pharmacology new deck Flashcards
5-Flurorouracil
Pyrimidine antagonist
For : cancer of colon, rectum, breast, stomach, pancreas
SE: HF, arrhythmias, angina , MI , vomiting, alopecia, dermatitis
Interacts: anticoagulants
acetaminophen
for pain and fever
CI: liver disease
adalimumab
TNF alpha blocker , monoclonal antibody
For: rheumatic conditions
SE: increased risk of infection, may worsen heart failure, reactivate TB , HA , sinusitis
Interacts with : cyclosporine , warfarin
albuterol
beta adrenergic agonist
For asthma, acute response
SE: tachycardia, nausea, palpitations, HA, tremor, UTI
Interactions: beta blockers, CNS stimulants
alendronate
Bisphosphonate
Osteoporosis
CI: hypocalcemia, immobility, parathyroid hormone
Must correct calcium and vitamin D before starting
SE: osteonecrosis of jaw, esophageal damage, HF
allopurinol
xanthine oxidase inhibitor
Prevents gout and stone formation
caution with warfarin and anti cancer drugs
alprazolam
benzodiazepine/ CNS
For: anxiety, and panic
CI: acute narrow angle glaucoma
CYP3A inhibitors, beers criteria , liver disease
DO NOT GIVE WITH ANTIFUNGALS
amantadine
Anticholinergic, anti infective
For: parkinsons, viral infections,
SE: suicidality, hypotension, constipation, dizziness,
amiodarone
class 3 anti arrhythmic - lengthens cardiac AP
Emergency use only - most don’t tolerate it
CI: iodine allergy, bradycardia, heart block
SE: arrhythmia, bradycardia, heart block, LUNG AND LIVER TOXICITY
amitriptyline
Tricyclic antidepressant
CI: MAOI , MI recently
SE: wt gain, blurred vision, arrhythmias, MI, bone marrow depression, suicidality, mania
amlodipine
calcium channel blocker
HTN, angina
SE: dizziness, CHF, edema, HA, weakness, nausea
capsules are passed in stool
amoxicillin
antibiotic
inhibits cell wall
some gram positive and negative - dental prophylaxis
not against beta lactimase unless mixed with clavulanate
anastrozole
aromatase inhibitor
breast cancer in menopause
SE: elevated cholesterol, decrease bone density, DVT, chest pain
aripiprazole
ANTISPYCHOTIC / CNS
SE: hyperglycemia, pancreatitis, agranulocytosis , scuicidality, angioedema
aspirin
blocks TA2, PG2 in clotting cascade
Reduces risk of stroke, MI
SE: GI bleed, tinnitus, rash, occult blood
atenolol
Beta 1 blocker
HTN, angina
SE: fatigue, vertigo, bradycardia, bronchospasm, CHF
NEVER WITH digitalis
TAPER
atomoxetine
SNRI /CNS
ADHD
CI: narrow angle glaucoma, pheochromocytoma, severe cardiac disease
SE: increased BP, liver failure, mania, suicidality priapism
atorvastatin
Lipid lowering via HMGcoA reductase
-monitor liver: ALT, AST at start and 6wks
-give with CoQ10 atleast 100mg
-discontinue if muscle pain / liver enzymes spike
azithromycin
macrolide, interferes with DNA synthesis
bronchitis, non gonococcal uti or STI
fewer GI effects, less medication needed
safer in pregnancy
this is a Zpak
atezolizumab
monoclonal antibody
Cancer - of lung
SE: HTN, alopecia, GI upset, pain, UTI,
INTERACTION: never with PPI
apixiban
blocks FXA - anti coagulant
CI: active bleeding, crCL <25, liver dz,
SE: bleeding gums, hemorrhage, liver damage, hematuria
atropine
muscarinic antagonist
emergency bronchodilation
SE: dry mouth tachycardia
benzoyl peroxide
oxidizing agent
acne rosacea - topical
SE: contact derm, photosensitivity , angioedema
bromocriptine
sympatholytic dopamine agonist - antidiabetic- CNS
Lowers blood glucose , tx parkinsons, prolactin blocker
CI: lactating, post partum, HTN uncontrolled, thiazide diuretics
SE: hypotension, ulcer, hallucination, thickening of pleura