General Pharmacology Flashcards
Zidovudine
HIV therapy
Nucleoside analog of thymidine that acts as potent inhibitor of viral RNA-dependent DNA polymerase (reverse transcriptase)
Oseltamivir
Influenza therapy
Inhibitor of influenza A and B neuraminidase
Ribavirin
Hepatitis C therapy
Viral RNA polymerase inhibitor
Trifluridine
Antiherpes virus agent: tx of HSK
DNA polymerase inhibitor
Acyclovir, Valacyclovir, Famciclovir
Antiherpes agents: HSV-1, HSV-2, Zoster, HZO, active HSV keratitis, prophylactic for HSV keratitis
DNA polymerase inhibitor
Ganciclovir
Antiherpes agent: topical use for HSV keratitis, intraocular sustained release for CMV retinitis
DNA polymerase inhibitor, improved efficacy and less toxicity vs Trifluridine
Foscarnet
Antiherpes agent: IV tx of CMV retinitis when ganciclovir fails; tx acyclovir-resistant HSV infections in AIDS pts
DNA polymerase inhibitor
Natamycin
Antifungal: fungal blepharitis, conjunctivitis, and keratitis
Binds ergosterol of fungi and forms pores leading to cell death
Amphotericin B
Antifungal: fungal keratitis in topical; systemic and intraocular infections with IV
Binds ergosterol of fungi and forms pores leading to cell death
Nystatin
Antifungal: Candida oral (thrush) and vaginal (yeast) infections; not for ophthalmic use
Binds ergosterol of fungi and forms pores leading to cell death
Ketoconazole
First oral azole antifungal
Inhibit ergosterol synthesis
Fluconazole
Antifungal: oral, topical, subconj
Inhibit ergosterol synthesis
Miconazole
Antifungal agent
Inhibit ergosterol synthesis
Griseofulvin
Antifungal agent for scalp and skin
Inhibits fungal mitosis by interacting with microtubule formation during cell wall development
Kwell
Antiparasitic: tx of lice and scabies
Lipophilic structure absorbed through exoskeleton of insects, resulting in seizure and death
Triamcinolone
Steroid; ocular formulation for diffuse diabetic macular edema, Graves orbitopathy, posterior uveitis, chalazion, CME after cataract surgery; systemic: dermatoses, asthma, MS, arthritis
Inhibit phospholipase A2
Aspirin
NSAID
Salicylate that inhibits prostaglandin and thromboxane synthesis by acting as an irreversible COX1 and COX2 inhibitor
Indomethacin
NSAID
Reversible COX1 and COX2 inhibitor
Naproxen
NSAID
Reversible COX1 and COX2 inhibitor
Naproxen Sodium
NSAID
Reversible COX1 and COX2 inhibitor
Misoprostol
Synthetic prostaglandin E1- chemically similar to PGE2 (stomach protection from NSAIDS ulcers)
Celecoxib
NSAID
Selective COX2 inhibitor
Pseudoephedrine
Cold medication for nasal congestion sxs
Nonspecific alpha and beta adrenergic agonist
Diphenhydramine
First generation antihistamine (H1 blocker): sedation & anticholinergic effects
Blocks the histamine-H1 receptor interaction
Chlorpheniramine maleate
First generation antihistamine (H1 blocker): sedation & anticholinergic effects
Blocks the histamine-H1 receptor interaction
Brompheniramine
First generation antihistamine (H1 blocker): sedation & anticholinergic effects
Blocks the histamine-H1 receptor interaction
Promethazine
First generation antihistamine (H1 blocker): sedation & anticholinergic effects
Recall added SEs due to similar structure as Phenothiazine
Blocks the histamine-H1 receptor interaction
Loratidine
Second generation antihistamine (H1 blocker): chronic uticaria & rhinitis
H1 receptor blocker
Fexofenadine
Second generation antihistamine (H1 blocker): chronic uticaria & rhinitis
H1 receptor blocker
Cetirizine
Second generation antihistamine (H1 blocker): chronic uticaria & rhinitis
Added SE of oculogyric crisis
H1 receptor blocker
Cimetidine
GI med
Binds H2 receptor on gastric parietal cells preventing histamine stimulation of gastric acid (HCl) secretion
SEs: gynecomastia & loss of libido
Ranitidine
GI med
Binds H2 receptor on gastric parietal cells preventing histamine stimulation of gastric acid (HCl) secretion
Famotidine
GI med
Binds H2 receptor on gastric parietal cells preventing histamine stimulation of gastric acid (HCl) secretion
Omeprazole
GI med: proton pump inhibitor
Inhibit H+/K+ ATPase (proton) pump
Esomeprazole
GI med: proton pump inhibitor
Inhibit H+/K+ ATPase (proton) pump
Sucralfate
GI med: gastric lining protector
Forms paste-like substance by binding positively charged proteins in stomach and adheres to damaged ulcer tissue
Sulfonamides
Inhibitors of folate synthesis
Inhibitor dihydropteroate synthase, an enzyme used in the first step of folic acid synthesis
Trimethoprim
Inhibitor of folate synthesis
Inhibits dihydrofolate reductase, an enzyme used in the second step of folic acid synthesis
Pyrimethamine
Inhibitor of folate synthesis
Inhibits dihydrofolate reductase, an enzyme used in the second step of folic acid synthesis
Bacitracin
Cell wall synthesis blocker
Stops bacterial cell wall synthesis by inhibiting transfer of mucopeptides (peptidoglycans) into growing cell wall
Penicillins
Cell wall synthesis blockers
Transpeptidase inhibitors
Cephalosporins
Cell wall synthesis blockers
Transpeptidase inhibitors
Aminoglycosides
Blockers of protein synthesis at 30S subunit
Tetracyclines
Blockers of protein synthesis at 30S subunit
Prevent access of aminoacyl tRNA
Chloramphenicol
Blockers of protein synthesis at 50S subunit
Macrolides
Blockers of protein synthesis at 50S subunit
Lincomycin
Clindamycin
Blockers of protein synthesis at 50S subunit
Rifampin
TB med
Prevents mRNA synthesis (transcription) by binding to the beta subunit of DNA-dependent RNA polymerase
Isoniazid
TB med
Inhibits mycolic acid synthesis and thereby prevents cell wall synthesis
Ethambutol
TB med
Inhibits arabinosyl transferase, thereby inhibiting sybergs is of mycobacterial cell wall
Piroxicam
NSAIDS
Reversible COX1 and COX2 inhibitor
Salmeterol
Bronchodilator for COPD and asthma maintenance therapy
Long-acting B2 agonist