Pharmacology Flashcards
1
Q
Basal Insulin
A
Treats T1DM
Long acting insulin, lasts for 12-24 hours. Mixed with protamine or zinc
2
Q
Bolus Insulin
A
Treats T2DM
Short acting soluble insulins work within 30-60 minutes
3
Q
Metformin
A
- Treats T2DM
- Biguanide class
- Reduces gluconeogenesis in liver and increases glucose uptake in skeletal muscle
- Side effects: GI issues, lactic acidosis
4
Q
Gliclazide/ Glipizide
A
- Treats T2DM
- Sulfonylurea class
- Stimulates B cells to secrete insulin
- Side effects: hypoglycaemia, weight gain
5
Q
Sitagliptin
A
- Treats T2DM
- DPP4 Inhibitors class
- Inhibits DPP4 which stimulates insulin secretion
- Side effects: GI issues, pancreatitis
6
Q
Pioglitazone
A
- Treats T2DM
- Glitazone class
- Increases uptake of fatty acids and glucose
- Side effects: fluid retention and weight gain
7
Q
Carbimazole
A
- Treats Hyperthyroidism
- Blocks thyroid hormone synthesis and is an immunosuppressive
- Give with thyroxine to prevent hypothyroidism
- Side effect: agranulocytosis
8
Q
Levothyroxine
A
- Treats Hypothyroidism
- Form of T4
9
Q
Spironolactone
A
- Treats Conn’s Syndrome, Ascites, HF, Hypertension, ARPKD
- K+ sparing diuretic
- Inhibits reabsorption of sodium and water by epitherlial sodium channels in DCT
- Side effects: GI upset, Hyperkalaemia, metabolic acidosis, gynaecomastia
- Another example of a K+ sparing diuretic is Amiloride
10
Q
Clopidogrel
A
- Treats IHD, Acute Coronary Syndrome
- Antiplatelet
11
Q
Fibrinolysis
A
- Treats Acute Coronary Syndrome
- Clot buster
12
Q
Glyceryl Trinitrate Spray (GTN)
A
- Treats angina
- Dilates coronary arteries
13
Q
Amlodipine
A
- Treats angina
- Calcium channel blocker
14
Q
Ferrous Sulphate
A
- Treats Iron deficiency
- Oral iron
15
Q
Hydroxocobalamin
A
- Treats Pernicious Anaemia
- Vitamin B12
16
Q
Hydroxycarbamide
A
- Treats Sickle Cell Anaemia
- Increases HbF concentration
17
Q
LMW heparin
A
- Treats DVT
- Inactivates factor Xa
18
Q
Apixaban
A
- Treats DVT
- Direct acting Oral Anti-Coagulant (DOAC)
19
Q
Doxycycline
A
- Treats Malaria
- Antibiotic for bacterial infections
20
Q
Imatinib
A
Treats CML if Philadelphia chromosome positive
21
Q
Quinine
A
Treats malaria (antimalarial)
22
Q
ABVD
A
- Treats Hodgkin’s Lymphoma
- Adriagmycin, Bleomycin, Vinblastine, Dacarbazine
23
Q
R-CHOP
A
- Treats Non-Hodgkin’s Lymphoma
- Rituximab, Cyclophosphamide, Hydroxy-daunorubicin, O-Vincristine, Prednisolone
24
Q
Pegylated Interferon Alpha 2a
A
- 1st line treatment for Hepatitis B, C and D
25
Tenofovir
- 2nd line treatment for Hepatitis B
- Inhibits viral replication
26
Ribavirin
- Treats Hepatitis C
- Antiviral
27
Sofusbuvir
- Treats Hepatitis C
- Antiviral
28
N-acetycysteine
- Treats paracetamol overdose
- Given if OD taken >1 hour ago or patient has existing liver damage
29
Loperamide
- Treats Diarrhoea
- Anti-motility (stops pooing)
30
Desferrioxamine
- Treats Haemochromatosis
- Chelating agent: sticks to iron to remove in urination
31
Penicillamine
- Treats Willson's Disease
- Chelating agent: binds to copper to remove in urination
32
Furosemide
- Treats Ascites, SIADH, ARPKD
- Loop Diuretic
- Inhibits Na+/K+/2Cl- cotransporters on ascending loop of Henle
- Side effects: dehyrdation, hypotension, hypokalaemia, metabolic alkalosis, ototoxicity
- Another example of a loop diuretic is Bumetanide
33
Demeclocycline
- Treats SIADH
- Inhibits action of vasopressin on kidney
34
Tolvaptan
- Treats SIADH, hyponatraemia
- Vasopressin receptor antagonist
35
Desmopressin
- Treats Diabetes Insipidus (cranial)
- Synthetic vasopressin, reduces renal excretion of water
36
Bendroflumethiazide
- Treats Diabetes Insipidus and APKD
- Causes more Na+ secretion in DCT → increased water loss causes GFR reduction by inhibiting sodium chloride transporters
