Pharmacology Basics Flashcards
First Aid Pharmacology Basics
Drugs that end in ‘-bendazole’ are what?
Antiparasitics / antihelminthics
(e.g. mebendazole)
First Aid Pharmacology Basics
Drugs that end in ‘-cillin’ are what?
Transpeptidase inhibitors
(e.g. ampicillin)
First Aid Pharmacology Basics
Drugs that end in ‘-conazole’ are what?
Ergosterol synthesis inhibitors
(e.g. itraconazole)
First Aid Pharmacology Basics
Drugs that end in ‘-cycline’ are what?
Protein synthesis inhibitors
(e.g. tetracycline)
First Aid Pharmacology Basics
Drugs that end in ‘-ivir’ are what?
Neuraminidase inhibitors
(e.g. oseltamivir)
First Aid Pharmacology Basics
Drugs that end in ‘-navir’ are what?
Protease inhibitors
(e.g. ritonavir)
First Aid Pharmacology Basics
Drugs that end in ‘-ovir’ are what?
Viral DNA polymerase inhibitors
(e.g. acyclovir)
First Aid Pharmacology Basics
Drugs that end in ‘-tegravir’ are what?
Integrase inhibitors
(e.g. elvitegravir)
First Aid Pharmacology Basics
Drugs that end in ‘-thromycin’ are what?
Macrolide antibiotics
(e.g. azithromycin)
First Aid Pharmacology Basics
Drugs that end in ‘-apine’ are what?
Atypical antipsychotics
(e.g. clozapine)
First Aid Pharmacology Basics
Drugs that end in ‘-idone’ are what?
Atypical antipsychotics
(e.g. risperidone)
First Aid Pharmacology Basics
Drugs that end in ‘-azine’ are what?
Typical antipsychotics
(e.g. thioridazine)
First Aid Pharmacology Basics
Drugs that end in ‘-barbital’ are what?
Barbituates
(e.g. phenobarbital)
First Aid Pharmacology Basics
Drugs that end in ‘-ipramine’ are what?
Tricyclic antidepressants
(e.g. imipramine)
First Aid Pharmacology Basics
Drugs that end in ‘-triptyline’ are what?
Tricyclic antidepressants
(e.g. amitriptyline)
First Aid Pharmacology Basics
Drugs that end in ‘-triptan’ are what?
5-HT1B/1D agonists
(e.g. sumatriptan)
First Aid Pharmacology Basics
Drugs that end in ‘-zepam’ are what?
Benzodiazepines
(e.g. diazepam)
First Aid Pharmacology Basics
Drugs that end in ‘-zolam’ are what?
Benzodiazepines
(e.g. alprazolam)
First Aid Pharmacology Basics
Drugs that end in ‘-chol’ are what?
Cholinergic agonists
(e.g. bethanechol)
First Aid Pharmacology Basics
Drugs that end in ‘-olol’ are what?
Beta antagonists
(e.g. atenolol)
First Aid Pharmacology Basics
Drugs that end in ‘-stigmine’ are what?
AChE inhibitors
(e.g. neostigmine)
First Aid Pharmacology Basics
Drugs that end in ‘-terol’ are what?
Beta2-agonists
(e.g. albuterol)
First Aid Pharmacology Basics
Drugs that end in ‘-zosin’ are what?
Alpha1-antagonists
(e.g. prazosin)
First Aid Pharmacology Basics
Drugs that end in ‘-afil’ are what?
PDE-5 inhibitors
(e.g. sildenafil)
First Aid Pharmacology Basics
Drugs that end in ‘-dipine’ are what?
DHP Ca2+ channel blockers
(e.g. nifedipine)
First Aid Pharmacology Basics
Drugs that end in ‘-pril’ are what?
ACE inhibitors
(e.g. catopril)
First Aid Pharmacology Basics
Drugs that end in ‘-sartan’ are what?
ARBs
(e.g. losartan)
First Aid Pharmacology Basics
Drugs that end in ‘-xaban’ are what?
Direct factor Xa inhibitors
(e. g. apixaban)
* (They perform an ‘Xa’ ‘ban.’)*
First Aid Pharmacology Basics
Drugs that end in ‘-gliflozin’ are what?
SGLT2 inhibitors
(e.g. dapagliflozin)
First Aid Pharmacology Basics
Drugs that end in ‘-glinide’ are what?
