Respiratory Flashcards

1
Q

albuterol metabolized how

A

COMT/MAO

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2
Q

bioavailability of oral albuterol

A

15-70%

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3
Q

half life of oral albuterol

A

6-8 hours

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4
Q

what allows salmeterol to have a longer duration of effect?

A

large side chain that also binds/dual binding

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5
Q

oral albuterol onset

A

30-60 minutes orally

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6
Q

oral albuterol peak

A

1-3 hours

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7
Q

salmeterol duration

A

12 hours

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8
Q

Ipratropium duration

A

6-8 hours

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9
Q

tiotropium duration

A

24 hours

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10
Q

where is tiotropium metabolized

A

kidneys

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11
Q

What p450 is fluticasone metabolized by

A

CYP3A

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12
Q

Montelukast pharmacodynamics

A

competitive inhibitor at LT1, so stops spasm and infiltrates

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13
Q

Montelukast duration

A

10-15 hours

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14
Q

is Montelukast used for COPD

A

no

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15
Q

qualitiatively how is Montelukast oral absoprtion

A

good

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16
Q

what’s relationship between food and montelukast

A

decreases bioavailability by 40%

17
Q

where is montelukast metabolized

18
Q

what enzymes is montelukast metabolized by

19
Q

montelukast side effects

A

GI, nausea, vomiting, CNS, mild headaches, hepatitis

20
Q

Montelukast is used as a treatment for which asthma

A

aspirin induced b/c if you block COX, metabolism of intracellular lipids moves to leukotrienes, so montelukast is used as treatment for this

21
Q

Disodium cromoglycate pharmacodynamics

A

-inhibits chloride channels and calcium flux
which reduces release of preformed cytokines from T cells and eosinophils
-suppresses effects of kinins on inflammatory cells

22
Q

diphenhydramine half life

23
Q

fexofenadine half life

24
Q

how are H1 antagonists metabolized

25
do anti- H1 receptors enter CNS
yes
26
antihistamine un obvious side effects
headaches; GI disturbances
27
Histamine drug-drug interactions
inhibitors of metabolism prolong QT and lead to VT
28
Mepolizumab
anti IL-5
29
Omalizumab
binds to Fc portion of IgE
30
4 contraindications for asthmatics
beta blockers cholinergics adenosine ACE-I
31
disodium cromoglycate indications (2)
asthma and rhinits
32
Epoprostenol and Trioprostenol are what class of drugs
prostacyclin analogs that lead to vasodilation
33
Bosentan what class of drugs
endothelin antagonist
34
nintedanib what class of drugs
tyrosine kinase inhibitor
35
inhaled albuterol onset
minutes
36
inhaled albuterol peak
15-30 min
37
inhaled albuterol duration
4-6 hours
38
fexofenadine pharm class
anti histamine