Quiz 4 Pharmacology Flashcards
Which three alpha-1 inhibitors can be used to treat BPH as well as hypertension?
Prazosin
Doxazosin
Terazosin
Which two alpha-1 inhibitors can be used to treat BPH but are not approved for hypertension?
Tamsulosin
Silodosin
Which 5 drugs are notable alpha-1 receptor antagonists (competitive antagonsim)?
Prazosin
Doxazosin
Terazosin
Tamsulosin
Silodosin
What are notable side effects of alpha-1 inhibitors?
-Orthostatic hypertension
(especially 1st dose)
- Tachycardia
-Retrograde ejaculation
What two notable drugs are 5a-reductase inhibitors?
Finasteride
Dutasteride
What are 5a-reductase inhibitors used to treat?
-BPH (usually with alpha blocker)
-Can promote hair growth in androgenic alopecia
What are notable side effects with 5a-reductase use?
-Impotence (>10%)
-Decreased libido
-Gynecomastia
-CI in pregnancy
What notable medications are used as anticholinergics?
Oxybutynin
Tolterodine
Trospium
What are anticholingergics used to treat?
Symptoms of overactive bladder (neurologic or non-neurologic causes)
What are notable side effects of anticholinergic use?
Dizziness, drowsiness, xerostomia, constipation, nausea
What are the three notable PDE5 inhibitors?
Sildenafil
Tadalafil
Vardenafil
What are PDE5 inhibitors used to treat?
-Erectile dysfunction
-Pulmonary arterial hypertension
What are notable side effects of using PDE5 inhibitors?
-HA
-Flushing
-Nasal congestion
-Back pain
-Muscle aches
-priapism
CI use with organic nitrates (nitroglycerin) -> severe hypotension