Ratio 1st Shifting Even Flashcards
5HT1 antagonist used for anxiety/depression VERSUS acute migraine/cluster headache
anxiety/depression:
Buspirone
acute migraine/cluster headache:
Sumatriptan
DOC for cluster headache
Sumatriptan
…a 5HT1 antagonist
5HT2 antagonist used for:
- pheochromocytoma
- carcinoid syndrome
- serotonin syndrome
- cold urticaria
- hypertension/vasopasm
- phenoxybenzamine
- cyproheptadine
- cyproheptadine
- cyproheptadine
- ketanserin
5HT4 agonist/partial agonist used for:
- GERD
- IBD with constipation
- Cisapride
2. Tegaserod
examples of vasoactive peptide with vasoconstrictor effect
AVENU:
angiotensin 2
vasopressin
endothelin
neuropeptide Y
uropeptides
MOA of edrophonium
acetylcholinesterase inhibitor leading to increased acetycholine…
used as tx for myasthenia gravis
muscarinic agonist used for glaucoma
pilocarpine
cholinesterase inhibitor used for Alzheimer’s dsx
Donepezil
example of a nonselective beta blocker that can cause bronchospasm
Propanolol
selective beta2 agonist causing relaxation of bronchiolar smooth muscle used as a bronchodilator in asthma and tocolytic in premature labor
terbutaline
selective alpha1 agonist also used as decongestant in rhinitis and colds
phelyephrine
completely blocks alpha1 receptor used in the managment of malignant hypertension during operatioons for pheochromocytoma
phentolamine
a competitive pharmacologic antagonist at all M receptors (nonselective) used to treat organophosphate toxicity
Atropine
specific effects of parasympathetic drugs that leads to miosis
contraction of circular muscle of iris
and relaxation of radial muscle of iris
what receptors are being stimulated leading to miosis
M3 receptors
DOC for DM gastroparesis
metoclopramide
AED with SE of mild leukopenia, hyponatremia, and osteomalacia
Carbamazepine
AED with SE of gingival hyperplasia and folate deficiency
phenytoin
AED with SE of ataxia and diplopia
lamotrigine
AED that inhibits neurotransmission thru NMDA receptor antagonism vs AMPA/kainate receptor antagonismm
NMDA: Felbamate
AMPA/kainate: Topiramate
memonics for drugs for Alzheimers
Don Riva Gala has Alzheimers
DONepezil
RIVAstigmine
GALAntamine
**all are acetylcholinesterase inhibtors
The most appropriate drug for long term treatment of the disease is:
Pyridostigmine
Drug used to diagnose myasthenia gravis
Edrophonium
Sumatriptan that is used to treat acute severe migraine is contraindicated to px with…
coronary artery dsx bc of vasoconstrictive effect
first line drug for rheumatoid arthritis
Methotrexate
moa of methotrexate as a DMARD vs antineoplastic agent
As DMARD: inhibits thymidylate synthase and AICAR
As Antineoplastic: inhibits dihydrofolate reductase
NSAID that is contraindicated in gout
Aspirin
apart from NSAID, what other drug is used to treat acute attacks of gout
Colchicine
DOC for acute attacks of gout vs chronic gout vs maintenance of gout
acute attack: NSAID, Colchicine
chronic gout: Allopurinol
maintenance: Allopurinol
anti-gout with the ff MOA:
- inhibits microtubule function & synthesis
- xanthine oxidase inhibitor
- uricosuric; Inhibit renal tubular reabsorption of weak
Colchicine
inhibits microtubule function & synthesis
Allopurinol
- xanthine oxidase inhibitor
Probenecid
uricosuric; Inhibit renal tubular reabsorption of weak acids
anti-gout that causes:
- bloody diarrhea
- SJS
- bone marrow suppression
Colchicine
-bloody diarrhea
Allopurinol
-SJS, bone marrow suppression
anti convulsants that are enzyme inductors vs enzyme inhibitors vs both
PURE INDUCERS: Carbamazepine Lamotrigine Phenytoin Phenobarbital [Kala mo pepe inducer pala]
PURE INHIBITOR: Valproic acid [Ayaw ni Val]
BOTH: Topiramate, oxcarbazepine [Two-timer si Topi & Oscar]
SSRI examples
Paroxetine, Fluoxetine, Escitalo/Citalopram, Sertraline
[Xet,Xet,Talo si Ser. SiSiRain ko sya]
SNRI examples
Venlafaxine, Duloxetine
[SiNiRa ko yung fax machine sa dulo]
MAOI examples
MAO-A: Moclobemide (RIMA)
MAO-B: Selegiline, Rasagiline
Both [PIT]: Phenelzine, Isocarboxazid, Tranylcypromine
TCA examples
Imipramine, Clomipramine, Nortriptyline, Amitriptyline, Doxepin
[Take Care Ah, naPRAMI yung TRIP ni DOC sepin]
NASA example
Mirtazapine
anticonvulsant that causes:
- spina bifida, SJS, rash
- Hirsutism, gingival Hyperplasia, Hydantoin syndrome (craniofacial anomaly)
- sedation, irritability and hyperactivity in children
- peripheral visual field defect
- Carbamazepine - spina bifida, SJS, rash
- Phenytoin - [HHH] Hirsutism, gingival Hyperplasia, Hydantoin syndrome (craniofacial anomaly)
- Phenobarbital - sedation, irritability and hyperactivity in children
- Vigabatrin - peripheral visual field defect