Pharmacology MOA Flashcards
acetaminophen Tylenol
Pain killer; Unknown MOA; NOT anti-inflammatory
SE: hepatotoxicity!
acetazolamide Diamox
CAI
acetylcysteine Mucomyst
Breaks up disulfide bonds in mucous
Topical can be rxed for filamentary keratitis, dry eye, corneal burns
acyclovir Zovirax
Herpes medication; inhibits DNA polymerase
albuterol Ventolin
B2 agonist
SE: increases aqueous production/glaucoma
allopurinol Zyloprim
Purine analog; inhibits purine synthesis
Treatment of gout
amantadine Symmetrel
Adrenergic agonist; Parkinson’s drug; dopamine agonist
amiodarone Cordarone
Anti-arrhythmic drug; K channel blocker
SE: Whorl keratopathy, NAION, anterior subcapsular lens deposits
amitriptyline Elavil
Anti-depressant; TCA; inhibits NE and serotonin reuptake
SE: anticholinergic effects; TCA overdose is life-threatening!!!
amoxicillin Principen
Antibiotic; inhibits transpeptidase (cell wall synthesis)
Gram + (primary) and gram -
Safe in pregnancy!
amphotericin B Amphocin
Anti-fungal; binds to ergosterol and forms pores
Broad spectrum; SE: nephrotoxicity
apraclonidine Iopidine
Alpha 2 agonist
atenolol Tenormin
Beta-1 blocker
atorvastatin Lipitor
HTN Medication
azathioprine Imuran
RA Treatment; purine analog; stops DNA/RNA replication
azelastine Optivar
x
azithromycin Zithromax
Antibiotic; Macrolide; Protein synthesis inhibitor; inhibits 50s ribosomal subunit
Tx of chlamydia; 1 gm dose
Tx of bacterial conjunctivitis, bleph
benazepril Lotensin
HTN Med; ACE inhibitor
SE: cough
bepotastine Bepreve
Mast cell stabilizer/Antihistamine combo
besifloxacin Besivance
Fluoroquinolone (Gen 4); inhibits DNA synthesis via DNA gyrase and topoisomerase
Gram - and +
Oral: CI pregnancy/children
betaxolol Betoptic S
B1 selective Beta blocker
bimatoprost Lumigan
Prostaglandin analog
botulinum toxin Botox
Parasympathetic antagonist; blocks aceytlcholine
brimonidine Alphagan P
Alpha 2 agonist
Decreases aqueous production and increases uveoscleral outflow
brinzolamide Azopt
CAI
Decreases aqueous production
bromfenac Xibrom
NSAID; COX 1 and 2 inhibotor
bromocriptine Parlodel
Parkinson’s drug; dopamine agonist
Also used to treat pituitary adenomas
brompheniramine Dimetane
Cholinergic antagonist; Antihistamine; 1st gen H1 blocker
SE: sedation, mydriasis, dry eyes
captopril Capoten
HTN Med; ACE Inhibitor
SE: cough
carteolol Ocupress
Beta blocker (sympathomimetic activity)
ceftriaxone Rocephin
Antibiotic; 3rd gen cephalosporin
Treatment of choice for gonococcal conjunctivitis and orbital cellulitis
Gram + and -
celecoxib Celebrex
NSAID; Selective cox 2 inhibitor; Protects stomach lining
cephalexin Keflex
Antibiotic; 1st gen cephalosporin; inhibits transpeptidase
Gram +
cetirizine Zyrtec
2nd gen anti-histamine; H1 blocker
SE: oculogyric crisis! (abnormal EOM contractions)
chloramphenicol Chloromycetin
Antibiotic; protein synthesis inhibitor; inhibits 50s ribosomal subunit
Gram + and -
SE of topical: Fatal aplastic anemia, optic neuritis
chloroquine Aralen
Malaria treatment; results in the buildup of heme, inhibits phospholipase A
SE: Whorl keratopathy, bulls eye maculopathy
Risk increases if > 2.3 mg/kg of real body weight
chlorothiazide Diuril
HTN Drug; Thiazide diuretic; inhibits NaCl reabsorption in the distal convoluted tubule
SE: acute transient myopia, angle closure glaucoma
chlorpheniramine Chlor-Trimeton
Cholinergic antagonist; Anti-histamine; 1st gen H1 blocker
SE: sedation, mydriasis, dry eyes
chlorpromazine Thorazine
Antipsychotic; Cholinergic antagonist; Anti-psychotic; dopamine antagonist
SE: Parkinson-like effects, pigmentation effects, anticholinergic effects, oculogyric crisis
chlorpropamide Diabinese
Diabetes med; sulfonurea; increases the secretion of insulin by beta cells
SE: hypoglycemia
cholestyramine Questran
Cholesterol medication
cimetidine Tagamet
Anti-histamine; H2 blocker
Prevents stomach ulcers/acid reflux
ciprofloxacin Ciloxan or Cipro
Antibiotic; fluoroquinolone (gen 2); Inhibits bacterial DNA synthesis via DNA gyrase and topoisomerase
Gram -
Oral: CI pregnancy/children
clarithromycin Biaxin
Antibiotic; macrolide; protein synthesis inhibitor; 50s ribosomal subunit inhibitor
clindamycin Cleocin
Antibiotic; protein synthesis inhibitor; binds reversibly to the 50s ribosomal subunit
Treatment of MRSA
clonidine Catapres
HTN med; Alpha 2 agonist
SE: dry mouth, sedation, impotence, etc.
