Master Drug List Flashcards
Acetylcholine
Direct acting muscarinic agonist
Methacholine
Direct acting muscarinic agonist
Used to test for asthma
Carbachol
Direct acting muscarinic agonist
Used in treatment of glaucoma
Bethanachol
Direct acting muscarinic agonist
Used to treat urinary retention (M3 receptor specific)
Muscarine
Direct acting nicotinic agonist
Found in mushrooms–atropine is the antidote
Pilocarpine
Direct acting nicotinic agonist
Used to treat glaucoma by contacting ciliary muscle (M3 specific)
Nicotine
Direct acting nicotinic agonist
Activates both Nm and Nn receptors
Edrophonium
Reversible, indirect acting cholinoceptor agonist
Used to diagnose myasthenia gravis
Neostigamine
Reversible, indirect acting cholinoceptor agonist Treat ileus (stimulates M3), myasthenia gravis
Pyridostigamine
Reversible, indirect acting cholinoceptor agonist Treat ileus (stimulates M3), myasthenia gravis
Donepezil
Reversible, indirect acting cholinoceptor agonist
Alzheimer’s balance of dopamine/ACh
Tacrine
Reversible, indirect acting cholinoceptor agonist
Alzheimer’s balance of dopamine/ACh
Malathion
Irreversible, indirect acting cholinoceptor agonist
Treat with atropine
Parathion
Irreversible, indirect acting cholinoceptor agonist
Treat with atropine
Sarin
Irreversible, indirect acting cholinoceptor agonist
Treat with atropine
Echotiophate
Irreversible, indirect acting cholinoceptor agonist
Treat with atropine
Atropine
Blocks all muscarinic receptors
Ipratropium
M3 receptor antagonist
Used to reduce bronchial secretions in COPD/asthma
Benztropine
Cholinoceptor antagonist
CNS effects– used to balance ACh and dopa in parkinsons
Hexamethonium
Nicotinic receptor antagonist
Causes vasodilation, and anhidrosis, but o/w symp dominant effect (tachycardia etc)
Mecamylamine
Nicotinic receptor antagonist
Causes vasodilation, and anhidrosis, but o/w symp dominant effect (tachycardia etc)
D-tubocurarine
Non-depolarizing Nicotinic receptor antagonist
Inhibits Nm receptors by blocking channel
Succinylcholine
Depolarizing nicotonic receptor antagonist
Causes depolarization of Nm receptors, leading to paralysis
Used for intubation
Phenylepherine
Direct acting, Alpha 1 receptor agonist
Used to treat low BP
Clonidine
Direct acting, alpha 2 receptor agonist
Decrese BP and intraocular pressure via alpha 2 receptor in ciliary epithelium
alpha-methadopa
Direct acting, alpha 2 receptor agonist
Decrese BP and intraocular pressure via alpha 2 receptor in ciliary epithelium
Apraclonidine
Direct acting, alpha 2 receptor agonist
Decrese BP and intraocular pressure via alpha 2 receptor in ciliary epithelium
brimonidine
Direct acting, alpha 2 receptor agonist
Decrese BP and intraocular pressure via alpha 2 receptor in ciliary epithelium
Metaproterenol
Direct acting Beta 2 receptor agonist
Used to treat COPD
Terbutaline
Direct acting, beta 2 receptor agonist
Treat COPD
Albuterol
Direct acting, beta 2 receptor agonist
Treat COPD, asthma
Ritodine
Direct acting, beta 2 receptor agonist
Causes uterine relaxation
Fenlodopam
Direct acting D1 receptor agonist
Increases GFR, used to treat hypertensive crises
Isoproterenol
Beta 1, beta 2 receptor agonist
Treat bradycardia
Dobutamine
beta 1, alpha 1, beta 2 receptor agonist
beta 2 and alpha 1 receptors cancel out
Used to increase ventricular output without increasing HR in MI
Epinephrine
alpha 1, alpha 2, beta 1, beta 2 receptor agonist
Used in anaphylaxis
Noepinephrine
alpha 1, alpha 2, beta 1 receptor agonist
Used to treat Low BP
Dopamine
D1, D2 alpha 1, beta 1, receptor agonist
Diuretic at low doses
Amphetamine
Causes release of dopaminergic vesicles
Blocked if reserpine is administered before
Tyramine
Increases norepinephrine synthesis
Prazosin
Alpha 1 receptor antagonist
Lowers BP
Terasosin
Alpha 1 receptor antagonist
Lowers BP
Doxasosin
Alpha 1 receptor antagonist
Lowers BP
Phenoxybezamine
Alpha 1 > alpha 2 antagonist
Used to treat phechromocytoma
Phentolamine
alpha 1 = alpha 2 antagonist
Given to MAOI pts who eat tyramine
Yohimbe
Alpha 2 > alpha 1 antagonist
Tamsulosin
Alpha 1a receptor antagonist
Reduce BPH symptoms
Labetolol
Beta blocker
Lowers BP
Sodium bicarbonate
