesis and testosterone production; females- induce ovulation or treat primary hypothalamic amenorrhea;
chronic administration leads to a decrease in production of FSH and LH; due to a decrease in receptor density; males- treatment of advanced prostate cancer and prostatic hyperplasia; females- treatment of endometriosis, polycystic ovary disease, and other uterine disorders
Gonadorelin
GnRH Analog
pulse dose causes an increase in the production of FSH and LH; males- stimulate spermatogenesis and testosterone production; females- induce ovulation or treat primary hypothalamic amenorrhea;
chronic administration leads to a decrease in production of FSH and LH; due to a decrease in receptor density; males- treatment of advanced prostate cancer and prostatic hyperplasia; females- treatment of endometriosis, polycystic ovary disease, and other uterine disorders
Nafarelin
GnRH Analog
pulse dose causes an increase in the production of FSH and LH; males- stimulate spermatogenesis and testosterone production; females- induce ovulation or treat primary hypothalamic amenorrhea;
chronic administration leads to a decrease in production of FSH and LH; due to a decrease in receptor density; males- treatment of advanced prostate cancer and prostatic hyperplasia; females- treatment of endometriosis, polycystic ovary disease, and other uterine disorders
Raloxifene
Selective Estrogen-Receptor Modulator
interact at estrogen receptors; compete with estrogen for binding in breast tissue; causes regression of some breast tumors; decreases bone resorption and overall bone turnover; little effect on endometrium; lower risk of uterine cancer
Tamoxifen
Selective Estrogen-Receptor Modulator
interact at estrogen receptors; compete with estrogen for binding in breast tissue; causes regression of some breast tumors; decreases bone resorption and overall bone turnover; little effect on endometrium; lower risk of uterine cancer
Clomiphene
Selective Estrogen-Receptor Modulator
interact at estrogen receptors;
Drospirenone
Progestogen
produced in response to LH in both males and females;
in females, promotes development of secretory endometrium; accommodates implantation of embryo; continues to be secreted if conception takes place
Levonorgestrel
Progestogen
produced in response to LH in both males and females;
in females, promotes development of secretory endometrium; accommodates implantation of embryo; continues to be secreted if conception takes place
Medroxyprogesterone
Progestogen
produced in response to LH in both males and females;
in females, promotes development of secretory endometrium; accommodates implantation of embryo; continues to be secreted if conception takes place
Megestrol
Progestogen
produced in response to LH in both males and females;
in females, promotes development of secretory endometrium; accommodates implantation of embryo; continues to be secreted if conception takes place
Norelgestromin
Progestogen
produced in response to LH in both males and females;
in females, promotes development of secretory endometrium; accommodates implantation of embryo; continues to be secreted if conception takes place
Norethindrone
Progestogen
produced in response to LH in both males and females;
in females, promotes development of secretory endometrium; accommodates implantation of embryo; continues to be secreted if conception takes place
Preogesterone
Progestogen
produced in response to LH in both males and females;
in females, promotes development of secretory endometrium; accommodates implantation of embryo; continues to be secreted if conception takes place
Mifepristone
Antiprogestin
progesterone antagonist; partial agonist activity; administration in early pregnancy results in abortion of the fetus
Inhibitor of Adrenocorticoid Biosynthesis or Function
Testosterone
Androgen
bind to specific nuclear receptor; hormone-receptor complex binds to DNA and stimulates synthesis of specific RNAs and proteins
anabolic agent - promotes bone growth and prevents reabsorption, development of internal genitalia, increases muscle mass; androgenic agent- development of male secondary sexual characteristics
Bicalutamide
Antiandrogen
usually combined with GnRH analog to decrease LH and testosterone production
Flutamide
Antiandrogen
blocks action of testosterone in target organs
Nilutamide
Antiandrogen
usually combined with GnRH analog to decrease LH and testosterone production
Aspart
Diabetes - Insulin
insulin tells the cells to absorb and store glucose
Glulisine
Diabetes - Insulin
insulin tells the cells to absorb and store glucose
Lispro
Diabetes - Insulin
insulin tells the cells to absorb and store glucose
Regular Insulin
Diabetes - Insulin
insulin tells the cells to absorb and store glucose
NPH
Diabetes - Insulin
insulin tells the cells to absorb and store glucose
Detemir
Diabetes - Insulin
insulin tells the cells to absorb and store glucose
Glargine
Diabetes - Insulin
insulin tells the cells to absorb and store glucose
Pramlintide
Diabetes - Amylinomimetic
synthetic amylin analog; amylin is a hormone that is secreted along with insulin from beta cells following food intake; delays gastric emptying and decreases glucagon secretion; can be used as adjunct to mealtime insulin
Gliclazide
Diabetes - Sulfonylurea
helps the body secrete more insulin; binds to receptors in the beta cells causing K channels to close; depolarizes membrane; voltage-dependent calcium channels open in response; activates calcium-dependent proteins that control the release of insulin; insulin release is increased
Glimepiride
Diabetes - Sulfonylurea
helps the body secrete more insulin; binds to receptors in the beta cells causing K channels to close; depolarizes membrane; voltage-dependent calcium channels open in response; activates calcium-dependent proteins that control the release of insulin; insulin release is increased
Glipizide
Diabetes - Sulfonylurea
helps the body secrete more insulin; binds to receptors in the beta cells causing K channels to close; depolarizes membrane; voltage-dependent calcium channels open in response; activates calcium-dependent proteins that control the release of insulin; insulin release is increased
Glyburide
Diabetes - Sulfonylurea
helps the body secrete more insulin; binds to receptors in the beta cells causing K channels to close; depolarizes membrane; voltage-dependent calcium channels open in response; activates calcium-dependent proteins that control the release of insulin; insulin release is increased
Nateglinide
Diabetes - Meglitinide
stimulate the pancreas to secrete more insulin; faster acting with shorter duration of action than sulfonylureas; developed to decrease postprandial hyperglycemia; bind to same receptor in beta cells as sulfonylureas; different site; cause similar release of insulin
Repaglinide
Diabetes - Meglitinide
stimulate the pancreas to secrete more insulin; faster acting with shorter duration of action than sulfonylureas; developed to decrease postprandial hyperglycemia; bind to same receptor in beta cells as sulfonylureas; different site; cause similar release of insulin
Metformin
Diabetes - Biguanide
lowers glucose production in the liver and improves body’s sensitivity to insulin; decreases glucose production in the liver; increases hepatic sensitivity to insulin; reduces energy supply for production; decreases the amount of carbohydrate absorbed from intestines; increases insulin sensitivity in all cells and increases uptake in skeletal muscle
Pioglitazone
Diabetes - Thiazolidinediones
improves whole-body insulin sensitivity; agonist at peroxisome proliferator-activated receptor-gamma; results in transcription of a number of insulin-sensitive genes; promotes or enhances the local effects of insulin