Module 5 Drugs Flashcards
Liquor - Opioids - barbiturates - meprobamate (the carbamate drug Miltown) - the “ludes”–Quaalude (methaqualone) - benzodiazepines (Valium, Xanax, Versed) - antihistamines (hydroxyzine) - herbal remedies (valerian) - *medical marijuana
Antianxiety drugs (anxiolytics)
hydantoin (Dilantin) - sodium channel stabilizers (Tegretol) - barbiturates (phenobarbital, Pentotha) - benzodiazepines (Versed)
Antiseizure drugs
TCAs–tricyclic and tetracyclic drugs (amitriptyline) - MAIOs - SSRIs (Prozac, Paxil) - SNRIs (cymbalta)
antidepressants for “regular” (Unipolar) depression
lithium - antidepressants (many newer ones for long term anxiety) - atypical anitpsychotics (Abilify, Risperdal)
drugs for Bipolar (Manic) Depression
antidepressants - Sedative-Hypnotics (like the benzodiazepine Xanax) - beta blockers (like Inderal)
drugs for Social Phobias, compulsions, PTSD, etc.
typical ones like chlorpromazine (Thorazine–phenothiazine class) - atypical ones like newer risperidone (Risperdal)
Antipsychotics
barbiturates (historically, like Seconal) - short acting benzodiazepines (Halcion) - nonbenzodiazepines (Ambien, Lunesta) - melatonin rc agonists (Rozerem) - OTCs like NyQuil - herbal remedies (natural melatonin, Valerian, etc.)
drugs for Insomnia
stimulants (Ritalin, Adderall)
drugs for ADHD
ethyl alcohol is by far themost widely used anxiolytic, the “social lubricant” for the world
liquor (as an antianxiety drug)
historical use–opium dens, tincture called laudanum
Opioids for antianxiety
used historically; i.e. Veronal (barbital), phenobarbital for seizures
Barbiturates
the carbonate drug that was the 1st blockbuster psychotropic drug in US history; best selling anxiolytic for a while
meprobamate (Miltown)
briefly relied on in the 60s and 70s but “luding out” came to an end when it became a schedule 1 drug in 1984
the “ludes”–Quaalude (methaqualone)
still a widely used group of drugs: diazepam, alprazolam, midazolam
benzodiazepines
some of the 1st generation anti H1 drugs with good anxiolytic properties; i.e. hydroxyzine (Vistaril, Atarax)
Antihistamines as anxiolytics
chamomile tea, St. John’s Wort, medical marijuana (pot), kava kava, Valerian root
herbal remedies as anxiolytics
the hydantoin drug phenytoin
Dilantin
the sodium channel stabilizer carbamazepine
Tegretol
the barbiturate used as a back up oral drug to Dilantin & Tegretol
phenobarbitol
the barbiturate drug thiopental used as an I.V. drug that will stop an acute seizure
Pentothal
the benzodiazepine midazolam used for emergency I.V. control of seizures (better than Valium because it can be given I.V. as well as I.M and also down an endotracheal tube if needed)
Versed
the prototype TCA group–not used much for depression anymore but for pain management
Elavil
amitriptyline
Elavil
antidepressants used in many different conditions: depression, pain, anxiety, psychosis; older class
MAOIs–Monoamine Oxidase Inhibitors
1st antidepressant of SSRI class
Prozac
2nd antidepressants of SSRI class
Paxil and Zoloft
fluoxetine
Prozac
paroxetine
Paxil
sertraline
Zoloft
SNRI still heavily advertised on TV
Cymbalta
duloxetine
Cymbalta
one of the 1st drugs with efficacy for this Bipolar (Manic) Depression; still used quite commonly today
lithium
a long acting formulation of lithium
Lithobid
fluoxetine
Prozac
aripiprazole
Abilify
risperidone
Risperdal
the most widely used, antidepressant drugs for social phobias, OCD, PTSD and addictive compulsions
the SSRIs Prozac, Paxil & Zoloft
SNRIs like Cymbalta
alprazolam
Zanax
chlorpromazine–prototype antipsychotic; 1st used in the 50s
Thorazine
haloperidol–antipsychotic used in the 70s-90s
Haldol
drugs that don’t cause some of the same extrapyramidal side effects as the Thorazine-like drugs
‘atypical’ antipsychotics
risperidone–one of the newer antipsychotics and the most commonly used in the US today
Risperdal
secobarbital–barbiturate not used much as a sleep aid anymore
Seconal
benzodiazepine with a very short half-life but it’s not used much anymore because the non-benzodiazepines and the new melatonin rc agonists are currently preferred
Halcion
zolpidem
Ambien
eszopiclone
Lunesta
ramelteon–the ‘latest and greatest’ drug for insomnia; claimed to be non habit-forming
Rozerem
these are mostly combos of 1st gen antihistamines, which cross the BBB and cause sedation; sometimes mixed with other drugs like melatonin or alcohol
OTC insomnia drugs (i.e. NyQuil)
our own natural sleep hormone
melatonin
Valerian root, Chamomile tea, lemon balm, Kava Kava, etc.