Meglitinides
(e.g. repaglinide)
First Aid Pharmacology Basics
Drugs that end in ‘-gliptin’ are what?
DPP-4 inhibitors
(e.g. sitagliptin)
First Aid Pharmacology Basics
Drugs that end in ‘-glitazone’ are what?
PPAR-gamma activators
(e.g. rosiglitazone)
First Aid Pharmacology Basics
Drugs that end in ‘-glutide’ are what?
GLP-1 analogs
(e.g. albiglutide)
First Aid Pharmacology Basics
Drugs that end in ‘-dronate’ are what?
Bisphosphonates
(e.g. alendronate)
First Aid Pharmacology Basics
Drugs that end in ‘-limus’ are what?
mTOR inhibitors
(e.g. everolimus)
First Aid Pharmacology Basics
Drugs that end in ‘-prazole’ are what?
Proton pump inhibitors
(e.g. omeprazole)
First Aid Pharmacology Basics
Drugs that end in ‘-prost’ are what?
Prostaglandin analog
(e.g. latanoprost)
First Aid Pharmacology Basics
Drugs that end in ‘-sentan’ are what?
Endothelin receptor antagonists
(e.g. bosentan)
First Aid Pharmacology Basics
Drugs that end in ‘-tidine’ are what?
H2-antagonists
(e.g. cimetidine)
First Aid Pharmacology Basics
Drugs that end in ‘-vaptan’ are what?
ADH antagonists
(e.g. tolvaptan)
First Aid Pharmacology Basics
Drugs that end in ‘-ximab’ are what?
Chimeric human-mouse monoclonal antibodies
(e.g. rituximab)
First Aid Pharmacology Basics
Drugs that end in ‘-zumab’ are what?
Humanized mouse monoclonal antibodies
(e.g. bevacizumab)
First Aid Pharmacology Basics
Drugs that end in ‘-umab’ are what?
Human monoclonal antibodies
(e.g. denosumab)
First Aid Pharmacology Basics
Drugs that end in ‘-tinib’ are what?
Tyrosine kinase inhibitors
(e.g. imatinib)
First Aid Pharmacology Basics
Drugs that end in ‘-zomib’ are what?
Proteasome inhibitors
(e.g. bortezomib)
First Aid Pharmacology Basics
Drugs that end in ‘-ciclib’ are what?
Cyclin-dependent kinase inhibitors
(e.g. palbociclib)
First Aid Pharmacology Basics
Drugs that end in ‘-cept’ are what?
TNF-alpha antagonists
(e.g. etanercept)
First Aid Pharmacology Basics
Drugs that end in ‘-leukin’ are what?
Interleukin-2 agonists or analogs
(e.g. aldesleukin)
First Aid Pharmacology Basics
Drugs that end in ‘-kinra’ are what?
Interleukin receptor antagonists
(e.g. anakinra)
First Aid Pharmacology Basics
Reversible competitive inhibitors have what effect on Vmax and KM?
Vmax - None
KM - Increased
First Aid Pharmacology Basics
Irreversible competitive inhibitors have what effect on Vmax and KM?
Vmax - Decreased
KM - None
First Aid Pharmacology Basics
Noncompetitive inhibitors have what effect on Vmax and KM?
Vmax - Decreased
KM - None
First Aid Pharmacology Basics
What effect do reversible competitive inhibitors have on either potency or efficacy?
Potency decreases
First Aid Pharmacology Basics
What effect do noncompetitive inhibitors and irreversible competitive inhibitors have on either potency or efficacy?
Efficacy decreases
First Aid Pharmacology Basics
IV drugs follow what bioavailability?
100%
First Aid Pharmacology Basics
Oral drugs follow what bioavailability? Why?
< 100%
incomplete absorption + first-pass metabolism
First Aid Pharmacology Basics
What equation gives the volume of distribution of a particular drug?
Vd = amount of drug in body / plasma drug concentration
First Aid Pharmacology Basics
What two equations give the clearance of a particular drug?
- ) CL = rate of elimination / plasma drug concentration
- ) CL = Vd * Ke
(Ke = elimination constant)
First Aid Pharmacology Basics
What equation gives the half-life for a particular drug that follows first-order elimination?
T1/2 = 0.7 * Vd / Clearance
First Aid Pharmacology Basics
What equation gives the loading dose for a particular drug?
Loading dose = target [plasma] * V<strong>d</strong> / bioavailable fraction
First Aid Pharmacology Basics
What equation gives the maintenance dose for a particular drug?
