EXAM 3 Flashcards
What is the trade name for Atorvastatin?
Lipitor
What is the therapeutic class for Atorvastatin?
Antihyperlipidemic
What is the therapeutic use for Atorvastatin?
Reduction of LDL & cholesterol
What is the pharm class of Atorvastatin?
HMG-CoA reductase inhibitor
What is the MOA of Atorvastatin?
Reduction of synthesis of cholesterol in liver; increase in LDL receptors in liver
What is the trade name for Cholestyramine?
Questran
What is the therapeutic class for Cholestyramine?
Antihyperlipidemic
What is the therapeutic use for Cholestyramine?
Reduction of cholesterol
What is the pharm class of Cholestyramine?
Bile acid resin
What is the MOA of Cholestyramine?
Prevent enterohepatic recycling of bile acids, increasing elimination of cholesterol
What is the trade name for Ezetimibe?
Zetia
What is the therapeutic class for Ezetimibe?
Antihyperlipidemia
What is the therapeutic use for Ezetimibe?
Adjunct to therapy with statin to reduce LDL
What is the pharm class of Ezetimibe?
Cholesterol absorption inhibitor
What is the MOA of Ezetimibe?
Inhibits intestinal absorption of cholesterol
What is the trade name for Gemfibrozil?
Lopid
What is the therapeutic class for Gemfibrozil?
Antihyperlipidemic
What is the therapeutic use for Gemfibrozil?
To reduce triglycerides & VLDL, and increase HDL
What is the pharm class of Gemfibrozil?
Fibric acid agent
What is the MOA of Gemfibrozil?
Decreases conversion of cholesterol to VLDL, and increase lipoprotein lipase synthesis
What is the trade name for Nicotinic acid (vitamin B)?
Niaspan
What is the therapeutic class for Nicotinic acid (vitamin B)?
Antihyperlipidemic
What is the therapeutic use for Nicotinic acid (vitamin B)?
Treatment of hyperlipidemia not responding to diet & weight loss; to slow progression of coronary artery disease (CAD) when combined with a bile acid sequestrant
What is the pharm class of Nicotinic acid (vitamin B)?
Other antihyperlipidemics; vitamin
What is the MOA of Nicotinic acid (vitamin B)?
Inhibits release of free fatty acids from adipose tissue, increases rate of triglyceride removal from plasma, reduces LDL & triglyceride levels and increases HDL levels
What is the trade name for Doxazosin?
Cardura
What is the therapeutic class for Doxazosin?
Antihypertensive, treatment of benign prostatic hyperplasia (BPH)
What is the therapeutic use for Doxazosin?
To treat hypertension; treatment of BPH
What is the pharm class of Doxazosin?
Alpha1-adrenergic blocker
What is the MOA of Doxazosin?
Selective for Alpha1-adrenergic receptors, thus causes vasodilation; also cause relaxation of smooth muscle around prostate gland
What is the trade name for Enalapril?
Vasotec
What is the therapeutic class for Enalapril?
Antihypertensive, treatment of heart failure
What is the therapeutic use for Enalapril?
To treat hypertension; treatment of heart failure
What is the pharm class of Enalapril?
ACE inhibitor
What is the MOA of Enalapril?
Inhibits conversion of angiotensin I to angiotensin II, a vasoconstrictor, and decreases production of aldosterone, resulting in decreased renal sodium reabsorption
What is the trade name for Hydralazine?
Apresoline
What is the therapeutic class for Hydralazine?
Antihypertensive, treatment of heart failure
What is the therapeutic use for Hydralazine?
Treatment of hypertension that is refractory to other antihypertensives
What is the pharm class of Hydralazine?
Direct-acting vasodilator
What is the MOA of Hydralazine?
Relaxes arterial smooth muscle by inhibiting IP3 formation
What is the trade name for Hydrochlorothiazide?
Microzide
What is the therapeutic class for Hydrochlorothiazide?
Antihypertensive, treatment of edema
What is the therapeutic use for Hydrochlorothiazide?
To treat hypertension with edema; also approved to treat heart failure, and nephrotic syndrome
What is the pharm class of Hydrochlorothiazide?
Thiazide diuretic
What is the MOA of Hydrochlorothiazide?
