Exam 2 Pharm II Flashcards
Why dont endectocides such as MCL not act on human gaba and glutamate receptors?
Drugs are not absorbed from the GI tract or they do not cross the BBB into the CNS
What is the MOA of Bromocriptine & Cabergoline
Dopamine agonist and inhibit prolactin –> luteolysis
In cattle, what is ivermectin effective against? How can it be administered?
Gastrointestinal roundworms
– Lungworms (Dictyocaulus viviparus)
– Cattle grubs (Hypoderma bovis, H. lineatum)
– Suckling lice
– Mites or scabies (Psoroptes ovis, Sarcoptes scabiei var. bovis)
–horn flies (Haematobia irritans) and biting lice
3 routes: ORAL INJECTABLE and POUR ON
What are the uses of Mirtazapine?
Antidepressant & Antiemetic & Appetite Stimulant (in Dogs)
- A TCA that enhances noradrenergic and serotonergic activity by antagonizing central presynaptic a2‐ adrenergic inhibitory autoreceptors and heteroreceptors
- A potent antagonist of 5HT2 and 5HT3 receptors
What toxicity are you concerned about for Chloramphenicol in owners that have to handle the drugs?
Bone marrow toxicity- can cause anemias and leukopenia
What do you call an aggregate of microorganisms in which the cells are embedded within a self-produced matrix of extracellular polymeric substance (called ‘slime’) are adhered to each other and/or to a surface (surgical implants, catheters, bladder, teeth)
Biofilm!!
Pseudomonas likes to do this
What is Selamectin effective against?
REVOLUTION
- Prevents heartworm disease (Dirofilaria immitis)
- Ear mite (Otodectes cynotis) in dogs and cats
- Sarcoptic mange and ticks in dogs
- Kills adult fleas and prevents flea eggs from hatching for 1 month
- Treats intestinal hookworm and roundworm
TOPICAL, MONTHLY
OK in collies
Copper sulfate (5% or 2%) and sodium bicarbonate (10%) are used for what purpose in ruminants?
closure of the esophageal groove
Which of the following agents is used to induce ovulation in the mare?
a. estradiol
b. diethylstilbestrol (DES)
c. altrenogest
d. eCG (FSH)
e. hCG
hCG
What are the adverse effects of prolactin inhibitors/ergoline derivatives?
Vomiting, Anorexia, Depression, Behavior changes
Which of the following is the drug of choice (most commonly used) for induction of parturition in the mare?????
a. dexamethasone
b. oxytocin
c. PGF2à
d. ergonovine
e. bromocriptine
b. oxytocin
An anthelmintic drug approved in lactating dairy cattle is????
a. ivermectin
b. levamisole
c. albendazole
d. morantel
e. moxidectin
d. morantel (also fenbendazole, eprinomectin)
What drugs can you use to treat sarcocystis neurona (EPM) in horses?
Nitazoxanide (Navigator)
Ponazuril (Marquis)
Diclazuril (Protazil)
What are two opiod antidiarrheal drugs? What are their actions?
Diphenoxylate (Lomotil) and Loperamide (Immodium)**
Inhibit propulsive motility
increase segmental motility
decrease intestinal secretions
inhibit defecation reflex
Which antibiotic causes cartilage damage in growing dogs?
Fluoroquinolones
she also mentioned that it can cause blindness in cats
What is the difference b/w intrinsic resistance and acquired resistance?
-
Intrinsic resistance- the bacterium naturally does not posses the drugs target or does not exist in an environment that allows the antibiotic to work. The drug was never going to be effective.
- Eg. Aminoglycosides require oxygen to work, they will not be effective against obligate anaerobes.
-
Acquires resistance - change of a normally susceptible bacteria to a resistant one. Occurs via:
- chromosomal mutation
- transfer of genes- (conjugation, transduction, transformation)
What can you give to a small animal to reduce the side effects of PGF2a? What kind of antagonism is this?