- Side effects: hypokalaemia, metabolic alkalosis, hypovolaemia, hyponatraemia, hyperglycaemia in diabetics
37
Calcium Gluconate
- Treats Hyperkalaemia, severe hypocalcaemia
- Reduces excitability of cardiac myocytes
38
Insulin with Dextrose
- Treats hyperkalaemia
- Drives K+ into cells
39
Polystyrene Sulphonate Resin
- Treats Hyperkalaemia
- Binds K+ in gut, decreasing uptake
40
Calcitriol
- Treats Hypoparathyroidism
- Active form of Vit D
41
Calcimimetic
- Treats Hyperparathyroidism
- Increases sensitivity to Ca2+ so reduces PTH secretion
42
Colchicine
- Treats Pericarditis
- Inhibits migrations of neutrophils to site of inflammation
43
Diclofenac
- Analgesia
- Give 75mg IV for renal colic (urinary tract stones)
44
Metoclopramide
- Anti-emetic
- Treats renal colic (urinary tract stones)
45
Prednisolone
- Take orally for Crohn's (first line)
- Glucocorticoid steroid
- Second line treatment for UC not responding to 5-ASA or in severe cases
46
Hydrocortisone
- Take IV for severe Crohn's
- Strong steroid
47
Inliximab
- Take for Crohn's not respoding to steroids
- Anti-TNF antibody
48
Adalimumab
- Take for Crohn's not respoding to steroids
- Anti-TNF antibody
49
Azathioprine
- Maintains remission in Crohn's
50
5-aminosalicyclic acid (5-ASA)
- Take orally or suppository for UC (first line)
- Examples: Sulfasalazine, mesalazine, olsalazine
51
Lansoprazole
- Proton Pump Inhibitor
- Inhibits gastric hydrogen release preventing production of gastric acid
- Treats GORD
- Preventative for gastritis
52
Omeprazole
- Proton Pump Inhibitor
- Inhibits gastric hydrogen release preventing production of gastric acid
- Treats GORD and peptic ulcers
- Preventative for gastritis
53
Cimetidine
- H2 receptor antagonist
- Blocks histamine receptors on parietal cells reducing acid release
- Treats GORD, peptic ulcers and gastritis
54
Cyclophosphamide
- Treats Minimal Change Disease
- Give with Corticosteroids as 1st line treatment
- 1st line in induction of IgA Nephropathy
55
Cyclosporine
- Treats recurrent Minimal Change Disease
- Use with Corticosteroids when Cyclophosphamide hasn't helped
56
Azathioprine
- Treats IgA Nephropathy in remission
57
Cefalexin
- 1st line antibiotic in treating Pyelonephritis
58
Meyoclopramide
- Treats renal colic
- Anti-emetic
59
Mitomycin C
- Antineoplastic antibiotic / chemotherapy
- Interferes with DNA and stops cell division
- Treats bladder cancer
60
BCG
- Immunotherapy drug
- Infects bladder tumour cells increasing expression of antigen presenting cells causing cytokine release
- Treats bladder cancer
61
Goserelin
- GnRH agonist
- Treats prostate cancer
62
Bicalutamide
- Androgen receptor blocker
- Treats prostate cancer
63
Tamsulosin
- Selective alpha 1-adrenergic receptor antagonist
- Relaxes smooth muscle in bladder neck and prostate, increasing urinary flow rate
- S/E postural hypotension, retrograde ejaculation
- 1st line treatment for BPH
64
Finasteride
- 5-a-reductase inhibitor
- Inhibits conversion of testosterone to dihydrotestosterone
- S/E fatigue, lethargy, ED
- Treats BPH
65
Nitrofurantoin
- Antibiotic
- Contraindicated in pregnancy (except 1st trimester)
- 1st line treatment for cystitis
66
Trimethoprim
- Antibiotic safe in pregnancy
- Treats cystitis, second line for prostatitis
67
Cefalexin
- Antibiotic safe in pregnancy
- Treats cystitis, pyelonephritis
68
Gentamicin
- 1st line treatment for acute prostatitis
- Deliver by IV with co-amoxiclav
- Treats pyelonephritis
69
Ciprofloxacin
- Treatment for chronic prostatitis
- 4-6 week course
70
Azithromycin
- 1st line treatment for Chlamydia and Gonorrhoea
- Pregnancy safe
71
Doxycycline
- Treats Chlamydia
- Don't use in pregnancy
72
Erythromycin
- Treats Chlamydia with pregnancy
73
Ceftriaxone
- Treats Gonorrhoea