Decreases reabsorption of sodium in the kidney by inhibiting the sodium/chloride cotransporter in the distal tubule of the nephron
What is the trade name for Nifedipine?
Adalat
What is the therapeutic class for Nifedipine?
Antihypertensive, treatment of angina
What is the therapeutic use for Nifedipine?
To treat hypertension and variant or vasospastic angina
What is the pharm class of Nifedipine?
Calcium channel blocker
What is the MOA of Nifedipine?
Selectively blocks calcium channels in myocardial muscle and vascular smooth muscle
What is the trade name for Atenolol?
Tenormin
What is the therapeutic class for Atenolol?
Antianginal; antihypertensive; beta-blocker
What is the therapeutic use for Atenolol?
Treatment of heart failure, hypertension, angina, and MI.
What is the pharm class of Atenolol?
Selective beta1-adrenergic blocker
What is the MOA of Atenolol?
Selectively blocks beta1- adrenergic receptors in the heart; slows heart rate and reduces contractility.
What is the trade name for Losartan?
Cozaar
What is the therapeutic class for Losartan?
Antihypertensive
What is the therapeutic use for Losartan?
Used alone or in combination therapy for treatment of hypertension; treatment of diabetic nephropathy.
What is the pharm class of Losartan?
Angiotensin II-receptor blocker (ARB)
What is the MOA of Losartan?
Selectively blocks angiotensin II receptors; blocks vasoconstriction, and release of aldosterone due to interruption of the renin-angiotensin-aldosterone system.
What is the trade name for Propranolol?
Inderal
What is the therapeutic class for Propranolol?
Class II antidysrhythmic; antihypertensive
What is the therapeutic use for Propranolol?
Treatment of cardiac dysrhythmia, hypertension, angina, and migraine headaches, and for prevention of MI.
What is the pharm class of Propranolol?
Beta-adrenergic antagonist (nonselective)
What is the MOA of Propranolol?
Nonselective beta- adrenergic blocker, affecting beta1 receptors in the heart, and beta2 receptors in pulmonary and vascular smooth muscle; reduces heart rate, slows myocardial conduction velocity, and lowers bp
What is the trade name for Digoxin?
Digitek
What is the therapeutic class for Digoxin?
Positive inotrope
What is the therapeutic use for Digoxin?
To increase cardiac output, alleviating symptoms of heart failure & improving exercise tolerance
What is the pharm class of Digoxin?
Cardiac glycoside
What is the MOA of Digoxin?
Inhibits sodium-potassium ATPase, and increases intracellular calcium concentrations in cardiac cells
What is the trade name for Furosemide?
Lasiz
What is the therapeutic class for Furosemide?
Antihypertensive, treatment of edema & heart failure
What is the therapeutic use for Furosemide?
Treatment of acute heart failure, to remove edema, especially when cardiac output & renal flow are severely diminished
What is the pharm class of Furosemide?
Loop diuretic
What is the MOA of Furosemide?
Prevents renal reabsorption of sodium & chloride in the loop of Henle
What is the trade name for Lisinopril?
Prinivil
What is the therapeutic class for Lisinopril?
Antihypertensive, treatment of heart failure
What is the therapeutic use for Lisinopril?
Treatment of hypertension, heart failure, and improvement of survival in patients when administered within 24 hours after MI
What is the pharm class of Lisinopril?
ACE inhibitor
What is the MOA of Lisinopril?
Inhibits angiotensin converting enzyme, decreases aldosterone secretion
What is the trade name for Metoprolol?
Lopressor
What is the therapeutic class for Metoprolol?
Antihypertensive, beta-blocker
What is the therapeutic use for Metoprolol?
To slow progression of HF, & to significantly reduce the long-term consequences of HF
What is the pharm class of Metoprolol?
Selective beta1-adrenergic antagonist
What is the MOA of Metoprolol?
Decreases cardiac workload by reduction of heart rate (due to selective blockade of beta1-adrenergic receptors)
What is the trade name for Milrinone?
Primacor
What is the therapeutic class for Milrinone?
Positive inotrope
What is the therapeutic use for Milrinone?
Short-term treatment of advanced HF, to immediately increase myocardial contractility & cardiac output
What is the pharm class of Milrinone?
Phosphodiesterase inhibitor
What is the MOA of Milrinone?
