Pharmacology Flashcards
Overactive Bladder/Incontinence
Detrol (tolterodine) Enablex (darifenacin) Oxytrol or Ditropan (oxybutynin) Trospium Fesoterodine Solifenacin Myrbetriq (mirabegron) Cymbalta (duloxetine*)
Detrol (tolterodine)
MOA
Anticholinergic competitive antagonist of muscarinic (cholinergic) receptors
Detrol (tolterodine)
AE
Diarrhea, HA, N/V confusion, Oliguria, dysuria, hematuria
Detrol (tolterodine)
Indications
Overactive bladder, urge incontinence, enuresis
Enablex (darifenacin)
MOA
Anticholinergic antagonist of the M3 muscarinic (cholinergic) receptor subtype
Enablex (darifenacin)
Indication
Urge incontinence and urinary urgency/ freq
Enablex (darifenacin)
AE
Bladder pain, hematuria, dysuria, urgency/frequency
Oxytrol or Ditropan (oxybutynin)
MOA
Antispasmodic inhibits the action of acetylcholine on smooth muscle
Oxytrol or Ditropan (oxybutynin)
Indication
Urge incontinence, OAB
Oxytrol or Ditropan (oxybutynin)
AE
Belching, diarrhea, indigestion, headache, N/V
Myrbetriq (mirabegron)
MOA
Beta3 adrenergic agonist (Relaxes detrusor ms)
Myrbetriq (mirabegron)
Indications
OAB, urge incontinence
Myrbetriq (mirabegron)
AE
HTN, arrhythmia, HA, dizziness, N/V
Cymbalta (duloxetine*)
MOA
Serotonin and NE reuptake inhibitor (inc sphincter tone)
Cymbalta (duloxetine*)
Indications
Stress urinary incontinence
Cymbalta (duloxetine*)
AE
Dizziness, arrhythmia, rash, N/V, HA, frequency
Urinary retention
Urecholine (bethanechol)
Flomax (tamulosin)
Urecholine (bethanechol)
MOA
Muscarinic 1,3 agonist (cholinergic agonist)
Urecholine (bethanechol)
Indication
Neurogenic atony of bladder overflow incontinence
Urecholine (bethanechol)
AE
Hypotension, tachycardia, colic, n/v, salivation, HA, urinary urgency
Salivation, Lacrimation, Urination, Diarrhea
Flomax (tamulosin)
MOA
Selective Alpha 1A Blocker adrenoreceptor antagonist
Flomax (tamulosin)
Indication
BPH—relaxes the bladder neck
Flomax (tamulosin)
AE
Hypotension, headache, dizziness, ejaculation failure
Urinary tract pain
Narcotic analgesic (eg Demerol, oxycontin)
NSAID
Pyridium (phenazopyridine HCl)
Narcotic analgesic (eg Demerol, oxycontin) MOA
Opiate receptor agonist
Narcotic analgesic (eg Demerol, oxycontin) Indication
Chronic pain (or acute)
Narcotic analgesic (eg Demerol, oxycontin) AE
Drowsiness, Constipation, rash, low BP
NSAID
MOA
COX 2 inhibitor (release anti-inflm PGs)
NSAID
Indication
Acute and chronic pain
NSAID
AE
Bloating, diarrhea, N/V, edema, high BP. (Ki damage over time)
Pyridium (phenazopyridine HCl)
Indications
Dysuria, symptomatic relief
Pyridium (phenazopyridine HCl)
AE
Rash, confusion, SOB, wt gain CI in renal and LV disease
Urinary tract Infection
Bactrim (SMX-TMP) (sulfamethoxasole & trimethoprim)
Nitrofurans (nitrofurantoin)
Beta lactam AB (amoxicillin)
Fluoroquinolones (eg ciprofloxacin, levofloxacin)
Macrolides (eg azithromycin)
Aminoglycosides (eg gentamicin)
Bactrim (SMX-TMP) (sulfamethoxasole & trimethoprim)
MOA
Inhibit folic acid
Bactrim (SMX-TMP) (sulfamethoxasole & trimethoprim)
I
Acute uncomplicated cystitis, acute PN
Bactrim (SMX-TMP) (sulfamethoxasole & trimethoprim)
AE
Rash, HA, diarrhea
Nitrofurans (nitrofurantoin)
MOA
Inhibit protein synthesis Bactericidal in urine