Pharmacological Profiles Flashcards
Class of drugs that cause a dose-dependent depression of CNS function, inducing sedation, sleep, and unconsciousness with increasing dose.
Sedatives & Hypnotics
What are the agents in the Sedative and Hypnotic class?
Barbiturates, Benzodiazepine, and melatonin agonists
What drugs have anticonvulsant properties, depress the sensory cortex, decrease motor activity, altar cerebellar function, and produce drowsiness, sedation, and hypnosis, can be used as a sedative, can manage seizures?
Barbiturates
- Phenobarbital
- Thiopental
are examples of what?
Barbiturates
Antianxiety drugs can be subdivided into:
1) Benzodiazepines (short term use only)
2) Non-benzodiazepines
1) Alprazolam
2) Diazepam
3) Lorazepam
Are examples of what?
Benzodiazepines (PAM & LAM)
1) Buspirone hydrochloride
2) Hydroxyzine
3) Sertraline
Are examples of what?
Non-benzo
What are the different classes of antidepressants?
1) TCAs: Tricyclic antidepressants
2) MAOI: Monoamine Oxidase Inhibitors
3) SSRI: Selective Serotonin Reuptake Inhibitors
4) SNRIs: Serotonin-norepinephrine reuptake inhibitors
5) Serotonin Reuptake inhibitor/antagonist
6) Dopamine/Norepinephrine-Reuptake Inhibitor
How many weeks can it take for antidepressants to be effective?
4-6 weeks
What’s the first line of medication for depression?
SSRI:
1) Citalopram
2) Fluoxetine
3) Sertraline
4) Paroxetine
Bupropion is commonly used for what?
Smoking cessation
What class of drugs blocks dopamine receptors in the brain; also alter dopamine release and turnover. Peripheral effects include anticholinergic properties and alpha-adrenergic blockade.
Antipsychotic
What drug is used in the treatment of intractable hiccups?
Chlorpromazine
Neuroleptic malignant syndrome is mainly seen in what drug?
Haloperidol
Haloperidol
Prochlorperazine
Quetiapine
Olanzapine
Are examples of what?
Antipsychotics
What are CNS stimulants subdivided into?
Amphetamines and Anorexiants
Produce respiratory stimulation, dilated pupils, increased motor activity and mental alertness, and a diminished sense of fatigue. Used in children with ADHD these agents decrease restlessness and increase attention span. Used in the treatment of narcolepsy.
CNS Stimulants (Amphetamines and anorexiants)
1) Methylphenidate HCL
2) Dextroamphetamine
Are examples of what?
Amphetamines
Phentermine
Is an example of what?
Anorexiants
What class reduces the excitability of neurons in the brain?
Anticonvulsant
Anticonvulsants treat seizures but can also be used in the treatment of what?
Neuropathic pain and Headache symptoms
What’s an adverse reaction in the eyes caused by taking anticonvulsants?
Nystagmus
Benzodiazepines are used to treat status epilepticus. What are some benzo’s that are used as anticonvulsants?
1) Diazepam
2) Lorazepam
3) Midazolam
4) Clonazepam
What class of drugs are Phenytoin, Ethosuximide, and Valproic acid?
Anticonvulsant
1) Phenothiazines
2) Metoclopramide
3) Odansetron
4) Prochlorperazine
5) Pomethazine
Are all examples of what?
Antiemetics
What drugs are classified as antivertigo?
1) Meclizine
2) Diphenhydramine
3) Bezodiazepines
What class of drug produces a local anesthesia by inhibiting transport of ions across neuronal membranes, thereby preventing initiation and conduction of normal nerve impulses?
Local Anesthetic
What drug causes neuro inhibition and anesthesia, where the patient is dissociated from the surrounding?
Ketamine
Removes the feeling or sensation (chemical changes to the nerve impulse).
Anesthetic
Alleviates or relieves pain from a patient
Analgesic
What are utilized to produce a loss of sensation prior to minor painful procedures?
Local Anesthetics
What are the doses of Ketamine for:
1) Analgesia (IV)
2) Analgesia (IM)
3) Induction of anesthesia (IV)
4) Induction of anesthesia (IM)
- 10-20mg IV (analgesia)
- 20-40mg IM (analgesia)
- 1-2mg/kg (anesthesia IV)
- 4-6mg/kg (anesthesia IM)
What is the most hemodynamically neutral of the sedative-hypnotic agents use for the induction of general anesthesia?
Etomidate
What is the IV induction drug of choice for most non-trauma patients because of its rapid onset and recovery, antiemetic properties, and relatively no adverse side effects?
Propofol
The use of ketamine increases the risk of what?
Laryngospasm
What are the different classes of Analgesics?
1) Salicylate
2) Non-salicylate
3) Nonsteroidal Anti-Inflammatory Drug (NSAID)
4) Urinary analgesics
What class inhibits prostaglandins, dilates peripheral blood vessels (cools body), and prolong bleeding by inhibiting aggregation of platelets?
Salicylates
What class of drug’s action is analgesic and antipyretic?
Non-salicylate
What drug is often associated with acute liver failure?
Acetaminophen
What class of drug is used to decrease risk of myocardial infarction and used in the prevention and treatment of blood clots?
Salicylates
What an example of salicylates?
Aspirin
What are examples of non-salicylates?