Inhibits degradation of cAMP by phosphodiesterase
What is the therapeutic use for Atenolol in terms of being an antianginal?
To reduce/prevent angina pain by lowering myocardial oxygen demand
What is the MOA of Atenolol in terms of being an antianginal?
Reduces heart rate & contractility, which decreases myocardial oxygen demand
What is the trade name of Diltiazem?
Cardizem
What is the therapeutic class for Diltiazem?
Antihypertensive, antianginal, antidysrhythmic
What is the therapeutic use for Diltiazem?
To treat angina, by increasing oxygen delivery to myocardium & reducing oxygen demand by myocardium
What is the pharm class of Diltiazem?
Calcium channel blocker
What is the MOA of Diltiazem?
Dilates both coronary & peripheral vessels, which increases oxygen delivery to myocardium & decreases cardiac workload
What is the trade name of Nitroglycerin?
Nitrostat
What is the therapeutic class of Nitroglycerin?
Antianginal
What is the therapeutic use of Nitroglycerin?
To rapidly terminate angina pain, or to prevent angina pain
What is the pharm class of Nitroglycerin?
Organic nitrate, vasodilator
What is the MOA of Nitroglycerin?
Dilates veins, reducing venous return, & dilates coronary arteries, providing more oxygen to myocardium
What is the trade name of Reteplase?
Retavase
What is the therapeutic class of Reteplase?
Thrombolytic (clot-buster)
What is the therapeutic use of Reteplase?
Immediate treatment of myocardial infarction (MI), to restore coronary blood flow
What is the pharm class of Reteplase?
Thrombolytic
What is the MOA of Reteplase?
Cleaves plasminogen, forming plasmin, which degrades fibrin matrix of thrombus
What is the trade name of Amiodarone?
Cordarone
What is the therapeutic class of Amiodarone?
Class III antidysrhythmic
What is the therapeutic use of Amiodarone?
Treatment of severe atrial & ventricular dysrhythmias; treatment of resistant ventricular tachycardia; treatment of atrial dysrhythmias is patients with HF
What is the pharm class of Amiodarone?
Potassium channel blocker
What is the MOA of Amiodarone?
Blocks potassium channels & to a smaller degree sodium channels; slows repolarization, increases duration of action potential, prolongs refractory period
What is the trade name for Procainamide?
Procanbid
What is the therapeutic class of Procainamide?
Class Ia antidysrhythmic
What is the therapeutic use of Procainamide?
Treatment of many types of atrial & ventricular dysrhythmias
What is the pharm class for Procainamide?
Sodium channel blocker
What is the MOA of Procainamide?
Blocks sodium channels in myocardium, reducing automaticity & slowing conduction velocity of action potentials; increases duration of action potential, delays repolarization, prolongs refractory period
What is the trade name for Propranolol?
Inderal
What is the therapeutic class of Propranolol?
Class II antidysrhythmic
What is the therapeutic use of Propranolol?
Treatment of atrial flutter & fibrillation, tachydysrhythmia, ventricular dysrhythmias
What is the pharm class for Propranolol?
Non-selective beta-adrenergic antagonist
What is the MOA of Propranolol?
Reduces heart rate, slows myocardial conduction velocity, reduces automaticity, prolongs refractory period; reduces excessive sympathetic stimulation of heart
What is the trade name for Verapamil?
Calan
What is the therapeutic class of Verapamil?
Class IV antidysrhythmic, antianginal
What is the therapeutic use of Verapamil?
Treatment of paroxysmal supraventricular tachycardia, supraventricular tachydysrhythmia
What is the pharm class of Verapamil?
Calcium channel blocker
What is the MOA of Verapamil?
Slows conduction velocity, prolongs refractory period; decreases contractility; reduces blood pressure & cardiac workload; dilates coronary arteries
What is the trade name for Alteplase?
Activase
What is the therapeutic class of Alteplase?
Thrombolytic (clot-buster)
What is the therapeutic use of Alteplase?
Treatment of CVA due to thrombus; restore the patency of IV catheters (off-label use)
What is the pharm class of Alteplase?
Thrombolytic
What is the MOA of Alteplase?
Synthetic form of tissue plasminogen activator (TPA); activates plasminogen, which forms plasmin; plasmin degrades fibrin mesh in clots
What is the trade name for Aminocaproic acid?
