Love Inbde Cards Flashcards
Cisplatin and cyclophosphamide
Alkylating agent alkylate dna
Daunorubicin and doxorubicin
Destroy dna are called anthracyclines
Dactinomycin
Antibiotics for cancer chemotherapy
Antimetabolites like 5 fluorouracil
And 6 mercaptopurine
Metotrexate
Interferes with biochemical reactions
For cell growth
Paclitataxel taxol
Affect microtubular assembly with cells to inhibits cell mitosis,,
Tamoxifen
Anti estrogen blocks tumor
Vinblastine and vincristine
Mitotic spindle poison
Leuprolide
Inhibits gonadotropin secretion
S phase of cell cycle
Antimetabolites
Amides
Carbocaine
3%
Mepivacaine
Citanest 4%
Prilocaine
Marcaine 0.5% is
Bupivacaine
2% 20 mg
300 mg
300\20 =15ml
Articaine septocaine zorocaine
Only amide metabolized in blood not in the liver
7 mg is max articaine in
Child and adults
Esters in
Plasma
Non ionized penetrate to cause
Anesthesia in the nerve
Amides much allergic to
Bisulphites
Chloral hydrate
15 to 20 minty yes for 4 hours
Fentanyl is potent
Benzodiazepines
Amoxicillin causes high
Serum level methotrexate bcoz it
Inhibits renal tubular secretion of methotrexate.
Succinylcholine
Depolarizing neuromuscular blocking drug , act on motor end plate
Metacarbamol:
Cyclobenzaprine ..
Baclofen
Carisoprodol
Most drugs travels
By binding to albumin which is abundant in plasma !
Modafinil increases high
Frequency alpha waves while decreasing delta and theta waves, activity this inc mental alert
Growth hormone is somatotropin,
By ant pituitary ,, purified polypeptide hormone , of recombinant DNA origin .
Carbidopa inhibits
Peripheral , Decarboxylation ,
Of levodopa so more Levo reach brain , levo cross bb- barrier.
Carbi, dnt
Warfarin ( dicumoral )
Dec synth of vit k factors prolong clot time 2 , 7, 9 ,10
Insulin zinc suspension Lente insulin intermediate acting ,
Duration 18 -24 hrs ;
Glyburide and chloropropamide
Stimulate .. insulin release by
Reducing glucose output from liver and inc insulin sensitivity at per target cell
Met Formin and pioglitazone —
Inc insulin sensitivity at peripheral target cells .
Tolbutamide is
Sulfonylureas stimulate release /synthesis of insulin
From pancreas, inc sensitivity of insulin receptors
Humulin
70/30 mixture
Fast onset
Insulin increase
Protein synthesis
Decreases gluconeogenesis
Inc glycogen synthesis
Inc triglycerides synthesis ,,
Clindamycin
Adult 600mg orally 1 hr prior appointment.
Children : 20 mg /kg 1hr prior appointment,
Cephalexin
Adult : 2.0 g orally 1 hr prior
Children : 50 mg /kg orally 1 hr prior ;
Amox
Adult 2.0 g
Children 20 mg /kg
Clindamycin inhibits 50 s ribosomes
Macrolides
Azithromycin same
Clarithromycin same
Erythromycin
——-
Tetra
Doxy
Mini
Aminoglycosides
Streptomycin inhibits 3o s ribosomes
Gentamicin same
Ciprofloxacin —inhibits DNA
NSAIDs
Enhance anticoagulant warfarin effect bcos it inhibits platelets aggregation ,,
Cocaine
Cardiac arrhythmias and hypertension
Inhibits the uptake of catecholamines
Onset of drug . Rate of absorb
Major effect : how much drug is free in plasma ,,
Drug goes from
Mouth small intestine to liver via blood
Clindamycin
Pseudomemb colitis
Most potent opioids is
Morphine or mepridine
Or oxycodiene ,,
It’s hydrocodone
4 to 6 hours
Imp Endogenous opioids
Beta endorphins
Enkephalins
Dynorphins
Not morphine
Mu receptor morphine
Delta — enkephalins
Kappa—-the dynorphins
Dynorphins found in
Cns above 2 in brain
Cholinergics and direct
Indirect cholinergics
1.methacholine carbachol
Bethanecol
Pilocarpine
2 . Neostigmine physostigmine
Endorphonium
Pyridostigmine ..
2.
Anti cholinergics
Atropine
Glucopyrolate
Belladonna deravatives
Scopolamine
Propanthaline bromide
Mydriasis dilation
Atropine
Anti cholinergics are contraindicated in
Glaucoma ,,
CVS problems
Obstruction of git tract
Asthma
Muscarinic receptors
Nicotine receptors
Acetylcholine
Neuromuscular jn and ach on ganglia
Acetylcholine causes cholinergics actions
Sweat and smooth ms stimultn
Slow of heart
Construction of pupils
Dilation - anti choli
Pupil
Mydriasis , anti cholinergics
Constriction pupil
miosis
Cholinergics
Cholinergics agonist
Treat dry mouth ,, pilocarpine
And cevimelime .
Cholinesterase inhibitors
Acetylcholine affect in autonomic n s and n . Muscular. Jn
Neostigmine physostigmine
Endrophonium
Pyridostigmine
Pilocarpine
Open angle glaucoma
Initial excitation and block of neurotransmission and then muscle paralysis is ,,
Succinylcholine
Non competitive
Depolarizing ie desenstization
Muscuranic is
Succinylcholine
Low level of pseudo cholinesterase
Careful succinylcholine
Bcoz respiratory failure
Midazolam
1v sedation for the conscious pt ,,
And
Liquid for the child sedation ,,
Exemestane— aromasin ,,in post menopausal women
Prevents conversion of androgens to estrogens
Letrozole —femara are anti cancer drugs hormonal
Receptive positive and metastatic b cancer who hav received 5 yrs of tamoxifen therapy
Colony stimulating factor
Darbepoietin treat anemia in chronic renal failure
Pegfilgrastim , produce neutralist
Myeloid reconstitution after autologous bone marrow transplantation
Antimetabolites acts in the s phase of the cell cycle ,,
In s phase dna synthesis happens
Methotrexate in choriocarcinoma
Breast and head and neck cancer ,,
Spironolactone
At ends of distal convulated tubules potassium sparing diuretics means ,, decreased potassium and increased sodium
Hyperkalemia
Potassium sparing diuretics
Thiazide inhibits sodium reabsorption in distal portion of tubule
Loop diuretics inhibits reabsorption of na and cl in ascending loop of henle ,,
So inc secretion of water na and cl eg imp furosemide ,! Lasix
Pot sparing no potassium loss
Conserves ,, potassium ,,
Triamterene is eg
Dyazide is
Hctz and triamterene
MRsa
Grp of staph bacteria which are
Resistant to penicillinase resistant penicillin s
And cephalosporin s
Pregnant — pen Vk
Tetracycline — chelates ca ions
And incorporate d in bony tissues
Penicillin resistant penicillin
Methicillin , nafcillin , oxacillin
Cloxacillin dicloxacillin