Pharmacology - part 2 Flashcards
Drug category: Ranitidine Famotidine Cimetidine Nizatidine
H-2 receptor antagonists
Side effects include: gynecomastia, glalactorrhea
Cimetidine
H-2 receptor antagonists
MOA: inhibits histamine stimulation of gastric acid secretion
H-2 receptor antagonists
Drug Category:
Omeprazole
Lansoprazole
Pantoprazole
Proton pump inhibitors
MOA: inhibitis proton pump on gastic parietal cell
Proton pump inhibitors
side effects include: gastric cancer risk from achlorhydria
Proton pump inhibitors
Drug Category:
Aluminum hydroxide
magnesium hydroxide
calcium carbonate
“weak acids”
Anatacids
MOA: neutralizes HCL
Anatacids
Alumin hydroxide side effect ?
Anatacid that can cause constipation
Magnesium hydroxide side effect ?
Anatacid that can cause Diarrhea
MOA: inhibits pepsin release, increasing mucus secreation, and antimicrobial
Bismuth subsalicylate- pepto bismol
Side effects: Black stool, Reye syndrome
Bismuth subsalicylate- pepto bismol
MOA: blocks dopamine receptors in the gut
Phenothiazines - promethazine, prochlorperazine
Drug category:
Promethazine
Prochloperazine
Chlorpromazine
Antiemetics
Phenothiazines
Side effects: Parkinsonism, dystonia, tissue injury from parenteral delivery, Seizures, V. tach
Antiemetics
Phenothiazines
examples: promethazine, prochloperazine, chloropromazine
Drug category:
Ondansetron
granisetron
dolasetron
Antiemetics
5HT-3 serotonin
Drug category:
Rosuvastatin
Atorvastatin
HMG-CoA reductase inhibitors
MOA: blocks cholesterol synthesis in the liver
HMG-CoA reductase inhibitors
statins
Side effects: Myopathy, rhabdomyolysis
HMG-CoA reductase inhibitors
statins
MOA: decreases LDL, triglycerides & cholesterol
increases HDL
Nicotinic acid- niacin
Side affects: flushing, palpitations, hepatotoxicity
Nicotinic acid- niacin
give asprin to stop the palpitations
Drug category:
Gemfibrozil
Fenofibrate
Fibric acid derivatives - fibrates
MOA: inhibits peripheral lipolysis and decreases hepatic triglyceride production
Fibric acid derivatives - fibrates
Gemfibrozil
Fenofibrate
Side affects: N/V, jaundice, increase risk of myopathy or rhabdomyolysis if used with statins
Fibric acid derivatives - fibrates
Gemfibrozil
Fenofibrate
Drug category:
Eicosapetaenoic acid
Docosahexaenoic acid
Omega-3-acids
MOA: inhibits VLDL & Triglycerides synthesis in the liver
Omega-3-acids
Eicosapetaenoic acid
Docosahexaenoic acid
Side affects: Fishy breath, GI upset, bloating, flatulence
Omega-3-acids
Eicosapetaenoic acid
Docosahexaenoic acid
Drug category:
Alirocumab
Evolocumab
hyperlipidemia drugs
Protein convertase subtilisin/kexin type 9 - PCSK9
injection
MOA: inhibits LDL production
Protein convertase subtilisin/kexin type 9 - PCSK9
MOA: stimulates beta-2 receptors in the bronchial tree leading to smooth muscle relaxation & bronchodilation
Beta-2 agonists
short acitng- albuterol
long actingin- formoterol
Drug category:
Albuterol
levaalbuterol
Beta-2 agonists
short acting
Drug category:
formoterol
salmeterol
olodaterol
Beta-2 agonists
long acting
Side effects: tachycardia, palpitations, anxiety, hypokalemia
Beta-2 agonists
short acitng- albuterol
long actingin- formoterol
Drug category: Ipratropium
Short acting anticholinergic
Drug category:
Tiotropium
Long acting anticholinergic
MOA: counteracts vagal mediated bronchoconstriction
Anticholinergics
short- ipratropium
long- tiotropium
Side effects: of this asthma drug- dry mouth and tachycardia
Anticholinergics
short- ipratropium
long- tiotropium
Drug category ?
