Pharmacology l & ll Flashcards
1st gen antihistamines derived from piperazine and used in motion sickness
a) Hydroxyzine
b) Cyclizine
c) Meclizine
a) Hydroxyzine
1st gen antihistamines derived from Ethanolamine and used in Parkinson’s disease & is a sedative hypnotic
a. Carbinoxamine
b. Dimenhydrinate
c. Diphenhydramine
c. Diphenhydramine
antihistamines that is commonly used as a component in cold medications?
Brompheniramine, Chlorpheniramine
a 1st gen antihistamine that is added w/ other antipsychotic agent to prevent delayed hypersensitivity reactions
Brompheniramine
Chlorpheniramine
Promethazine (Phenergan®)
Cyproheptadine (Periactin®)
Promethazine (Phenergan®)
1st gen antihistamines used in carcinoid syndrome
Brompheniramine
Chlorpheniramine
Promethazine (Phenergan®)
Cyproheptadine (Periactin®)
Cyproheptadine (Periactin®)
a 2nd gen antihistamine H1 blocker used in IgE immediate allergies
Cyclizine
Meclizine
Acrivastine
Cetirizine
Cetirizine
5-HT1A Serotonin Agonists used as Sedative-hypnotic; anxiolytic
Buspirone
Sumatriptan
Lorcaserin
Ondansetron
Buspirone
5-HT2C Serotonin Agonists used as Tx for obesity
Buspirone
Sumatriptan
Lorcaserin
Ondansetron
Lorcaserin
5-HT2A Serotonin Agonists used as Tocolytic (slow/stop uterus contractions during pregnancy)
Phenoxybenzamine
Cyproheptadine
Methysergide
Ondansetron
Methysergide
5-HT3 Serotonin Agonists used as Antiemetic for chemotherapy-induced N&V
Ondansetron, Tropisetron, Dolasetron, Ramosetron, Granisefron
5-HT1B/1D Serotonin Agonists used in specific migraine?
Sumatriptan, Almotriptan, Eletriptan, Frovatriptan
5-HT4 Serotonin Agonists used in Constipation dominant irritable bowel syndrome
Tegaserod, Cisapride, Mosopride
5-HT2 Serotonin Agonists used in Carcinoid syndrome
Phenoxybenzamine, Cyproheptadine
PGF2𝛂 used in glaucoma
Latanoprost
Travoprost
Bimatoprost
Bimatoprost
PGE2 used to Stop bleeding after pregnancy, can terminate pregnancy
Dinoprostone
Epoprostenol
Iloprost
Beraprost
Dinoprostone
PGI2 used to Tx Pulmonary arterial hypertension
Dinoprostone
Epoprostenol
Iloprost
Beraprost
Epoprostenol
PGE1 that is a vasodilator
Alprostadil
Bimatoprost
Dinoprostone
Misoprostol
Epoprostenol
Alprostadil
PGE1 that is used to prevent ulcers, often abuse as induction agent in 2nd trimester; abortive
Alprostadil
Bimatoprost
Dinoprostone
Misoprostol
Epoprostenol
Misoprostol
Direct-Acting Parasympathomimetics used to diagnose asthma
Methacholine
Carbachol
Pilocarpine
Bethanechol
Methacholine
Direct-Acting Parasympathomimetics used for glaucoma
Methacholine
Carbachol
Pilocarpine
Bethanechol
Carbachol
Pilocarpine
Direct-Acting Parasympathomimetics used for urinary retention & obstructive paralytic ileus
Methacholine
Carbachol
Pilocarpine
Bethanechol
Bethanechol
Indirect-Acting Parasympathomimetics; 1st line Tx for Atropine toxicity & anticholinergic poisoning
Pyridostigmine
Rivastigmine
Ambenonium
Demecarium
Neostigmine
Neostigmine
Indirect-Acting Parasympathomimetics used in Alzheimer’s disease 👴🧓
Pyridostigmine
Rivastigmine
Ambenonium
Demecarium
Neostigmine
Rivastigmine
Indirect-Acting Parasympathomimetics for MG that is refractory to Neostigmine & Pyridostigmine
Pyridostigmine
Rivastigmine
Ambenonium
Demecarium
Neostigmine
Ambenonium
widely used anticholinesterase for MG 🦴🦴
Pyridostigmine
Rivastigmine
Ambenonium
Demecarium
Neostigmine
Pyridostigmine
Indirect-Acting Parasympathomimetics for Glaucoma 👁️👁️
Pyridostigmine
Rivastigmine
Ambenonium
Demecarium
Neostigmine
Demecarium
Indirect-Acting Parasympathomimetics used to Dx Myasthenia Gravis (MG) 🦴🦴
Ambenonium
