Mechanism Of Action Drugs Flashcards
TMPS
Inhibition DNA synthesis by interfering on folate pathway
Fluoroquinolones
Inhibition DNA synthesis by interfering on DNA gyrase
Macrolides
Inhibitiln of dna synthesis by interfering on RNA polymerasa
Metromidazol
Creates free radicals inside bacteria
BLactams
Interfere on cell wall synthesis: Act on ezymes called penicillin binding proteins (PBPs) and it produces a lysisnof the cell
Tetracyclines
Inhibition of protein synthesis: act on 30s ribosome
Aminoglycosides
Inhibition of protein synthesis: act on 30s ribosome
Macrolides
Inhibition of protein synthesis: act on 50s ribosome
Cloramohenicol
Inhibition of protein synthesis: act on 50s ribosome
Pergolide
Dopamine D2 agonist
Bromocriptine
Dopamine D2 agonist
Cabergoline
Dopamine D2 agonist
Ciproheptadine
Serotonine antagonist, treatement of PPId
Metformine
AMPK agonist, helping entering glucose into the cells
Reduces glucose and insuline levels
Low bioavailability
Levothyroxine
Synthetic T4: same action than thyroid hormones: increases gluconeogenesis, protein synthesis, mobilization glycogen stores = increases metabolic rate in the cells
Pentoxifiline
Phosphodiesterasa (pde) inhibitor
cAMP —(pde)——>5AMP —-> secretion cytokines
AE: decreases blood viscosity
DMSO
Scavenge derived radicals
Polymyxin B
Binds lipid A portion of LPS and neutralizes endotoxin capacity
Lidocaine
Block Na channels
AE: muscle fasciculations, ataxia, seizure
Bethanecol
Parasympathicomymetic acting smooth muscle throw muscarinic receptors
Muscarinic cholinergic agonist- stimulates ACh receptors
AE: cholinergic effects: abdominal pain, sweating, salivation
Mitomycin C
Decreases collagen cross linking and inhibits fibroblast proliferation
Neostigmine
Inhibition cholinesterasa, increasing levels of Ach binding to muscarining receptors
Metroclopramide
5HT-4 agonist
5HT-3 antagonist
Dopamine antagonist
Cisapride
5HT-4 agonist
5HT-3 antagonist
Domperidone
Antagonist D2 receptors
Erythromycin
Motilin receptor agonist
Acepromazine
Dopamine receptor antagonist
Furosemide
Na/K/Cl pump inhibitor in the ascending loop henle
AE: hypokalemia, hyponatremia, hypocloremia ans hypomagnesemia.
It increases digoxin toxicity effects
ACE inhibitors (benazepril)
Inhibits RAAS system
ACE inhibitors avoid conversion of AT1 to AT2
Digoxin
Inhibits na/kATPase pump: causing na to accumulate into the cell preventing calcium to go out too fast from the cell. Allowing more calcium available to be released from the sarcoplasmatic reticulum, enhancing contraction
AE: colic, diarrhea, anorexia, arritmias
Aspirin
Irreversible inhibits COX in platelets, inhibiting gormation thromboxane
Acetaminophen
Mild effect on COX. Acts on Serotonergic and cabbinoid pathways