Amicar
What is the therapeutic class of Aminocaproic acid?
Clot stabilizer
What is the therapeutic use of Aminocaproic acid?
Reduction in post-operative bleeding; treatment of excessive bleeding due to prematurely dissolving clots
What is the pharm class of Aminocaproic acid?
Hemostatic/antifibrinolytic
What is the MOA of Aminocaproic acid?
Inactivates plasminogen, reducing the dissolution of clots
What is the trade name for Clopidogrel?
Plavix
What is the therapeutic class of Clopidogrel?
Antiplatelet drug
What is the therapeutic use of Clopidogrel?
Prevention of thromboembolic events in patients with recent history of MI, CVA, or peripheral artery disease; thrombi prophylaxis in patients with unstable angina, & those receiving vascular bypass procedures & angioplasty
What is the pharm class of Clopidogrel?
ADP receptor blocker
What is the MOA of Clopidogrel?
Directly inhibits ADP binding to its receptor, prolonging bleeding time & inhibiting platelet aggregation
What is the trade name for Heparin?
Heplock
What is the therapeutic class of Heparin?
Anticoagulant (parenteral)
What is the therapeutic use of Heparin?
To prevent the enlargement of existing clots & formation or new clots
What is the pharm class of Heparin?
Indirect thrombin inhibitor
What is the MOA of Heparin?
Binds to antithrombin III, inactivating several clotting factors, & inhibits thrombin activity
What is the trade name for Warfarin?
Coumadin
What is the therapeutic class of Warfarin?
Anticoagulant (oral)
What is the therapeutic use of Warfarin?
To treat cerebrovascular accidents (CVA), myocardial infarction (MI), deep vein thrombosis (DVT), & pulmonary embolism; prevention of thromboembolic events in high-risk patients; prevention of clot formation in patients with indwelling central venous catheters or prosthetic heart valves
What is the pharm class of Warfarin?
Vitamin K antagonist
What is the MOA of Warfarin?
Inhibits action of vitamin K, reducing synthesis of clotting factors II, VII, IX, & X
What is the trade name for Cyanocobalamin?
Calomist
What is the therapeutic class of Cyanocobalamin?
Anti-anemia drug
What is the therapeutic use of Cyanocobalamin?
Treatment of vitamin B12 deficiency anemia, pernicious anemia, megaloblastic anemia
What is the pharm class of Cyanocobalamin?
Vitamin supplement
What is the MOA of Cyanocobalamin?
Participates in DNA synthesis; necessary for erythropoiesis
What is the trade name of Epoetin alpha?
Epogen
What is the therapeutic class of Epoetin alpha?
Anti-anemia drug
What is the therapeutic use of Epoetin alpha?
Treatment of anemia in patients with chronic renal failure, & in patients with anemia caused by deficiency in erythropoiesis
What is the pharm class of Epoetin alpha?
Hemotopoietic growth factor, erythropoietin
What is the MOA of Epoetin alpha?
Stimulates maturation of erythrocyte stem cells into erythrocytes
What is the trade name for Ferrous sulfate?
Feosol
What is the therapeutic class of Ferrous sulfate?
Anti-anemia drug
What is the therapeutic use of Ferrous sulfate?
Treatment of iron deficiency anemia
What is the pharm class of Ferrous sulfate?
Iron supplement
What is the MOA of Ferrous sulfate?
Participates in production of hemaglobin
What is the trade name for Filgrastim?
Neupogen
What is the therapeutic class of Filgrastim?
Drug for increasing neutrophil production
What is the therapeutic use of Filgrastim?
Treatment of neutropenia
What is the pharm class of Filgrastim?
Myeloid colony stimulating factor
What is the MOA of Filgrastim?
Increases neutrophil production in bone marrow; enhances phagocytic & cytotoxic function of existing neutrophils; stimulates granulocyte & macrophage proliferation & differentiation
What is the trade name for Dopamine?
Dopastat
What is the therapeutic class of Dopamine?
Drug for shock, inotrope
What is the therapeutic use of Dopamine?
To treat shock; at low doses-treatment of hypovolemic & cardiogenic shock; at high doses-to increase blood pressure
What is the pharm class of Dopamine?