Demecarium
Edrophonium
Edrophonium
4 insecticides used in biological warfare
Isoflurophate
Echothiophate
Malathion
Parathion
AChE regenerators used in sarin poisoning together with atropine
Pralidoxime (PAM) Diacetylmonoxime (DAM)
Parasympatholytic agent used to Mgtx of cholinergic poisoning & symptomatic heart block/bradycardia
Ipratropium (Atrovent®),
Atropine
Tiotropium (Spiriva®)
Scopolamine/Hyoscine
Atropine
Bronchodilators
Hydrobromide salt
Methyl Bromide salt Scopolamine/Hyoscine
Ipratropium (Atrovent®), Salbutamol, Tiotropium (Spiriva®)
Ipratropium (Atrovent®), Salbutamol, Tiotropium (Spiriva®)
Anti Motion sickness
Hydrobromide salt
Methyl Bromide salt
Scopolamine/Hyoscine
Ipratropium (Atrovent®), Salbutamol, Tiotropium (Spiriva®)
Scopolamine/Hyoscine
Antispasmodic for GIT
Hydrobromide salt
Methyl Bromide salt
Scopolamine/Hyoscine
Ipratropium (Atrovent®), Salbutamol, Tiotropium (Spiriva®)
Methyl Bromide salt
Mydriatic-cycloplegic
Hydrobromide salt
Methyl Bromide salt
Scopolamine/Hyoscine
Ipratropium (Atrovent®), Salbutamol, Tiotropium (Spiriva®)
Hydrobromide salt
antimuscarinic agent used in local muscle spasms
Orphenadrine (+Paracetamol) Norgesic®
Tx/Mgx for Parasympatholytic Toxicity specifically in seizures
Diazepam
Tx/Mgx for Parasympatholytic Toxicity in Severe cases
Physostigmine
Hexamethonium, Mecamylamine, Trimethaphan is an example of
ANTI-NICOTINICS/GANGLIONIC Blockers
NEUROMUSCULAR Blockers
Non-depolarizing Neuromuscular blockers
ANTI-NICOTINICS/GANGLIONIC Blockers
Succinylcholine, Decamethonium is an example of
ANTI-NICOTINICS/GANGLIONIC Blockers
NEUROMUSCULAR Blockers
Non-depolarizing Neuromuscular blockers
NEUROMUSCULAR Blockers
Tubocurarine, Pancuronium is an example of
ANTI-NICOTINICS/GANGLIONIC Blockers
NEUROMUSCULAR Blockers
Non-depolarizing Neuromuscular blockers
Non-depolarizing Neuromuscular blockers
severe epilepsy with mental retardation of unknown cause & is refractory to some agents
Lennox-Gastaut Syndrome
most common generalized epileptic syndrome characterized by myoclonic, tonic-clonic & absence seizures.
Juvenile Myoclonic Epilepsy
common in children (3 to 16 y.o.), alterations of consciousness for 10-30 sec, starting with occasional blinking & loss of postural tone.
Absence (Petit Mal)
there’s abnormal movements that usually occur on the face & limbs.
Myoclonic
muscle Jerking, salivation, tachycardia, incontinence.
Clonic
patient fall to the ground, muscle rigidity
Tonic
series of grand mal seizures with no recovery of consciousness in between episodes
Status Epilepticus
sudden loss of postural tone
Atonic
with high fever causing seizures & convulsions, common in children (3 mos. to 5 yrs old)
Febrile Seizures
1st line agent for Partial seizures w/ GTC
CBZ & Phenytoin; Lamotrigine, Topiramate
DOC for Absence (Petit Mal) seizures
Ethosuximide; Clonazepam, Topiramate
Initial Management for Status Epilepticus
Lorazepam
Diazepam
Phenobarbital
Lorazepam
DOC for Status Epilepticus in adults
Lorazepam
Diazepam
Phenobarbital
Diazepam
DOC for Status Epilepticus in children
Lorazepam
Diazepam
Phenobarbital
Phenobarbital
anti seizure drug that blocks Na+ & T-TYPE Ca+ channels. S/E: hepatotoxic, false (+) urine ketone tests
VPA (Depakene®)
Carbamazepine/CBZ (Tegretol®)
Phenytoin (Dilantin®)
VPA (Depakene®)
anti seizure drugs that blocks Na+ channels; also used for bipolar disorders
VPA (Depakene®)
Carbamazepine/CBZ (Tegretol®)
Phenytoin (Dilantin®)
Carbamazepine/CBZ (Tegretol®)
anti seizure drugs that blocks Na* Channels; highly protein bound and a potent enzyme inducer.
