Pharmacology Flashcards

1
Q

What is the mechanism of action of Codeine?

A

Codeine is an agonist that acts on the central nervous system and has an analgesic effect - it inhibits prostaglandin synthesis.

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2
Q

What is the mechanism of action of Paracetamol?

A

Paracetamol has a central analgesic effect by the inhibition of prostaglandins.

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3
Q

What is the mechanism of action of Sertraline?

A

Sertraline inhibits the CNS neuronal uptake of serotonin, increasing the amount of serotonin that exists in the brain.

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4
Q

What is the mechanism of action of Amitriptyline?

A

Amitriptyline blocks the re-uptake of serotonin and norepinephrine in presynaptic terminals, leading to higher levels of these in the brain.

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5
Q

What is the mechanism of action of Valproic acid?

A

Valproic acid inhibits voltage-gated sodium channels causing a decrease in neurone firing rate.

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6
Q

What is the mechanism of action of Ibuprofen?

A

Ibuprofen is a non-selective NSAID that reversibly inhibits COX-1 and COX-2. This causes prostaglandin synthesis to be blocked, and therefore leads to a reduction of pain and inflammation.

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7
Q

What drug classification does Codeine belong to?

A

Opiates

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8
Q

What drug classification does Paracetamol belong to?

A

Analgesics and Antipyretics

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9
Q

What drug classification does Sertraline and Paroxetine belong to?

A

Antidepressants - serotonin reuptake inhibitor class

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10
Q

What drug classification does Amitriptyline belong to?

A

Tricyclic Antidepressants

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11
Q

What drug classification does Valproic acid belong to?

A

Anticonvulsants

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12
Q

What drug classification does Ibuprofen belong to?

A

NSAIDs

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13
Q

When would Codeine be prescribed?

A

To relieve mild-to-moderate pain

It is often combined with paracetamol

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14
Q

When would Ibuprofen be prescribed?

A

To reduce general aches and pains

Useful for patients with osteoarthritis, rheumatoid arthritis and gout

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15
Q

When would Valproic acid be prescribed?

A

Bipolar disorder

It is also used for epilepsy

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16
Q

When would Amitriptyline be prescribed?

A

Depression, sometimes in combination with anxiety and insomnia

17
Q

When would Sertraline be prescribed?

A

Depression, anxiety and OCD

18
Q

When would Paracetamol be prescribed?

A

To relieve mild-to-moderate pain and to reduce fever

19
Q

What is the mechanism of action of Carbamazepine?

A

Blocks voltage-gated sodium channels in their inactive state, preventing repetitive and sustained firing of an action potential

20
Q

When would Carbamazepine be prescribed?

A

Epilepsy, bipolar disorder or trigeminal neuralgia / peripheral neuropathy

21
Q

What is Allopurinol?

A

A drug that reduces blood uric acid levels

22
Q

What is the mechanism of action of Allopurinol?

A

Allopurinol inhibits xanthine oxidase - limits hypoxanthine conversion to (xanthine then) uric acid

23
Q

What is Colchicine?

A

An anti inflammatory drug used to treat symptoms of Gout attacks

24
Q

What is the mechanism of action of Colchicine?

A

Colchicine disrupts cytoskeletal functions by inhibiting β-tubulin polymerization into microtubules

It binds to neutrophils and prevent them from migrating to areas where uric acid crystals have accumulated

25
What are Cytokine modulators?
Cytokine modulators are agents that can either enhance or suppress the activity of cytokines
26
What class of drug does methotrexate, sulfasalazine, adalimumab, infliximab, apremilast and tofacitinib belong to?
DMARDs
27
What class of drugs do flurbiprofen, ibuprofen, naproxen and ketoprofen belong to?
NSAIDs
28
When would Allopurinol be prescribed?
In patients with gout
29
When would Colchicine be prescribed?
In patients with an acute gout attack
30
When would cytokine modulators be prescribed?
Prescribed after failure of at least 2 standard DMARDs in inflammatory rheumatoid conditions (RA, PsA) Alternatively after failure of two NSAIDs in ankylosing spondylitis
31
When would DMARDs be prescribed?
Commonly rheumatoid arthritis and psoriatic arthritis
32
When would NSAIDs be prescribed?
For the relief of pain They should ideally be prescribed alongside a PPI to reduce gastrointestinal impacts