nausea and vomiting pharm Flashcards

1
Q

Serotonin (5-HT3) Receptor Antagonists

A
  • strong antiemetic
  • end with “setron”
  • risk of serotonin syndrome when combined with other 5HT affecting drugs
  • dose dependent QT prolongation
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2
Q

Dolasetron

A
  • Serotonin (5-HT3) Receptor Antagonists

- high risk of dose dependent QT prolongation (Torsades)

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3
Q

Granisetron

A

-Serotonin (5-HT3) Receptor Antagonists

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4
Q

Ondansetron

A

-Serotonin (5-HT3) Receptor Antagonists

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5
Q

Palonosetron

A

-Serotonin (5-HT3) Receptor Antagonists

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6
Q

Neurokinin (NK1) Receptor antagonists

A
  • end with “pitant”
  • moderate antiemetic
  • chemotherapy induced NV
  • mild GI and CNS AE
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7
Q

Aprepitant

A
  • Neurokinin (NK1) Receptor antagonists

- PROPHYLAXIS of post-op NV

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8
Q

Fosaprepitant

A

-Neurokinin (NK1) Receptor antagonists

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9
Q

Netupitant

A
  • Neurokinin (NK1) Receptor antagonists

- moderate CYP450 inhibitor

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10
Q

Fosnetupitant

A

-Neurokinin (NK1) Receptor antagonists

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11
Q

Rolapitant

A
  • Neurokinin (NK1) Receptor antagonists

- moderate CYP450 inhibitor

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12
Q

Histamine (H1) Receptor Antagonists

A
  • weak antiemetic
  • anticholinergic activities
  • can cause dry mouth, drowsiness, constipation, urinary retention….
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13
Q

Diphenhydramine

A

-Histamine (H1) Receptor Antagonists

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14
Q

Dimenhydrinate

A

-Histamine (H1) Receptor Antagonists

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15
Q

Hydroxyzine

A

-Histamine (H1) Receptor Antagonists

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16
Q

Promethazine

A

-Histamine (H1) Receptor Antagonists

17
Q

Meclizine

A
  • Histamine (H1) Receptor Antagonists
  • oral only!
  • only indicated for motion sickness/vertigo
18
Q

Cyclizine

A
  • Histamine (H1) Receptor Antagonists
  • oral only!
  • only indicated for motion sickness/vertigo
19
Q

Doxylamine

A
  • Histamine (H1) Receptor Antagonists
  • REQUIRES VIT B6
  • Indicated for pregnant pt
20
Q

Dopamine (D2) Receptor Antagonists

A
  • weak-moderate antiemetic

- anticholinergic activity

21
Q

Chlorpromazine

A
  • Dopamine (D2) Receptor Antagonists

- phenothiazine

22
Q

Perphenazine

A
  • Dopamine (D2) Receptor Antagonists
  • phenothiazine
  • oral only!
23
Q

Prochlorperazine

A
  • Dopamine (D2) Receptor Antagonists

- phenothiazine

24
Q

Metoclopramide

A
  • Dopamine (D2) Receptor Antagonists

- stimulates ACh in GI, generates peristalsis (diabetic gastroparesis)

25
Q

Haloperidol, olanzipine, trimethobenzamide

A
  • Dopamine (D2) Receptor Antagonists

- mostly used in psych

26
Q

Scopolamine

A
  • M1 muscarinic receptor antagonist
  • 72hr active transdermal patch
  • weak antiemetic, used for motion sickness
  • SIGNIFICANT anticholinergic activity
27
Q

Cannabinoid (CB) Receptor AGONISTS

A
  • synthetic derivatives of THC
  • decreases excitability of neurons
  • strong antiemetic
  • indicated for treatment resistant CINV
28
Q

Dronabinol

A
  • Cannabinoid (CB) Receptor AGONISTS
  • Schedule III
  • large first pass effect
29
Q

Nabilone

A
  • Cannabinoid (CB) Receptor AGONISTS
  • Schedule II
  • Metabolized into multiple active compounds