Final Study guide Flashcards
What are the three catecholamines and whats the order of making them?
Dopamine (which then makes..)
NE (which then makes…)
Epi
What is Ethosuximide good for?
Abscence Seizures
What’s the main way to treat Parkinsons?
Increase DA because of lack of it.
What’s the chemical problem with Huntingtons disease?and what does that do?
What are the type of drugs for huntingtons?
Excess DA which causes the GABA to die (AMPA/NMDA glutamate systems) Dopamine antagonists (antipsychotics)
What’s the chemical problem of Alzheimers?
What drug and type of drug help with Alzheimers?
Low ACh
Cholinesterase inhibitors like Donepezil help
What drug treats MS?
Prednisone (antiinflammatory)
What are the non selective Cox 1/2 inhibitors?
Aspirin (salicylates)
Ibuprofen (stomach mucin, clotting, kidney Cox 1/Heart Cox 2)
What is the Cox 2 inhibitor? side effect?
Celebrex (heart)
What is another name for acetominophen and what is it good for? Bad for?
Tyelenol
Antipyretic (fever)/Low powered analgesic
Side effect: Liver
What are 4 B2 agonists?
Epi
Isoproteronol
Albuterol
Terbutaline
What does Bethanecol do?
What does Pilocarpine do?
What does Cevimeline do?
Beth: Increase GI function
Pilo: glaucoma/Cures xerostomia
Cevi: cures xerostomia
What does Phenylephrine do?
Decongestant
Vasoconstrictor
What does Prazocin do?
A1 blocker
What does Succinylcholine do?
What does Tubocurare do?
Suc: depolarizes endplate, unresponsive to more ACh
Tub: competes with ACh (arrow poison)
What does Physostigmine do?
What does Donepezil do?
What does Sarin do?
Phy: Glaucoma/Antidote for Muscarinic antagonist
Don: Alzheimers
Sar: nerve gas/increases ACh to toxic levels
What does Atropine do?
What does Scopalamine do?
Atr: blocks muscarinic receptors
Sco: motion sickness drug
What does Mecamylamine do?
Antihypertension
What are the 2 A2 agonists?
Clonidine
Guanfacine
What are the agonist/Antagonist for B1? (2:1)
Ag: Epi/ Isoproteronol
Ant: -Olol’s
What are 3 cholinesterase inhibitors?
Physostigmine
Donepezil
Sarin
What are A1 agonist/Antagonist? (2:1)
Ag: Epi/ Phenylephrine
Ant: Prazocin
What does isoproteronol do?
increases heart performance
What do -Olol’s do?
B blocker
decreases heart pressure
What does Albuterol and Terbutaline do?
Bronchodilator for asthma
What are 3 muscarinic receptor agonists?
What are 2 muscarinic Antagonists?
Ag: Bethanechol/ Pilocarpine/ Cevimeline
Ant: Atropine/ Scopalamine
What does clonidine and guanfacine do?
decreases blood pressure
What are the agonist/antagonist for Autonomic nicotine? (1:1)
Ag: ACh
Ant: Mecamylamine
What are the agonist/antagonist for skeletal muscle nicontinic? (1:2)
Ag: ACh
Ant: Succinylcholine/ Tubocurare
What type of drug is indomethacin? Why’s it bad? What’s it used for?
NSAID
Major side effects
Arthritis
What type of drug is diflunisal and what is it good for?
Related to Salicylates
Good for bone pain
What are the 7 pain reliever narcotics in order of potency?
Fentanyl(0.1mg) Oxymorphone (1mg) Hydromorphone (1.5 mg) Morphine (10 mg) Oxycodone (20mg) Hydrocodone (30 mg) Codeine (200mg)
What’s the chelator for lead toxicity?
How does it work?
EDTA (edatate calcium disodium)
Removes Pb from bone
What are the two drugs to use for Mercury toxicity?
why is the first drug contraindicated in Chronic mercury toxicity?
Which drug is used more often and how is it different that the other one?
Dimercaprol/Succimer.
Dimercaprol used chronically is nephrotoxic in and of itself.
Succimer is used more often because it’s the water soluble form of Dimercaprol.
What is done for acute arsenic intoxication?
What is done for chronic arsenic intoxication?
What is done for acute arsine gas intoxication?
Acute arsenic: Unithiol/Demercaprol
Chronic Arsenic: Folate supplements for methylation help
Arsine Gas: hydration/blood transfusions/hemodialysis
How do chelator drugs work?
They work on not allowing heavy metals be available for covalent interactions
What’s the antidote for Cyanide?
Is Cyanide a heavy metal?
Hydroxycobalamin.
Not a heavy metal.
What are three drugs used as decongestants (MOA too?)
What’s the decongestant drug for people with high blood pressure problems?
Oxymetazoline (A1 agonist, vasoconstrict)
Phenylephrine (A1 agonist, vasoconstrict)
Pseudoephedrine (Sympathomimetic)
HBP: coricidin.
What are 3 drugs used for Rhinorrhea/antihistamines/allergies? Side effects for each?
Diphenhydramine (drowsy,)
Chlorpheniramine (drowsy)
Loratadine (less drowsy)
What are three drugs to use for cough relief?
Codeine
Dyphenhydramine
Dextromethorphan