herbal sleep aids
methylphenidate for ADHD
Ritalin
mixed amphetamine salts for ADHD
Adderall
schedule II drugs with high potential for abuse; these drugs usually speed up the mind but, in people with ADHD, they slow it down
Ritalin & Adderall
4% cocaine solution, EMLA cream, 10% benzocaine (Hurricane Spray)
the most commonly used topical anesthetics
procaine (Novocain), lidocaine (Xylocaine) bupivacaine (Marcaine)
anesthetics most commonly used for local infiltration and regional blocks
fentanyl (Sublimaze), sufentanil (Sufenta), ketamine
Opioid analgesics
midazolam (Versed: valium)
sedative hypnotics
propofol (Diprivan), thiopental, atropine
general anesthetic Induction drugs (given intravenously)
nitrous oxide (N2O), sevoflurane (Ultane), Diethyl ether (Ether), cyclopropane, chloroform, halothane
gases used as maintenance agents in general anesthesia
Valium (diazepam), Soma, Flexeril
Sedative hypnotic muscle relaxants–used orally to sedate parts of the brain, relieving muscle pain and spasm
d-tubocurarine (curare), vecuronium (Norcuron)
Paralytic Agents: neuromuscular blocking agents which bind and occupy the nicotinic acetylcholine receptor
potent mu rc agonists used as opioid analgesics in “pre-op” area to relieve anxiety and slowly start sedating the patient
fentanyl (Sublimaze) and sufentanil (Sufenta)
midazolam
Versed
Hurricane Spray
10% benzocaine
procaine
Novocain
lidocaine
Xylocaine
bupivacaine
Marcaine
fentanyl
Sublimze
sufentanil
Sufenta
propofol
Diprivan
a barbiturate, seldom used anymore
thiopental
drying agent, often used but doesn’t put you to sleep
atropine
sevoflurane
a modern potent anesthetic gas
Ultane
Diethyl ether
Ether
no longer used for humans in the U.S (
Ether, cyclopropane, chloroform and halothane
*halothane is still used frequently in vet practices
Soma
carisopridol
d-tubocurarine
curare
vecuronium
Norcuron
hydrocortisone 1% (Cortaid), triamcinolone (Kenalog) cream, prednisone, diphenhydramine (Benadryl)
Dermatitis (Inflammation & itching)
para-aminobenzoic acid (PABA), sunblocks (micronized titanium dioxide and zinc oxide), benzocaine (Solarcaine), calamine lotion and aloe vera gel
Dermatitis: sunburns
gentamicin, bacitracin, mupirocin (Bactroban)
topical singles for skin bacterial infections
Triple antibiotic ointment like Neosporin, double antibiotics like Polysporin, Cortisporin (neomycin, polymyxin B and hydrocortisone in OTC strength)
topical combinations products for bacterial skin infections
clotrimazole (Lotrimin)
topical antifungal
Lotrisone (betamethasone + clotrimazole)
topical combos for fungal skin infections
acyclovir (Zovirax) and Valtrex (valacyclovir)
topical forms of the drugs for oral treatment of HSV infections
17% salicylic acid (in ‘Compound W’) or dimethyl ether and propane (as liquids in cryotherapy)
caustic agents to used to burn warts off
permethrin (Elimite)
for Pediculoides/Anti-scabies
permethrin
Elimite
“Compound W”
17% salicylic acid, dimethyl ether (Ether) and propane
benzoyl peroxide (Benzac), salicylic acid, tretinoin (Retin-A), clindamycin (Cleocin T), erythromycin (Eryderm)
topical treatments for Acne Vulgaris
tetracycline, minocycline (Minocin), isotretinoin (Accutane)
oral treatments for Acne Vulgaris
benzoyl peroxide
Benzac
tretinoin
Retin-A
clindamycin
Cleocin T–topical
erythromycin
Eryderm
minocycline
Minocin
isotretinoin
Accutane
metronidazole, either topically (MetroGel) or orally
for Rosacea (acne rosacea)
salicylic acid (Compound W liquid) and liquid nitrogen (Compound W Freeze-Off) as “cryotherapy”
Wart Removal
minoxidil (Rogaine), finasteride (Propecia)
for Hair Loss
minoxidil, a vasodilator that used to be for HTN
Rogaine–2% women and 5% men
finasteride; prevents conversion of testosterone to DHT; for hair loss
Propecia
silver sulfadiazine; a sulfa med used to preven and suppress infections; it’s used on top of burns and wounds
Silvadene cream