cromolyn sodium Crolom
Mast cell stabilizer
cyclobenzaprine Flexeril
Cholinergic antagonist; Muscle relaxant
SE: anticholinergic effects ie. dilation
cyclopentolate Cyclogyl
Muscarinic antagonist; max effect 45 minutes
cyclosporine Neoral or
Sandimmune
Restasis! Immunomodulator; inhibits production of interleukin-2 and therefore inhibits T Cells
SE (oral): reversible posterior leukoencephalopathy syndrome: HA, seizures, visual disturbances
dexamethasone Maxidex
Steroid
Inhibits phospholipase A
dextroamphetamine Dexedrine
ADHD Drug; dopamine agonist
SE: mydriasis, dry eyes
diazepam Valium
Cholinergic antagonist; Anti-anxiety med; opens chloride channels by bidning to GABA (inhibitory) receptors
SE: anticholinergic activity
diclofenac Voltaren
NSAID
COX 1 and 2 inhibitor
dicloxacillin Dynapen
Antibiotic; Cell wall synthesis/transpeptidase inhibitor
Gram +; Resistant to penicillinase
Safe in pregnancy!
difluprednate Durezol
Steroid
Inhibits
digoxin Lanoxin
HTN Drug; Na/K pump inhibitor
SE: retrobulbar optic neuritis, B/Y color defects, entopic phenomenon (snowy, dimming vision)
diltiazem Cardizem
HTN med; Calcium channel blocker; decreases smooth muscle contraction
diphenhydramine Benadryl
Cholinergic antagonist; Anti-histamine; 1st gen H1 blocker
SE: sedation, mydriasis, dry eyes
dipyridamole Persantine
x
donepezil Aricept
Cholinergic agonist; acetylcholinesterase inhibitor
Treatment of Alzheimer’s dz
SE: reduced IOP due to indirect cholinergic agonist activity
dorzolamide Trusopt
CAI
echothiophate Phospholine
Indirect parasympathetic agonist; inhibits acetocholinesterase
Long-lasting effects
edrophonium Enlon
AKA Tensilon test; Indirect cholinergic agonist
Inhibits acetylcholinesterase
emedastine Emadine
Antihistamine; H1 antagonist
enalapril Vasotec
HTN Med; ACE inhibitor
SE: cough
epinastine Elestat
H1 antagonist/Mast Cell Stablizer Combo
BEZ POP
esomeprazole Nexium
Treatment of GERD; proton pump inhibitor (inhibits H/K ATPase)
ethambutol Myambutol
TB med; inhibits arabinosyl transferase
SE: optic neuritis (bilateral)
famciclovir Famvir
Anti-viral; Treatment of Herpes
famotidine Pepcid
Anti-histamine; H2 blocker
Prevents stomach ulcers/acid reflux
fexofenadine Allegra
2nd gen anti-histamine; H`1 blocker
fluconazole Diflucan
Anti-fungal; inhibits ergosterol synthesis
fluorometholone FML
Steroid (mild)
fluoxetine Prozac
Anti-depressant; SSRI
SE: mydriasis, serotonin syndrome
flurbiprofen Ocufen
NSAID
fluticasone Flonase or
Flovent
Steroid; inhibits phospholipase A2
SE: cataracts, increased IOP, dry eye
foscarnet Foscavir
Anti-viral; DNA polymerase inhibitor
“Safety net if gancyclovir fails”
furosemide Lasix
HTN Med; loop diuretic; inhibits Na/2Cl/K co-transporters in the ascending loop of Henle
ganciclovir Zirgan
Treatment of Herpes; inhibits DNA polymerase
Tx: HSV keratitis, CMV retinitis
gatifloxacin Zymar
Fluoroquinolone (gen 4); Inhibits bacterial DNA synthesis via DNA gyrase and topoisomerase
Gram - and +
gemfibrozil Lopid
Cholesterol medication
gentamicin Garamycin
Antibiotic; Aminoglycoside; inhibits 30s ribosomal subunit; protein synthesis inhibitor
Gram - and +
glipizide Glucotrol
DM Medication; sulfonurea; increases secretion of insulin by beta cells
SE: hypoglycemia
glyburide Diabeta or
Micronase
DM Medication; sulfonurea; increases secretion of insulin by beta cells
SE: hypoglycemia
glycerin Osmoglyn
Hyperosmotic