VPA (Depakene®)
Carbamazepine/CBZ (Tegretol®)
Phenytoin (Dilantin®)
Phenytoin (Dilantin®)
inhalational anesthetic DOC in Tx malignant hyperthermia & neuroleptic malignant syndrome
Halothane
Dantrolene
Methoxyflurane
Enflurane
Isoflurane
Sevoflurane
Dantrolene
inhalational anesthetic used in pediatric population because of its pleasant odor & lack of hepatotoxicity
Halothane
Dantrolene
Methoxyflurane
Enflurane
Isoflurane
Sevoflurane
Halothane
Most potent, most toxic; Inhalational anesthetic of choice for labor
Halothane
Dantrolene
Methoxyflurane
Enflurane
Isoflurane
Sevoflurane
Methoxyflurane
old anesthetic of choice for asthmatic patients
Halothane
Dantrolene
Methoxyflurane
Enflurane
Isoflurane
Sevoflurane
Enflurane
new anesthetic of choice for asthmatic patients
Halothane
Dantrolene
Methoxyflurane
Enflurane
Isoflurane
Sevoflurane
Sevoflurane
Inhalational anesthetic preferred in neurosurgery
Halothane
Dantrolene
Methoxyflurane
Enflurane
Isoflurane
Sevoflurane
Isoflurane
ULTRA-SHORT ACTING BARBITURATES
Thiopental
Propofol
Cocaine
Kitamine
Thiopental
commonly used & most popular IV anesthetic; DOC for inducing anesthesia in ambulatory surgery
Thiopental
Propofol
Cocaine
Kitamine
Propofol
1st local anesthetic discovered
Thiopental
Propofol
Cocaine
Kitamine
Cocaine
Dopamine-2 antagonists that causes retinal & corneal deposits
Chlorpromazine (Thorazine®)
Promethazine, Promazine, Triflupromazine
Thioridazine (Mellaril), Piperacetazine
Fluphenazine, Prochlorperazine
Thioridazine (Mellaril), Piperacetazine
Dopamine-2 antagonists that causes strong sedation
Chlorpromazine (Thorazine®)
Promethazine, Promazine, Triflupromazine
Thioridazine (Mellaril), Piperacetazine
Fluphenazine, Prochlorperazine
Chlorpromazine (Thorazine®)
most potent Dopamine-2 antagonists
Chlorpromazine (Thorazine®)
Promethazine, Promazine, Triflupromazine
Thioridazine (Mellaril), Piperacetazine
Fluphenazine, Prochlorperazine, Trifluoperazine, Thiethylperazine, Perphenazine
Thioridazine (Mellaril), Piperacetazine
Fluphenazine, Prochlorperazine, Trifluoperazine, Thiethylperazine, Perphenazine
Fatal agranulocytosis:
Clozapine
weight gain:
Clozapine & Olanzapine
DOC for Neuroleptic Malignant Syndrome:
Bromocriptine; Dantrolene
1st line treatment of major depression
TCA’s
MAOIs
SSRIs
Li Salts
SSRIs
Fuoxetine (Prozac), Fluvoxamine, Sertraline (Zoloft”), Paroxetine, Citalopram, Escitalopram, Vilazodone
DOC and is the only agent that improves TRAP in Parkinson’s disease
Levodopa + Carbidopa
Guaifenesin (Robitussin®)
Expectorants
Mucolytics
Antitussives
Expectorants
Butamirate citrate, Dextromethorphan
Expectorants
Mucolytics
Antitussives
Antitussives
Bromhexine, Carbocisteine, Ambroxol
Expectorants
Mucolytics
Antitussives
Mucolytics
Cefazolin, Cephalexin, Cephapirin, Cephalothin, Cephradine
!st gen
Cefuroxime, Cefaclor, Cefprozil, Cefamandole, Ceforanide, Cefonicid
2nd Generation Cephalosporins
Ceftriaxone, Cefixime, Cefoperazone, Cefotaxime, Ceftazidime
3rd Generation Cephalosporins
Cefepime, Cefpirome
4th Generation Cephalosporins
Ceftaroline, Ceftolozane
5th Generation Cephalosporins
DOC for Leptospirosis.
Doxycycline
used in Syndrome of inappropriate antidiuretic hormone secretion (SIADH)
Demeclocycline