Atropine - physiological antagonism
A drug used in pseudopregnancy in the bitch by inhibiting prolactin through stimulation of dopamine receptors is???
a. mibolerone
b. bromocriptine
c. testosterone
d. megestrol acetate
e. dexamethasone
b. bromocriptine
What should you use to treat babesiosis in horses?
Imidocarb
What is Milbemycin Oxime effective against?
Used in dogs over 8 weeks of age for:
– Prevention of heartworm disease (Dirofilaria immitis) for 30 days
– Hookworm (Ancylostoma caninum)
– Roundworm (Toxocara caninum)
– Whipworm (Trichuris vulpis)
What is pyrantel effective against in small animals, horses and swine?
Dogs/Cats- Ascarids, Hookworms (NOT whips)
Horses- Pinworms, roundowrms, strongyles, anoplocephala perfoliata
Swine- Ascaris suum and nodular worms
What drugs are used for contraception/supression of estrus in bitches and queens?
Megestrol acetate
Which Neurokinin antogonist blocks neurokinin 1 (NK1) receptors thus preventing substance P from binding, resulting in an antiemetic effect?
Maropitant citrate (Cerenia)
Oral or injectable in dogs
Prevents acute vomiting due to motion sickness and may be effective in treating vomiting due to viral infections and anticancer chemotherapy
T/F: Beta-Blockers inhibit Renin
True
Inhibition of renin secretion= Angiotensin II, ADH, Hypertension, Increased reabsorption of sodium and Beta1‐Adrenergic blockers
A two-year-old bitch received estrogen for pregnancy termination. She developed signs of pyometra (a purulent vaginal discharge, anorexia, fever, depression, polyuria and polydipsia). Systemic bactericidal antibiotic therapy should be combined with
a. megesterol acetate
b. estradiol
c. hCG
d. PGF2a
e. eCG
PGF2a
What 3 things can you use to treat Rumen atony?
-
Cholinergics - SQ to prevent systemic effect
- Bthanechol ($$$), Neostigmine SQ
-
Bitters- stimulates salivation to indirectly stimulate rumen motility
- Ginger, capsicum, methyl salicylate
-
Magnesium hydroxide = antacid, laxative and adsorbent
- Mg is not absorbed and thus osmotically pulls water into the rumen. The increase water will sitimulate movement
Which of the following is LEAST likely a therapeutic use of progestins??
a. contraception in small animals
b. ovarian follicular cysts in cattle
c. synchronization of estrus in large animals
d. growth promotion in cattle
e. behavioral problems in male cats
b. ovarian follicular cysts in cattle
which drug does this?
What is the main action of prostoglandin F2a?
Leuteolysis –> decrease serum progesterone
also stimulates uterine contraction secondary* to luteolysis
What is the drug of choic for treating toxoplasmosis in cats and dogs?
Clindamycin
ORAL
What is the MOA and use of Cisapride (Propulsid)?
MOA: 5-HT4/Serotonin agonist in enteric neurons
Use: prokinetic with no secretion for the entire GIT (including Colon and esophagus)
What anticestocidal is effective against anoplocephala, Taenia pisiformis, Diphyliddium and Echinococcus granulosus?
Praziquantel - acts on tegument
Which of the following is LEAST likely an adverse effect of progestins????? (pick all that apply)
a. uterine prolapse
b. hyperglycemia
c. pyometra
d. inhibition/atropy of the adrenal cortex
e. mammary hyperplasia
f. decreased appetite
uterine prolapse and decrease appetite
progestins decrease uterine contractions and increase appetite
What does Ursodiol (Actigall) do? When is it contraindicated?
Choleretic (increase bile flow) and may have immune-modulating properties - use in chronic inflammatory liver disease in small animals (Cholangiohepatitis)
Contraindicated in bilary obstruction and may interfere with bile acid tests
What are uses of H2 Blockers?