Nonselective adrenergic agonist; inotrope
What is the MOA of Dopamine?
At low doses, it selectively stimulates dopamine receptors (kidney), causing renal vasodilation & increased renal blood flow; at high doses it increases the production of norepinephrine (DA is a precursor for NE), causing increased total peripheral resistance & blood pressure
What is the trade name for Epinephrine?
Adrenalin
What is the therapeutic class of Epinephrine?
Drug for shock, inotrope, vasopressor agent
What is the therapeutic use of Epinephrine?
Treatment of anaphylactic shock, increases blood pressure, causes bronchodilation
What is the pharm class of Epinephrine?
Nonselective adrenergic agonist; vasopressor
What is the MOA of Epinephrine?
Stimulates alpha-adrenergic receptors, increasing peripheral resistance (blood pressure); stimulates beta1-adrenergic receptors, increasing cardiac output; stimulates beta2-adrernrgic receptors, dilating airways
What is the trade name for Norepinephrine?
Levophed
What is the therapeutic class of Norepinephrine?
Drug for shock, inotrope, vasopressor agent
What is the therapeutic use of Norepinephrine?
Treatment of acute shock (significantly reduces mortality); treatment of cardiac arrest
What is the pharm class of Norepinephrine?
Nonselective adrenergic agonist; vasopressor
What is the MOA of Norepinephrine?
Sympathomimetic; binds to both alpha- & beta1-adrenergic receptors, constricts blood vessels & increases heart rate
What is the trade name for Normal serum albumin?
Albuminar
What is the therapeutic class of Normal serum albumin?
Fluid replacement agent
What is the therapeutic use of Normal serum albumin?
To restore plasma volume in hypovolemic shock
What is the pharm class of Normal serum albumin?
Blood product, colloid
What is the MOA of Normal serum albumin?
Increases plasma oncotic pressure, drawing water from tissues into plasma
What is the trade name for Acetazolamide?
Diamox
What is the therapeutic class of Acetazolamide?
Drug for glaucoma
What is the therapeutic use of Acetazolamide?
To reduce intraocular pressure in patients with glaucoma
What is the pharm class of Acetazolamide?
Carbonic anhydrase inhibitor, diuretic
What is the MOA of Acetazolamide?
Inhibits carbonic anhydrase in renal proximal tubule, decreases sodium reabsorption & proton secretion
What is the trade name for Chlorothiazide?
Diuril
What is the therapeutic class for Chlorothiazide?
Antihypertensive, treatment of edema & heart failure
What is the therapeutic use for Chlorothiazide?
To treat mild hypertension, typically in combination with other antihypertensives; to treat fluid retention due to heart failure & other causes
What is the pharm class of Chlorothiazide?
Thiazide diuretic
What is the MOA of Chlorothiazide?
Decreases reabsorption of sodium in the kidney by inhibiting the sodium/chloride cotransporter in the distal tubule of the nephron
What is the trade name for Furosemide?
Lasix
What is the therapeutic class of Furosemide?
Antihypertensive, treatment of edema & heart failure
What is the therapeutic use of Furosemide?
Treatment of acute heart failure, to remove edema, especially when cardiac output & renal flow are severely diminished
What is the pharm class of Furosemide?
Loop diuretic
What is the MOA of Furosemide?
Prevents renal reabsorption of sodium & chloride in the loop of Henle
What is the trade name for Mannitol?
Osmitrol
What is the therapeutic class of Mannitol?
Miscellaneous diuretic
What is the therapeutic use of Mannitol?
Treatment of elevated intracranial pressure; maintain urine flow in patients with acute renal failure, or during prolonged surgery
What is the pharm class of Mannitol?
Osmotic diuretic
What is the MOA of Mannitol?
Filtered by not reabsorbed in renal glomerulus, increases osmotic Starling force in Bowman’s capsule, increases net filtration of water out of plasma
What is the trade name for Spironolactone?
Aldactone
What is the therapeutic class of Spironolactone?
Antihypertensive, treatment of edema
What is the therapeutic use of Spironolactone?
Treatment of hypertension, typically in combination with other antihypertensives
What is the pharm class of Spironolactone?
Potassium-sparing diuretic; aldosterone antagonist
What is the MOA of Spironolactone?
