P2a Drug List Flashcards
What drug type is Alendronate?
Bisphosphonate
MOA of Alendronate?
Inhibit RANK-L signalling to osteoclast by osteoblast so reduces bone resorption
Use of Alendronate?
Osteoporosis, bone malignancy, myeloma, long term steroids
MOA of Atenolol?
Cardioselective beta-blocker (only inhibits beta-1 on heart)
Use of Atenolol?
Angina, ACS, arrhytmia (AF, AFL)
Contraindication of Atenolol?
Absolute asthma
What drug type is Atracurium?
Muscle relaxant
MOA of Atracurium?
Competitively binds to cholinergic (muscarinic/nicotinic) receptors at NMJ + inhibits ACh action (M3 ACh antagonist)
Use of Atracurium?
Surgery
What drug type is Bendroflumethiazaide?
Thiazide diuretic
MOA of Bendroflumethiazide?
Inhibits Na-Cl cotransporter in DCT
Use of Bendroflumethiazide?
Hypertension
What drug type is Cefuroxime?
3rd generation cephalosporin (beta-lactam)
Use of Cefuroxime?
UTIs (incl. prostatitis + pyelonephritis), hospital acquired pneumonia
MOA of Celecoxib?
Selective COX-2 inhibiting NSAID
Use of Celecoxib?
Pain relief in osteoarthritis, RA, ankylosing spondylitis
What drug type is Chloramphenicol?
Potent antibiotic
Use of Chloramphenicol?
Usually eye drops for eye infections
MOA of Ciclosporin?
Calcineurin inhibitor –> activates T cell response –> causes immunosuppression
Use of Ciclosporin?
RA, psoriasis, nephrotic syndrome, Crohn’s, dermatitis, + sicca (eye drops)
What drug is similar to Ciclosporin?
Tacrolimus
What drug type is Ciprofloxacin?
Fluoroquinolone
MOA of Ciprofloxacin?
DNA gyrase + topoisomerase inhibition
Use of Ciprofloxacin?
Many infections (e.g. gram-negative bacteria)
Components of Co-amoxiclav?
Amoxicillin + clavulanic acid
MOA of Co-Amoxiclav?
Beta-lactam + beta-lactamase inhibitor so very useful for beta-lactamase producing bacterial strains where amoxicillin alone is insufficient
Use of Co-amoxiclav?
Sinusitis, UTI, skin infection, joint infection, dental infection
What drug type is Diamorphine?
Opioid analgesic 2x stronger than morphine
What is Diamorphine also known as?
Heroin
Use of Diamorphine?
Analgesia but not to use long-term (tolerance, dependance, withdrawal, etc)
What drug type is Dalteparin?
LMWH (low molecular weight heparin)
MOA of Dalteparin?
Inhibits antithrombin II (so an anticoagulant)
Use of Dalteparin?
DVT + PE to prevent risk of MI/stroke (ischaemic)
How is Dobutamine administered?
IV only
MOA of Dobutamine?
Beta1-adrenergic agonist (positively inotropic)
Use of Dobutamine?
Cardiogenic shock, severe heart failure
What drug is similar to Doxazosin?
Tamsulosin
MOA of Doxazosin?
Alpha-adrenergic antagonist (alpha-blocker)
Use of Doxazosin?
Hypertension, pheochromocytoma (+ hypertension crisis, BPH (relax detrusor muscle neck –> easy pee)
Use of Ephedrine?
Nose drops for nasal congestion, prevents low BP during anaesthesia
What drug type is Ephedrine?
Stimulant (found in plants)
MOA of Erythromycin?
Macrolide so inhibits bacterial protein synthesis
What drugs are similar to Erythromycin?
Clarithromycin, azithromycin
Use of Erythromycin?
Community acquired pneumonia, URTI, pertussis, diphteria
What drug type is Ethinylestradiol?
Oestrogen replacement (HRT)
Use of Ethinylestradiol?
Treats postmenopausally reduced oestrogen (which can cause osteoporosis)
What drug type is Furosemide?