Cromolyn
Mast cell stabilizer
MOA: stabilizes mast cells by preventing degranulation and release of inflammatory mediators
Mast cell stabilizer
Side effects: of this asthma drug- transient wheezing, drowsiness
Mast cell stabilizer
Drug category ?
Montelukast
Zafirlukast
Leukotriene receptor
MOA: blocks leukotriene mediated bronchoconstriction
Leukotriene receptor
Montelukast
Zafirlukast
Use this asthma drug if: Aspirin sensitivity asthma cigarette smoker allergic rhinitis exercise induced asthma
Leukotriene
Montelukast
Zafirlukast
Side effects to this asthma drug: flu symptoms, neuropsyhciatic symptoms
Leukotriene
Montelukast
Zafirlukast
Drug category?
Roflumilast
Phosphodiesterase-4-inhibitor
MOA: blocks inactivitaion of cAMP
Phosphodiesterase-4-inhibitor
Roflumilast
Phosphodiesterase-4-inhibitor
Roflumilast
is used for the treatment of what?
COPD
What COPD drug has the side effects of:
suicidal thoughts
weight loss
Phosphodiesterase-4-inhibitor
Roflumilast
MOA: prevents binding of IgE
Immunomodulators
Omalizumab
Drug category ?
Omalizumab
Immunomodulators for the treatment of Asthma
What Asthma drug has the side effects of:
anaphylaxis
Immunomodulators
Omalizumab
Drug category ? Prednisone prednisolone methylprednisolone dexamethasone
Steroids
MOA: Anti-inflammatory & immunosuppression
Steroids Prednisone prednisolone methylprednisolone dexamethasone
Side effects include: Moon face, buffalo hump, striae hyperglycemia, fluid retention PUD, catarats, psychosis adrenal suppression
Steroids Prednisone prednisolone methylprednisolone dexamethasone
MOA: prevents conversion of vitmain K to active form, which inhibits clotting factors II, VII, IX, X
Warfarin
Side effects of this drug : bleeding skin necrosis purple toe syndrome teratogenic multiple drug interactions
Warfarin
Which anticoagulation is category X
Warfarin - caterogry x
Drug category:
Rivaroxaban
Apixaban
Edoxaban
Direct Xa inhibitors
MOA: Directly inhibits clotting factor X
Direct Xa inhibitors
Rivaroxaban
Apixaban
Edoxaban
MOA: Direct thrombin inhibitor
Dabigatran Lepirudin Bivalirudin Argatroban desirudin
MOA: binds to antithrombin III, inhibits Xa
Heparin
MOA: Inhibits Xa only
Low molecular weight heparin
What is the reversal agent for Heparin
protamine
MOA: inhibits neuronal uptake of catecholamines sodium channel blockade (anesthetic affect)
Cocaine
Toxicity of this drug:
hypertension, hyperthermia, rhabdomyolysis, MI, seziures, V. tach
Cocaine
what is the treatment for Cocaine toxicity
- Benzodiazepines
- cooling
- Nitrates or nitroprusside
- Calcium channel blockers
NO BETA BLOCKERS!
What is contraindicated in a Cocaine toxicity
BETA BLOCKERS
give them calcium channel blockers
MOA: causes Catecholamine release
Amphetamines- METH
Toxicity of this drug:
Hypertension, tachycardia, hyperthermia
** Intracrainal hemorrhge
rhabdomylosis
- Benzodiazepines
- cooling
- Nitrates or nitroprusside
- Calcium channel blockers
NO BETA BLOCKERS!
MOA: binds to opioid recptors
Heroin
Toxicity of this drug:
Hypertension, tachycardia, tachypnea
Respiratory depression
Miosis
Heroin
Treatment for Heroin overdose
Naloxone