- Peptic ulcer
- Gastric erosive disease
- Gastroesophageal reflux disease
- Duodenal ulcer
- Cimetidine is used in the treatment of equine melanoma (as immunomodulator)
- Ranitidine or nizatidine can be used as GI prokinetic
Which type of bovine ketosis responds to glucogon therapy?
Periparturient
(peak lactiation ketosis does not respond)
Infertility (inhibit GnRH), masculization, clitoral enlargement, aggression, sodium/water retention (aldosterole effects) and hepatotoxicity are all adverse effects of what drugs?
Androgens and Anabolic Steroids
What is the main adverse effect of progesterone drugs?
Pyometra/Cystic Endometrial Hyperplasia (CEH)
Also: mammary gland enlargement and tumors, increased appetite, weight gain, letharfy, temperament changes, coat changes, hyperglycemia, and inhibition of the adrenal cortex, acromegly, delay parturition, masculinization of female fetuses
What does the non-mast cell pool or histamine consist of?
Continuous release from the lung, skin, GI mucosa and the CNS (hypothalamus)
Mast cell pool = mast cells and basophils
- *Which of the following is used in induction of parturition and acts MAINLY by increasing estrogen and decreasing progesterone by the placenta???**
a. oxytocin
b. PG F2à
c. glucocorticoids
d. ergonovine
c. glucocorticoids
Which of the following anthelmintic drugs used in the horse is effective against stomach bot (Gasterophilus equi)?
a. oxibendazole
b. ivermectin
c. febantel
d. pyrantel
e. fenbendazole
b. ivermectin
Magnesium oxide ( oral antacids) or rumenotomy are used to treat what?
rumen acidosis
Which prostoglandin F2a is approved for use in a sow?
dinoprost tromethamine (Lutalyse, Prostamate)
(also approved in cattle and mares)
- *A prokinetic drug that blocks peripheral and central dopamine receptors at low doses is**
a. cisapride
b. metoclopramide
c. erythromycin
d. panthenol
e. neostigmine
b. metoclopramide
At high doses it has anti-emetic effects by acting as a 5-HT3 receptor antagonist
What drugs are used for PHARMACOLOGICAL EJACULATION IN STALLIONS?
- TCA such as imipramine
- Alpha2‐agonists such as xylazine
- PGF2α
Which of the following drugs is used in the treatment of anestrus (unobserved estrus in cows) with persistent corpus luteum???
a. PMSG
b. hCG
c. GnRH (Cystorelin)
d. Norgestomet-estradiol valerate
e. PGF2a (dinoprost tromethamine)
PGF2à (dinoprost tromethamine)
What antibiotic can cause CNS excitement?
Penicillin G procaine (mostly from the procaine)
Which Drug class inhibits the neuronal system by binding to GABA and/or Glutamate‐gated chloride (GluCl) channels cause hyperploarization which results in flaccid paralysis of the somatic muscles and the pharyngeal pump of both nematodes and arthropods?
Macrocyclic lactones (MLs/MCLs) =
- Avermectins (Ivermectin, Eprinomectin, Doramectin, Selamectin)
- Milbemycins (Milbemycin oxime, Moxidectin)
also inhibit egg production of parasites
What antibiotic can cause ototoxicity, leading to defness and/or vestibulocochlear injury
Aminoglycosides
What are the clinical uses of PGF2a in large animals?
- Abortifiacient in cattle from day 7-150 of gestation
- Induction of parturition in swine and cattle
- Expulsion of mummified fetuses
- treatment of pyometra
- Synchronization of estus in cattle
- Controlling estrus time in mares
- Treatment of silent estrus and pyometra due to persistent CL in cattle
Which species is more prone to anaphylaxis or acute hypersensitivity with penicillins?