Loop diuretic
MOA of Furosemide?
Inhibits NKCC2 transporter in ascending loop of Henle
Use of Furosemide?
Hypertension
What drug type is Ipratropium bromide?
SAM3A
MOA of Ipratropium bromide?
Inhaled M3 antagonist (causes bronchodilation)
Use of Ipratropium bromide?
Asthma
What drug type is Loperamide?
Antimotility agent
Use of Loperamide?
Severe diarrhoea (e.g. IBS)
Contraindications of Loperamide?
Constipation
What drug type is Metformin?
Biguanide
MOA of Metformin?
Increases peripheral sensitivity to insulin
Use of Metformin?
T2DM
SEs of Metformin?
GI upset, anorexia
What drug type is Methotrexate?
DMARD (disease modifying antirheumatic drug)
MOA of Methotrexate?
Folate synthesis inhibition)
Use of Methotrexate?
Mainly: RA, psoriasis
Also: Reactive arthritis
Contraindications of Methotrexate?
Pregnancy
What drug type is Oxybutynin?
Antimuscarinic
Uses of Oxybutynin?
Overactive bladder (LUTIs, incontinence)
What drug type is Paracetamol?
Mild analgesic
Uses of Paracetamol?
Fever, mild/moderate pain
SEs of Paracetamol?
Overdoses can be fatal
What drug type is Ramipril?
ACEi
MOA of Ramipril?
Inhibits angiotensin 1 –> angiotensin 2 so decreases aldosterone + ADH
Uses of Ramipril?
Hypertension
SEs of Ramipril?
Hypokalaemia, severe dehydration, AKI, dry cough
MOA of Rifampicin?
RNA polymerase inhibiting antibiotic
Use of Rifampicin?
TB (taken for 6 months)
SEs of Rifampicin?
Red/orange coloured urine + tears
What drug type is Rivaroxaban?
DOAC (direct-acting oral anticoagulant)
MOA of Rivaraoxaban?
Factor Xa inhibitor
Use of Rivaroxaban?
First-line prophylactically for DVT + PE
What drug type is Salmeterol?
LAB2A (inhaled beta-2 agonist)
Uses of Salmeterol?
Used later down the “ladder” of management for asthma + COPD
What is Sildenafil also known as?
Viagra
MOA of Sildenafil?
Potent selective inhibitor of cGMP-specific PDE-5
Use of Sildenafil?
Erectile dysfunction, pulmonary hypertension
MOA of Suxamethonium?
Very rapid acting “depolarising type” neuromuscular function blocking agent so temporary paralysis inducing
Uses of Suxamethonium?
General anaesthesia, tracheal intubation
What type of drug is Tamsulosin?
Alpha-blocker
MOA of Tamsulosin?
Inhibits alpha-adrenergic receptors so relaxes bladder neck to make it easier to wee
Uses of Tamsulosin?
BPH
SEs of Tamsulosin?
Postural hypotension
What drug type is Tramadol?
Synthetic opioid pain reliever
Uses of Tramadol?
Moderate/severe pain
MOA of Tramadol?
Weaker than morphine but acts on opioid receptors in CNS (u receptor)
aspirin - side effects?
GI ulcers
beta blockers - contraindications?
asthma
carbimazole - side effects?
agranulocytosis
(used in hyperthyroidism)
carbimazole - contraindications?
pregnancy –> teratogenic
(used in hyperthyroidism)
dapagliflozin - side effects?
UTIs
(used in T2DM)
gliclazide - side effects?
hypoglycaemia, weight gain
(used in T2DM)
metformin - contraindications?
patients with eGFR of <30 ml/min
(used in T2DM)
methotrexate - contraindications?
pregnancy –> teratogenic
give AZATHIOPRINE instead
(used in rheumatoid + psoriatic arthritis)
ramipril - contraindications?
pregnancy –> teratogenic
sodium valproate - contraindications?
pregnancy –> teratogenic
(used in generalised epilepsy)
tamsulosin - side effects?
postural hypotension
(used in resistant HTN + BPH)