1) Acetaminophen
2) Benzocaine-Menthol
What class of drugs inhibit the action of the enzyme cyclooxygenase (COX-1 & COX-2 Nonselective or COX-2 Selective)?
Nonsteroidal Anti-Inflammatory Drug (NSAIDS)
What drugs are used for dysmenorrhea (painful menstruation)?
NSAIDS
What are some examples of NSAIDS?
1) Ibuprofen
2) Indomethacin
3) Ketorolac
4) Naproxen
5) Celecoxib (selective COX 2 inhibitor)
6) Meloxicam (selective COX 2 inhibitor)
What is the first line treatment for Gout?
Indomethacin
What is a topical bladder, urethral anesthetic, and analgesic through an known mechanism?
Pyridium (100mg TID for 5 days as needed for dysuria)
What class of drug results in the alteration to the perception of and response to pain?
Narcotic Analgesics
What are contraindications for giving narcotic analgesics?
1) Head injury or Intra-Cranial Pressure
2) Hypoxia
3) Hepatic impairment
What are examples of narcotic analgesics?
1) Codeine
2) Fentanyl
3) Hydromorphone
4) Methadone
5) Morphine Sulfate
6) Oxycodone
7) Hydrocodone
What blocks the opioid receptors, preventing the body from responding to opiates and endorphins?
Naloxone
Histamines are found where?
Highest amount found in basophils (WBC) and mast cells
What type of antihistamines are used to treat allergic reactions, insomnia, motion sickness or vertigo?
H1
What type of antihistamines treat gastric acid conditions and relief of Parkinson-like reactions?
H2
What are some examples of antihistamines?
1) Diphenhydramine
2) Hydroxyzine
3) Promethazine
4) Cetirizine HCL
5) Fexofenadine
6) Loratadine
What class of drug reduces swelling of nasal passages and enhances drainage of sinuses?
Decongestant
What are some contraindications for decongestants?
- Use with caution in hypertension
- May worsen prostatic hyperplasia/urinary obstruction
- Elderly may be more sensitive
- Pregnancy C. Not recommended.
What are examples of decongestants?
- Oxymetazoline
- Pseudoephedrine
- Phenylephrine (Nasal/Opthalmic decongestant)
What is drug is notorious for causing rebound congestion when used for more than 3 days consecutively?
Oxymetazoline HCL (Afrin)
What class of drug releases stimulants and reuptake inhibitors that increase the levels of endogenous catecholamines? These are found in bronchial smooth muscle and when stimulated cause relaxation (dialation) of bronchioles.
Beta2 Agonists
What are some examples of Beta2 agonists?
- Albuterol sulfate
2. Levalbuterol HCL
What beta2 agonists should you use with caution in patients with diabetes mellitus since it can increase serum blood glucose?
Albuterol
What class of drug antagonizes acetylcholine receptors, producing bronchodilation? (anticholinergic)
Muscarinic Antagonists
What class of drug would you use for relief or prevention of bronchial asthma and the management of COPD?
Muscarinic Antogonists
What class of drug would you use for reversible airway obstruction caused by bronchospasm due to bronchial asthma, exercise-induce bronchospasm, bronchitis, emphysema, and other obstructive pulmonary disorders?
Beta2 Agonists
Xanthine Derivatives (-tropium)
- Ipratropium
- Tiotropium
Are examples of what?
Muscarinic antagonist anticholinergics
What class of drug is broncho constrictive substance released by the body during inflammation. Antagonists results in bronchodilation.
Leukotriene
What class of drug inhibit the release of substances that cause bronchoconstriction and inflammation from the mast cells in the respiratory tract?
Mass Cell stabilizer
What are leukotriene Antagonists and Mast Cell Stabilizers used in the treatment of?
- Asthma
2. COPD
Aspirin-sensitive asthmatics should avoid what medication?
Montelukast
What are examples of a leukotriene receptor antagonist & a mast cell stabilizer?
Leukotriene receptor antagonist = Montelukast
Mast cell stabilizer = Cromolyn
What class of drug produces profound and varied metabolic effects, in addition to modifying the normal immune response and suppressing inflammation, decrease inflammatory process in the airway through inhibiting multiple different inflammatory cytokines?
Inhale Corticosteroids
- Budesonide
- Fluticasone
Are examples of what?
Inhalant Corticosteroids
What class of drug depresses the cough center and anesthetizes stretch receptors?
Antitussives
- Codeine sulfate
- Benzonatate
- Dextromethorphan
- Diphenhydramine
Are examples of what?
Antitussives
What class of drug loosens and mobilizes thick mucus from respiratory system?
Expectorants & Mucolytics
What are examples of a mucolytic & a expectorant?
Mucolytic = Acetylcysteine
Expectorant = Guaifenesin
Actions of this drug include:
- Blockade of Na or K channels
- Raise the potential threshold
- Block beta receptor stimuli
- Block calcium channels
Antiarrhythmics
What class of antiarrhythmics depresses myocardial excitability to electrical stimuli thus decreasing the pulse rate?
Class 1
What class of antiarrhythmics block stimulation of the beta receptors of the heart?
Class 2
What class of antiarrhythmics block potassium channels to the heart and are used for ventricular dysrhythmias and atrial fibrillation?
Class 3
What antiarrhythmic class blocks calcium channels which are critical in the production of muscle contraction and electrical conduction?
Class 4