Blocks aldosterone receptors in collecting duct of nephron; inhibits sodium-potassium exchange, increasing sodium excretion, but decreasing potassium excretion
What is the trade name for Aldesleukin?
Proleukin
What is the therapeutic class of Aldesleukin?
Immunostimulant
What is the therapeutic use of Aldesleukin?
To treat renal cell carcinoma; treat metastatic melanomas
What is the pharm class of Aldesleukin?
Interleukin
What is the MOA of Aldesleukin?
Activates cytotoxic T cells, increases cytokines & platelet count
What is the trade name for Cyclosporine?
Neoral
What is the therapeutic class of Cyclosporine?
Immunosupressant
What is therapeutic use of Cyclosporine?
To prevent tissue rejection in patients receiving transplant; also used to treat severe cases of ulcerative colitis & Crohn’s disease
What is the pharm class of Cyclosporine?
Calcineurin inhibitor
What is the MOA of Cyclosporine?
Inhibits helper T cells
What is the trade name for Interferon alfa-2b?
Intron-A
What is the therapeutic class of Interferon alfa-2b?
Immunostimulant
What is the therapeutic use of Interferon alfa-2b?
To treat hairy cell leukemia, malignant melanoma, non-Hodgkin’s lymphoma, AIDS-related Kaposi’s sarcoma, human papilloma virus, chronic hepatitis virus B & C
What is the pharm class of Interferon alfa-2b?
Interferon, biologic response modifier
What is the MOA of Interferon alfa-2b?
Attach to infected cells & signal them to secrete antiviral proteins; increase phagocytosis & enhance cytotoxic T cell activity
What is the trade name for Muromonab-CD3?
Orthoclone OKT3
What is the therapeutic class for Muromonab-CD3?
Immunosupressant
What is the therapeutic use for Muromonab-CD3?
To prevent renal transplant rejection; treat steroid-resistant rejection of heart & liver transplants in adults
What is the pharm class for Muromonab-CD3?
Monoclonal antibody
What is the MOA of Muromonab-CD3?
Monoclonal antibody to T cell antigen
What is the trade name for Acetaminophen?
Tylenol
What is the therapeutic class of Acetaminophen?
Antipyretic, analgesic
What is the therapeutic use of Acetaminophen?
Treatment of fever in children; relief of mild to moderate pain when aspirin is contraindicated
What is the pharm class of Acetaminophen?
Centrally acting COX inhibitor
What is the MOA of Acetaminophen?
Inhibits prostaglandin synthesis in CNS
What is the trade name for Aspirin?
Bayer aspirin
What is therapeutic class of Aspirin?
Antiinflammatory, analgesic, antipyretic
What is the therapeutic use of Aspirin?
Treatment of fever, pain, and mild inflammatory conditions
What is the pharm class of Aspirin?
Salicylate
What is the MOA of Aspirin?
Inhibits prostaglandin synthesis by cyclooxygenase 1 & 2
What is the trade name for Celecoxib?
Celebrex
What is the therapeutic class of Celecoxib ?
Antiinflammatory, analgesic
What is the therapeutic use of Celecoxib?
Treatment of acute & chronic arthritis in adults
What is the pharm class of Celecoxib?
COX-2 inhibitor, NSAID
What is the MOA of Celecoxib?
Inhibits prostaglandin synthesis by cyclooxygenase-2
What is the trade name for Ibuprofen?
Advil
What is the therapeutic class for Ibuprofen?
Antiinflammatory, analgesic, antipyretic
What is the therapeutic use of Ibuprofen?
Treatment of mild to moderate pain, fever, & inflammation
What is the pharm class for Ibuprofen?
NSAID
What is the MOA of Ibuprofen?
Inhibits prostaglandin synthesis by cyclooxygenase 1 & 2
What is the trade name for Prednisone?
Sterapred
What is the therapeutic class for Prednisone?
Antiinflammatory
What is the therapeutic use of Prednisone?
Treatment of severe inflammation; treatment of neoplasia, asthma, arthritis, corticosteroid deficiency
What is the pharm class of Prednisone?
Glucocorticoid
What is the MOA of Prednisone?
Inhibits phospholipase A2, which produces arachidonate, a precursor of inflammatory prostaglandins