Simple antacid
Mg(OH)2
Simple antacid
Al(OH)2
Simple antacid
Cimetidine
H2 receptor antagonist
Ranitidine
H2 receptor antagonist
Nizatidine
H2 receptor antagonist
Famotidine
H2 receptor antagonist
Omeprazole
PPI
Lansoprazole
PPI
Rabeprazole
PPI
Esomeprazole
PPI
Pantoprazole
PPI
Sucralfate
replaces stomach lining to heal peptic ulcers
Misoprostol
Stimulates PGE secretion to heal peptic ulcers
Bismuth subsalicylate
Coats stomach lining and increases prostaglandin synthesis to heal peptic ulcers
Metocloperamide
D2 receptor antagonist (antiemetic)
bethanechol
M3 receptor agonist
Used to increase Gi motility and bladder function
Neostigamine
AchE inhibitor
Used to treat abdominal distension
Erythromycin
Motilin receptor agonist
Induces gastroparesis
Methylcellulose
Bulk forming laxative
Glycerin
Surfactant Laxative
Lactulose
Osmotic laxative
Senna
Simulant laxative
Tegaserod
5Ht-4 receptor agonist
Stimulates gastroparesis
Lubiprostone
Prostaglandin derivative
Activates ClC2 channels to induce gastric motility
Methylnaltrexone
Mu-opiod receptor antagonist
Anticonstipation
Alvimopan
Mu-opiod receptor antagonist
Anticonstipation
Loperamide
Opiod receptor agonist
Induces gasteroparesis
Diphenoxylate
Opioid receptor agonist
Induces gasteroparesis
Cholestyramine
binds bile salt
Antidiarrheal
Octreotide
Somatostatin receptor agonist
Inhibits gasteroparesis
Ondansetron
5HT-3 receptor antagonist
Antiemetic
Scopolamine
M1 receptor antagonist
Antiemetic
Metocloperamide
D2 receptor antagonist
Antiemetic
Dimenhydrinate
H1 receptor antagonist
Antiemetic
Apreitant
NK1 receptor antagonist
Antiemetic
Prochlorperazine
M1 D2 H1 receptor antagonist
Lorazepam
GABA agonist
Anxiolytic/antiemetic
Nabilone
Cannabinoid agonist
Antiemetic
Dexamethasone
Glucocorticoid agonist
Antiemetic
Alosetron
5HT-3 receptor antagonist
Inihibits pain from IBD
Sulfasalazine
5ASA
IBD treatment
Mesalamine
5-ASA
IBD treatment
Azathioprine
Antimetabolite
treatment for IBD
Methotrexate
Antimetabolite
treatment for IBD
Infliximan
Antibody to TNFalpha
Prevents immune response in
IBD
methotrexate
Inhibits dihydrofolate reductase, which reduces precursors for RNA and DNA synthesis
5FU
Incorporated into DNA and RNA
Inhibits thymidylate synthetase, which reduces DNA precursors
Cytaranbine (ara-c)
incorporated into DNA and RNA, which inhibits synthesis and function
inhibits DNA synthesis by inhibiting DNA polymerase
Gemcitabine
Incorporated into DNA
Inhibits ribonucleotide reductase
6MP
Incorporated into DNA
Reduced precursors for RNA/DNA
6TG
Incorporated into DNA
Reduced precursors for RNA/DNA
Fludarabine
Incorporated into DNA/RNA
Inhibits DNA pol and ribonucleotide reductase
Cladribine
Incorporated into DNA
Causes strand breaks
Inhibits ribonucleotide reductase
Cyclophosphamide
Alkylating agent
Causes hemorrhagic cystitis via acrolein product
Mesna
Stops acrolein from damaging bladder during cyclophosphamide treatment
Carmustine (BCNU)
Alkylating agent
Brain tumors/hodgkin’s
Cisplatin
Platinum alkylating agent
Increased risk of leukemia
Nephrotoxic
Peripheral neuropathy
Carboplatin
Platinum alkylating agent
Increased risk of leukemia
Less toxic than cisplatin
Oxaliplatin
Platinum alkylating agent
Procarbazine
Alkylating agent for Hodgkins
Bacarbazine
Alkylating agent for Hodgkin’s
Temozolomide
Alkylating agent for glioblastomas
Vinblastine
Inhibit microtubule assembly
Vincristine
Inhibits microtubule assembly
Neurological defects
Paclitaxel
Antimicrotubule agent
Peripheral neuropathy
Filgrastim (GCSF)
used with paclitaxel to reduce myelosuppression
Irinotecan
Topoisomerase inhibitor
Topotecan
Topoisomerase inhibitor
Etoposide
Topoisomerase inhibitor
Doxorubicin
Intercalates with DNA
Inhibits topoisomerase II
Causes irreversible cardiomyopathy
Dexrazoxane
Fe chelator that reduces cardiotoxicity from doxorubicin
Bleomycin
Chemo abx that causes DNA breaks
Minimally myelosuppressive
Pulmonary toxicity
Tamoxifen
Selective estrogen receptor modulator in treatment of breast CA
Anastrozole
Aromatase inhibitor
chemo for breast CA
Flutamide
Androgen receptor dihydrotestosterone
Used to treat prostate CA
Leuprolide