horses
Procaine can enhance
- *Mechanism of action of finasteride is????**
a. GnRH agonist
b. GnRH antagonist
c. androgen receptor antagonist
d. inhibits testosterone synthesis
e. inhibits 5 a-reductase
e. inhibits 5 a-reductase
An anthelmintic drug used in dogs against hookworms (Ancylostoma caninum), ascarids (Toxocara canis), whipworms (Trichuris vulpis) and prevention of heartworms (Dirofilaria immitis) is:
a. diethylcarbamazine (DEC)
b. ivermectin
c. milbemycin oxime
d. piperazine
e. febantel
c. milbemycin oxime
Which of the following drugs is a potent antiemetic and enhances GI motility by that blocking peripheral and central dopamine??
a. chlorpromazine
b. prochlorperazine
c. scopolamine
d. bethanechol
e. metoclopramide
e. metoclopramide
What drugs are used in growth promoter implatants for feedlot heifers and steers?
testosterone‐estradiol, trenbolone
What are the major adverse effects of estrogens?
- Ovarian suppression followed by follicular cysts
- Vaginal or uterine prolapse or abortion
- Aplastic anemia and leukopenia (bone marrow suppression) in small animals
- Bone fractures (too much or too little)
- Feminization in the male
- Pyometra if used in mismating in small animals
What is the drug of first choice for treating giardiasis? what is its MOA?
Metronidazole (Flagyl)
MOA: inhibit nucleuic acid synthesis - requires anaerobic conditions
Second line of defense= Benzimidazoles (Albendazole, Fenbendazole)
Also can use: Quinacrine & Furazolidone
- *Ivermectin in cattle** is active against all of the following parasites EXCEPT
a. cattle grubs (Hypoderma bovis)
b. nematodes of the GI
c. nematodes of the lung (Dictyocaulus viviparus)
d. liver flukes (Fasciola hepatica)
e. mange mites
d. liver flukes (Fasciola hepatica)
What are the main difference b/w 1st generation and 2nd generation antihistamines (H1 antagonist)?
Second generation does not cross the BBB (=non-drowsy) and are longer lasting
What are the clinical uses of PGF2a in small animals?
Uterine infections
Mismating in bitch
Psyllium (Metamucil®), wheat bran & prunes are considered what kind of laxatives?
Simple bulk laxatives
Gently Absorb water and swell, reflexively stimulate GI movement
What Selective Serotonin reuptake inhibitor (SSRI) is approved for seperation anxiety in dogs ?
Fluoxetine (Prozac)
Also used for other behavior disorders (aggression, OCD, anxiety, urine marking)
SIDE EFFECTS: Nausea, anorexia, anxiety, irritability, sleep disturbances
What 3 drugs can you use to treat trichomoniasis? What are there indications/contraindication?
- Metronidazole (dogs, horses)- mitogenic and carcninogenic so due not use in food cattle due to residues
- Clioquinol- Used for diarrhea in horses due to Trichomonas, bacteria and yeasts
- Carnidazole- Used against Trichomonas columbae (pigeon canker) in pigeons not intended for human consumption
What is the use and MOA of Lantanoprost (Xalatan) /Travoprost (Travatan) /Bimatoprost (Lumigan)?
MOA: PG agonists that increase uveoscleral outflow by stimulating FP receptors in the eye
Use: topically on the eye in the treatment of open-angle glaucoma or ocular hypertension
How is Polymyxin typically administered?
(oral, IV, SQ, IM, or Topical)
Usually Topical
Polymyxin distrupts the cell membrane
It a narrow therapeutic index
What is the difference b/w Metaphalaxis and Prophalaxis?
-
Metaphylaxis
- Full doses to kill/inhibit pathogens in groups of healthy animals exposed to a pathogen (e.g. BRD)
-
Prophylaxis
- Full or Low doses to healthy animals to prevent disease
What is the MOA of Polymyxins?
Cell Membrane inhibitors = Cationic detergent
Topical!
What are the treatment options for pseudopregnancy in the bitch?
