Pharmocology Flashcards

1
Q

Increased theophylline level effects

A

Incr cAMP -> arrhythmias

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2
Q

Drug induced lupus

A
  • Slow acetylators
  • N-acetyltransferase
  • hydralazine, procainamide, isoniazid
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3
Q

Acetominophen metabolism by what Phase II process

A

Glucuronidation

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4
Q

Deficiency in UGT1A1

A
  • Gilbert or Crigler-Najjar
  • incr unconj bilirubin levels
  • bilirubin cleared by glucuronidation
  • enzyme = glucuronosyltransferase
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5
Q

Effects of statins and P450 inhibs (grapefruit juice)

A

Incr risk of muscle pain

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6
Q

Acidification of urine

A
  • Increases ionization of weak bases -> increases renal elimination
  • use for OD of amphetamines, PCP
  • put drug in protonated form to stay in urine
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7
Q

Alkalinzation of urine (use NaHCO3)

A
  • Increases ionization of weak acids -> inceases renal elimination
  • OD of aspirin
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8
Q

Acids

A

Aspirin, loops, thiazides

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9
Q

Bases

A

Local anesthetics, amphetamines, PCP

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10
Q

Ionized

A

Water soluble

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11
Q

Nonionized

A

Lipid soluble

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12
Q

LD equation

A

LD = Vd x Cp

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13
Q

MD equation

A

MD = Cl x Css

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14
Q

Gs protein receptors

A
  • Gs proteins increase cAMP production

- Gs = all B (B1, B2) , D1, H2, V2

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15
Q

Gi protein receptors

A
  • decr cAMP production

- MAD2 = a2, M2, D2

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16
Q

Gq protein receptors

A
  • activation of phospholipase C -> IP3 or DAG

- Most 1 and M3: M1, M3, a1, AT1, V1, H1,

17
Q

Bleomycin

-anticancer drug: G2 phase

A
  • MOA: complexes with Fe and O2 -> DNA strand scission (G2 phase)
  • SEs: pulmonary fibrosis, pneumonitis
18
Q

Imatinib

A
  • Target = BCR-ABL

- CML cancer

19
Q

Trastuzumab

A
  • Target = Erb2 (HER2/neu)

- Breast cancer

20
Q

SEs of doxorubicin (antitumor antibiotic)

A
  • dilated cardiomyopathy

- Bone marrow suppression

21
Q

Vincristine toxicity

A

-Peripheral neuropathy - pins, needles in arms and legs

22
Q

Cyclophosphamide toxicity

A
  • hemorrhagic cystitis

- key feature = hematuria

23
Q

Cisplatin toxicity

A
  • Nephrotoxic (use amifostine)

- Bone marrow suppression