GnRH agonist (reduces testosterone) Treatment of prostate CA
Goserelin
GnRH agonist (reduces testosterone) Treatment of prostate CA
Degarelix
GnRH antagonist (reduces testosterone) Treatment of prostate CA
Trastuzumab (herceptin)
Ab against HER2
Cardiotoxic
Cetuximab
Ab against EGFR
Colorectal tumors
Bevacizumab
Ab against VEGF
Colorectal/breast CA
HTN
Lapatinib
inhibits EGFR and HER2 kinase activity
Breast CA
Erlotinib
EGFR inhibitor/ATP competitive inhibitor
Small lung cell CA
Imatinib
Ab against BCR/ABL in CML
Asparaginase
N to aspartate
CA cells cannot get enough N
Hypersensitivity rxn
Bortezomib
Inhibits proteasome that degrade p53
causes peripheral neuropathy
Temsirolimus
Inhibits mTORC1 (inhibits cell cycle) Renal cell CA
Quinidine (MOA, high dose effect, adverse effects)
Class Ia antiarrhythmic
Blocks Na and K channels (prolonged OT)
M2 antagonist
Ca blocking at high doses
Cinchonism
Hypotension
Torsades de pointes
Convert out of Afib
Procainamide (MOA, high dose effect, adverse effects, clinical use)
Class Ia antiarrhythmic
Blocks Na and K channels (prolonged OT)
Aggrevate arrhythmias
SLE like symptoms
Treat arrhythmias (reentry SVT, afib, aflutter)
Disopyramide (MOA, high dose effect, adverse effects, clinical use)
Class Ia antiarrhythmic
Blocks Na and K channels (prolonged OT)
Ca blocking at high doses
Lidocaine (MOA, adverse effects, clinical use)
Class Ib antiarrhythmic
Blocks Na channels (lowers Vmax)
tinnitus, Szs
Digitalis induced arrhythmias. second line for ventricular arrhythmias
Propafenone (MOA, clinical use, adverse effects)
Class Ic antiarrhythmic
Blocks Na channels
Beta blocker
Treats atrial arrhythmias
Lower LV
Flecainide (MOA, clinical use, adverse effects)
Class Ic antiarrhythmic
Blocks Na channels
Slows intraventricular conduction
Can cause fatal arrhythmias
Amiodarone (MOA, clinical use, adverse effects)
Class III antiarrhythmic
Blocks Ca, Na, K, and beta receptors
Prolongs phase 3 repolarization (increase QT). Acute termination of VT of VF
Lethal pneumonitis
Hypotension
Dronedarone (MOA, clinical use, adverse effects)
Class III antiarrhythmic
Blocks Ca, Na, K, and beta receptors
Prolongs phase 3 repolarization (increase QT). Acute termination of VT of VF
Lethal pneumonitis
Hypotension
Sotalol (MOA, clinical use, adverse effects)
Class III antiarrhythmic
Blocks Ca, Na, K, and beta receptors
Prolongs phase 3 repolarization (increase QT). Acute termination of VT of VF
Lethal pneumonitis
Hypotension
Ibutilide (MOA, clinical use, adverse effects)
Class III antiarrhythmic
Blocks Ca, Na, K, and beta receptors
Prolongs phase 3 repolarization (increase QT). Acute termination of VT of VF
Lethal pneumonitis
Hypotension
Dofetilide (MOA, clinical use, adverse effects)
Class III antiarrhythmic
Blocks Ca, Na, K, and beta receptors
Prolongs phase 3 repolarization (increase QT). Acute termination of VT of VF
Lethal pneumonitis
Hypotension
Verapamil
Class IV antiarrhythmic Ca channel blocker (NDHP)
Depresses SA node automaticity
Used to control supraventricular tachycarida
Diltiazem
Class IV antiarrhythmic Ca channel blocker
(NDHP) that works equally in the heart and the vasculature
Depresses SA node automaticity
Nifedipine
Class IV
Ca channel blocker
(DHP) that works mainly in the vasculature
Adenosine
Antiarrhythmic
Activates A1 receptors on heart to hyperpolarize SA cells with K
A2 receptors in vasculature increase NO production
Used for treating SVT d/t re entry pathways
Carbonic anhydrase inhibitors
Inhibit CA in the renal cells, causing increased HCO3 and water excretion.
Can cause metabolic acidosis and renal stones
Mannitol
Osmotic diuretic
Treats cerebral edema
Can cause hypokalemia d/t increased [solute] at end ot DCT
Glycerin
Osmotic diuretic
Treats cerebral edema
Can cause hypokalemia d/t increased [solute] at end ot DCT
Isosorbide
Osmotic diuretic
Treats cerebral edema
Can cause hypokalemia d/t increased [solute] at end ot DCT
Urea
Osmotic diuretic
Treats cerebral edema
Can cause hypokalemia d/t increased [solute] at end ot DCT
Should not be given to cirrhotic pts
Furosemide
Loop diuretic (inhibits Na/K/Cl cotransporter) Causes vasodilation
Causes Ca, Mg, K loss