Maintenance dose = target [plasma] * clearance * dosage interval / bioavailable fraction
First Aid Pharmacology Basics
In renal disease, what happens to maintenance and loading dose for a particular drug?
Maintenance dose decreases
Loading dose remains unchanged
First Aid Pharmacology Basics
In liver disease, what happens to maintenance and loading dose for a particular drug?
Maintenance dose decreases
Loading dose remains unchanged
First Aid Pharmacology Basics
Describe the following drug interaction:
the effect of substance A and substance B together is equal to the sum of their individual effects.
Additive
First Aid Pharmacology Basics
Describe the following drug interaction:
presence of substance A is required for the full effect of substance B
Permissive
First Aid Pharmacology Basics
Describe the following drug interaction:
the effect of substance A and substance B together is greater than the sum of their individual effects.
Synergistic
First Aid Pharmacology Basics
Describe the following drug interaction:
an acute decrease in response to a drug after initial/repeated administration
Tachyphylactic
First Aid Pharmacology Basics
True/False.
Aspirin and acetaminophen have additive effects on one another.
True.
First Aid Pharmacology Basics
True/False.
Cortisol has tachyphylactic effects on catecholamines.
False.
Cortisol has permissive effects on catecholamines.
First Aid Pharmacology Basics
True/False.
Clopidogrel and aspirin have additive effects on one another.
False.
Clopidogrel and aspirin have synergistic effects on one another.
First Aid Pharmacology Basics
Do any of the following not exhibit tachyphylactic properties?
Nitrates, niacin, phenylephrine, LSD, MDMA
No, they all exhibit tachyphylactic properties.
First Aid Pharmacology Basics
Name some example drugs which exhibit tachyphylactic properties.
Nitrates, niacin,
phenylephrine,
LSD, MDMA
First Aid Pharmacology Basics
Name a few substances that show zero-order elimination.
Phenytoin
Ethanol
Aspirin
First Aid Pharmacology Basics
Zero-order elimination follows ________-limited elimination.
Zero-order elimination follows capacity-limited elimination.
(constant, linear amount eliminated per unit time)
First Aid Pharmacology Basics
First-order elimination follows ________-dependent elimination.
First-order elimination follows flow-dependent elimination.
(constant fraction/proportion eliminated per unit time)
First Aid Pharmacology Basics
How should phenobarbital toxicity be treated as far as renal excretion goes?
Sodium bicarbonate
First Aid Pharmacology Basics
How should methotrexate toxicity be treated as far as renal excretion goes?
Sodium bicarbonate
First Aid Pharmacology Basics
How should salicylate toxicity be treated as far as renal excretion goes?
Sodium bicarbonate
First Aid Pharmacology Basics
How should tricyclic antidepressant toxicity be treated as far as renal excretion goes?
Ammonium chloride
(NOTE: TCA toxicity is generally treated with sodium bicarbonate to overcome the sodium channel blockade.)
First Aid Pharmacology Basics
How should amphetamine toxicity be treated as far as renal excretion goes?
Ammonium chloride
First Aid Pharmacology Basics
Geriatric patients lose phase ____ drug metabolism first.
Geriatric patients lose phase 1 drug metabolism first.
First Aid Pharmacology Basics
Describe the products of phase 1 drug metabolism.
Slightly polar, still-active, water-soluble metabolites
First Aid Pharmacology Basics
Describe the products of phase 2 drug metabolism.
Very polar, inactive metabolites
(renally excreted)
First Aid Pharmacology Basics
What are the processes involved in phase 1 metabolism?
Reduction
Oxidation
Hydrolysis
First Aid Pharmacology Basics
What are the processes involved in phase 2 metabolism?
Conjugation
(methylation, glucuronidation, acetylation, sulfation)
First Aid Pharmacology Basics
Define drug efficacy.
The amount of effect a drug can produce
First Aid Pharmacology Basics
Define drug potency.
The amount of drug needed to produce a desired effect
First Aid Pharmacology Basics
Which is better, high therapeutic indices or low therapeutic indices?
High
First Aid Pharmacology Basics
How are therapeutic indices calculated?
TD50 / ED50
(median toxic effect / median effective dose)
First Aid Pharmacology Basics
Name a few medications with very low therapeutic indices.
(Warning! These drugs are lethal!)
Warfarin
Theophylline
Digoxin
Antiepileptic drugs
Lithium