Pharma Flashcards
strongest acid/alkali
is always found
In
ionised form
Eg: heparin
Forced alkalisation done using
Na bicarb
Aceto zolami de
urine acidification done by
ascorbic acid Ammonium Chloride
Absorption -…… form
excretion …… form
nonionised
Ionised
Henderson hesselback equation
pka= ps+ log (Ionised A / unionised A )
PKA =pH H H equation
50%
P.glycoprotein inhibitors
VAQCINE
Nera pamil
amiodarone Cyclosporine Itraconazole Nifedipine erythromycin Quinidine
Most potent p glyco
inhibitor
Verapamil
Eg: ofa drug affected ey p-glycoprotein
digoxin
BA dec
P. glycoprotein induces
Rifampicin St. John’s wort
Phenytoin
carbamazepine
Bioequivalent drugs
BA diff <20%.
Rear for passive transport
lipid soluble
Non ionised
uptake of AA by brain
is a form of
facilitated
diffusion
heast canon method
of drug transport
with eg
Pinocytosis
insulin
any 4 orphan
drugs
Fomi pizole
Leothysonine
Digi band
Protamine sulfate
active form of
thyroxine? used in?
mynedema coma
essential drugs must be
affordable
available
single compound
Dang distr i b ution in
3 components
42=4+10+28
chloroquine digoxin TCA low/high vd
Large Vd
Avoid dialy sis in poison oning
of what kind of drugs
Large Vd
AVOID Dialysis
Amphetamine Verapamil OPC opioids Imipramine (TCA) D igoxin Diazepam
Eg: of adrug swith strong plasma
protein binding
Diazepam
Vd formula
total dose / Plasma concentration
Loading dose =
Vd x target plasma
concentration
T1/2=
0:693 x Vd /clearance
Clearance =
rate of elimination /plasma concentration
Maintenance dose
=
cLx plasma conc
Acidic drugs usually
bind
basic.
Albumin
x-1 acid glycoprotein
aI acid glycoprotein increased in
MI,
Burns Trauma
Aspirin displaces …… from protein
binding site
Tolbutamide
Warfarin
…… displaces
bilirubin i n
sulphonamide
c(I newborn
keen icterus
G1 phase enzyme
L- asparaginese
CDK4,6 inhibitors
Palbo ciclib
Abema ciclib
Ribociclib
ADR an uses of
L- asparaginese
hemorrhagic pancreatitis hypecoagulation
ALL
E. coli
Steroids
steroids act on
which phase
S
Tenoposide
Stop oside
Epipodophyllotoxin
Tenoposide
Stop oside
Epipodophyllotoxin
Topoi somerase I
inhibitor
Irinotecan
Topote can
G2
Topoisomerase II inhibifor
Etoposide
Tenoposide
Antheacycline
antibiotics
Dose limiting ttoxicity of Irinote can
Diarrhea
drugs acting on M
phase
Vinca alkaloids
Taxanes
Ixabepilone Erbul in
Estramustim
M. phase
Prostate cancer
all anti biotic anticancer drugs are cytotoxic except
Bleomycin
Permetrexed Trimetrered
Mesothelioma
Non small cell lung cancer
anti folate
Pralatrexate
Ralti thaxate
1- cutaneous T- cell lymphoma
2. Mesothelioma
colOrectal ca
antidote for anti folate
exept M+x
Vit B12+ Folic acid
MOA MTX
MTX PG inbulents DH FR
_ … increase M tx action
P. glycoprotein inhibitors
DOC for choriocarcinoma
Mtx
Mfx as DMARD dose
7.5 mg) week
loco close long term Mtx used in
R.A.
ADR MTX
my elo suppression Alopecia GI toxicity long term - hepato toxiatry crystall ria
Folinic Acid raikk overncome
all ADR of Mtx except
Neurotoxinty?
-
…… lused as antidote fOr
pts with Mtx toxicity and kidney disease
GLUCAR BIDASE
Purine antimet abolites
6_Thio guanine 6-Mencaptopurine Fludarabine C ladribine Pento statin
DOC_hairy call leukemia
Gladri bine
Pentostatin
adenosine deaminase
inhibitors
CLL
active form of 6-MP
6- Thiosinic acid
Leesh Nyhan synchome
def of HGPRT
xanthine oxidase inhibitors
allopurinol
febunostat
Pyramidine anti metabolites
Cytarabine
5-FU
Gemcitab ine
Capecitabine
ADR cytarabine
Myelosuppression
Cerebellar ataxia
dysarthria
leucomisole
anti helmin this agent having immunostimulatory action colorectal ca (along with 5-FU)
5 Fu lencoverin interaction
L increases action of 5 FU
Topical use of sFU
BCC keratosis
hand foot synchome
vasospasmic action
of 5-FU
DOC adenocarcinoma pancreas
G emcitab ine
Radio sensitizer
Gemci +abine
maximum risk of
hand foot syndrome
capecitabine
pro drUg S-FU
Radiation recall reaction
seen in
Actinomycin D max
Dannorubicin Doxorubicin Mizoxandrone
Cardio tomic anticancer antibiotics
Danno rubicin Doxo rubicin Mitoxantrone
Mitoxantrone
used in
multi ple sclerosis
uses of adriamycin
ALL AML Breast ca Osteosarco ma MHL HL
antidote doxorubicin
Dexrazoxane
+ Alpha tocopherol