- –No treatment (DO NOTdo OVH when CS present)
- –Sedatives (not dopamine antagonists)
- –Water deprivation or furosemide
- –Androgens or estrogens (Testosterone cypionate, Mibolerone, DES)
- –Dopamine agonists (Bromocriptine, Cabergoline)
A surfactant agent that is used in the treatment and prevention of bloat in ruminants is
a. magnesium hydroxide
b. capsicum
c. poloxalene
d. copper sulfate
e. sodium bicarbonate
c. poloxalene
What is the hypothalamo-pituitary-gonadal axis of reproduction?
What drug is used to produce “teaser” cows?
Androgens (testosterone, trenbolone, mibolerone)
Phosphate containing enemas should NOT be used in ______
Cats
Which anticoccidial is approved in goats?
Ionophores - lasalocid
Name three oral antacids. What is their MOA?
Aluminum, magnesium and calcium salts
- MOA: Chemically neutralize hydrochloric acid
- Aluminum hydroxide inactivates pepsin and binds to bile salts and may stimulate PG
- Also binds phosphorus
What are the clinical uses of Bromocriptine & Cabergoline?
Mismating in the bitch and queen (inhibition of prolactin results in decrease in progesterone and abortion)
– Pseudopregnancy in the bitch or queen
Cabergoline is more effective and has fewer side effects than bromocriptine
Both are PROLACTIN INHIBITORS (ERGOLINE DERIVATIVES)
Which of the following drugs blocks H1-receptors and 5-HT receptors?
a. terfenadine
b. diphenhydramine
c. meclizine
d. cyproheptadine
e. prednisolone
d. cyproheptadine
Antibiotics that inhibit protein synthesis are usually bacteri-______
(-ostatic or -cidal)
Bacteriostatic
——————————————
Includes: Aminoglycosides, tetracyclines, macrolides, lincomycin, chloramphenicol
T/F: Estrogens induce ovulation in the bitch
False- E induces estrus WITHOUT ovulation
Which of the following agents is used as antibloat in ruminants by reducing surface tension causing release of gas from rumen fluid?????
a. milk of magnesia
b. tetracycline
c. neostigmine
d. poloxalene
e. activated charcoal
d. poloxalene (therabloat)
Can also use docusate sodium (DOSS), veg oil, mineral oil
What do you use to treat follicular cysts in cattle and bitches?
hCG/LH
What 2 drugs can be used to treat Fasciola hepatica in cattle?
- Clorsulon - late larvae and adult fluke
- Albendazole- adult fluke, as well as monezia and GI & lung nematodes
What type of antibiotics are most effective when a high level of the drug is reached, often above a certain absolute cut-off?
Concentration dependent
The concentration does not need to be maintained for any certain duration.
May have a Post-Antibiotic Effect
Focus on peak concentration: Cmax / MIC > 8-12
Ex. Aminoglycosides
What drug is approved in lactating dairy cattle (with no milk withdrawal) and goats for GI nematodes?
Morantel(Nematel)
other drugs approved in goats= Lasolocid (ionophore anticoccidials)
other drugs approved in lactating cow= Eprinomectin & Fenbendazole
Which of the following antiulcer drugs should NOT be used in pregnant animals?
a. aluminum hydroxide
b. misoprostol
c. omeprazole
d. cimetidine
e. sucralfate
b. misoprostol
What are the major effects of H1?
- Contraction of the smooth muscles of the GI, bronchioles, uterus and large blood vessels
- Vasodilation of capillaries, arterioles and venules then contraction leading to increased permeability, edema, hypotension and hypovolemic shock
- Stimulates exocrine secretions
- Positive inotropic effect
- CNS stimulation
These are all examples of what?
- Drug does not reach target site
- Drig is inactivated
- Target it changes
Causes of drug resistance
What are the side effects of using somatotropin?
- LA- increase mastitis
- SA- diabetes m & hypersensitivity
What can you use to induce ovulation in a mare and cat?
hCG/LH
What is used as a Antagonists to androgens in prostate hypertrophy and tumors, and anal adenoma?
Estrogens