EXAM Flashcards
What is a drug used in Huntington’s Disease?
Tetrabenazine
What is the MOA of Tetrabenazine and what symptom does it specifically treat?
MOA: blocks VMATs, competitively binds to dopamine receptors in the synapses
Tx: Chorea
Carbidopa and Levodopa are used in conjunction to treat which condition?
Parkinson’s disease
Describe the MOA of Levodopa and Carbidopa
Levodopa: precursor to dopamine
Carbidopa: Prevents the peripheral breakdown of Levodopa
Which class of drugs is used to treat Alzheimers?
Acetylcholinesterase Inhibitors
Name an Acetylcholinesterase inhibitor used to treat Alzheimers?
Donezepil
Name two drugs used to treat ALS
Riluzole and Edaravone
Name the MOA of Riluzole and Edaravone
Riluzole: overall MOA is to inhibit excitation
Edaravone: prevents oxidative stress from inducing motor neurone death
What class is the drug Memantine and what is it used to treat?
NMDA antagonist
Alzheimers
Hypercalcaemia is a result of which condition?
Hyperparathyroidism
List three drugs for the treatment of Hyperparathyroidism
Denosumab, Raloxefine, Risedronate
List the MOA for Denosumab and its class
MOA: inhibits RANKL -> inhibits resorption
Class: recombinant human monoclonal antibody
MOA and Class for Raloxefine
MOA: stimulate osteoblast activity
Class: SERM (acts like estrogen)
MOA and Class for Risedronate
MOA: inhibit bone resorption by inhibiting osteoclast activity
Class: Bisphosphonate
List the available Tx for Hypoparathyroidism
Dietary Calcium/ Vitamin D
What is the common name given to a Hypothyroidism condition?
Hashimoto’s Autoimmune Thyroiditis
List the fast/slow response drugs for Hashimoto’s
Slow: Levothyroxine (T4)
Fast: Liothyronine (T3) -> can’t use long term
What is a name given to a hyperthyroidism conditions
Graves disease
Name a drug Tx for Graves disease
Carbimazole
Name the MOA and Class for Carbimazole
MOA: blocks hormone synthesis, inhibits peripheral conversion of T4 to T3
Class: Thioureylene
Which is the first line treatment for Crohn’s disease and name its MOA
Mesalamine
MOA: stops leyukotrine production
What is the main Tx option for Ulcerative Colitis and why is it used?
Sulfalazine
The sulphur is cleaved off the drug by colonic bacteria to form the metabolite mesalamine
List four drugs as a part of the step-up approach for treating UC and Crohn’s
- Mesalamine
- prednisone
- mecaptopurine
- infliximab
List the main Tx for Type One Diabetes
Recombinant Insulin
What is the FIRST LINE treatment for Type 2 diabetes?
Lifestyle Tx
List two drugs that are used in type 2 diabetes and their class
Metformin - biguanide
Tolbutamide - sulfonylureas
What is the MOA of metformin?
increases glucose uptake in the muscle
What is the MOA of Tolbutamide?
Stimulate insulin secretion
Cushings disease is a result of excess…?
steroid hormone
Name a drug Tx for cushings and its MOA
Metyrapone
MOA: inhibits glucocorticoid synthesis by inhibiting 11-Beta hydroxylase
What is the treatment for Addisons disease?
replacement mineralocorticoid and glucocorticoids
What is the action of oestrogen (HRT)?
inhibits secretion of FSH via negative feedback - it inhibits follicle maturation and ovulation
What is the role of progestin (HRT)?
inhibits synthesis of LH and thickens cervical mucous
List the two drugs used for emergency contraception
Levonorgestrel and Ulipristal
What is the MOA of Levongesterel?
prevents LH surge
What is the MOA of Ulipristal?
prevents or delays ovulation (main MOA unknown)
Which two drugs are used in combination for the termination of pregnancy and what are their MOAs?
Mifepristone: competitive inhibitor of the progesterone receptor
Misopristol: a prostaglandin pill which induces contractions
Latrozole and Anastrozole are examples of what?
Aromatase inhibitors
What is the MOA of an aromatase inhibitor?
blocks the synthesis of testosterone to oestrogen
Which drug can be used to slow breast cancer growth?
Tamoxifen (prevents the gene transcription)
Name an injectable drug used to treat erectile dysfunction
Alprostadil
What is the MOA of Alprostadil?
Activates the PGE pathway
The gel nitroglycerin does what?
converts NO2 to NO
Name a tablet used to treat ED
Slidenafil (Viagra)
What is the MOA of sildenafil?
inhibits the PDE5 pathways (inhibits an inhibitory pathway)
What are the two types of drugs relevant to childbirth?
Tocolytics and oxytocics
What type of drug is Salbutamol and what is its MOA?
Tocolytic and a beta adrenergic receptor agonist
What type of drug is Misoprostol in relation to childbirth and what is its MOA?
Oxytocic
MOA: prostaglandin receptor agonist (uterine contractions)
Name the drug used to treat postpartum haemorrhage
Ergometrine