Respiratory Drugs Flashcards
rescue medications for asthma
relievers
fast acting bronchodilators
maintenance medications for asthma
controllers
prevent future attacks
terbutaline
rapid acting; short DA
B2 agonist
bronchodilator (reliever)
asthma
salbutamol/albuterol
rapid acting; short DA
B2 agonist
bronchodilator (reliever)
asthma
fenoterol
rapid acting; short DA
B2 agonist
bronchodilator (reliever)
asthma
formoterol
rapid acting; long acting DA
B2 agonist
bronchodilator (reliever & controller)
asthma
salmeterol
long acting; long DA
B2 agonist
bronchodilator (controller)
asthma
s/e: tachycardia (B1), tolerance, tremores
bambuterol
long acting; long DA
B2 agonist
bronchodilator (controller)
asthma
s/e: tachycardia (B1), tolerance, tremores
serevent
long acting; long DA
B2 agonist
bronchodilator (controller)
asthma
s/e: tachycardia (B1), tolerance, tremores
atropine
slow onset (15-20 mins)
first line relievers for COPD
anticholinergic/muscarinic
broncho dilator (reliever)
asthma
ipatropium
slow onset (15-20 mins)
first line relievers for COPD
anticholinergic/muscarinic (M3)
broncho dilator (reliever)
asthma
tiotropium
very selective
slow onset (15-20 mins)
first line relievers for COPD
anticholinergic/muscarinic (M3)
broncho dilator (reliever)
asthma
oxytropium
slow onset (15-20 mins)
first line relievers for COPD
anticholinergic/muscarinic (M3)
broncho dilator (reliever)
asthma
theophylline
narrow therapeutic index
major moa: (-) PDE (nonselective)
minor moa: (-) adenosine receptor = no ca & contraction
fatty meal = inc absorption
methylxanthine
bronchodilator (reliever & controller)
asthma
aminophylline
major moa: (-) PDE (nonselective)
minor moa: (-) adenosine receptor = no ca & contraction
methylxanthine
bronchodilator (reliever & controller)
asthma
doxofylline
major moa: (-) PDE (nonselective)
minor moa: (-) adenosine receptor = no ca & contraction
methylxanthine
bronchodilator (reliever & controller)
asthma
cromolyn sodium
chromones
indication: prophylactic, prevent bronchoconstriction
antimediator release-mast cell stabilizers
controller
asthma
sodium cromoglycerate
chromones
indication: prophylactic, prevent bronchoconstriction
antimediator release-mast cell stabilizers
controller
asthma
nedocromil
chromones
indication: prophylactic, prevent bronchoconstriction
antimediator release-mast cell stabilizers
controller
asthma
ketotifen
chromones (oral) NOT NSAID
indication: prophylactic, prevent bronchoconstriction
antimediator release-mast cell stabilizers
controller
asthma
zileuton
5-lipooxygenase enzyme inhibitor
leukotriene antagonist
controller
asthma
montelukast
LTD4 receptor inhibitor
leukotriene antagonist
controller
asthma
zafirlukast
LTD4 receptor inhibitor
leukotriene antagonist
controller
asthma
mainstay tx for bronchial asthme
steroids
(-) phospholipase A2 (converts cholesterol to arachidonic acid)
(-) cytokine release by macrophage
asthma
budenoside
locally acting inhaled steroids
controller
asthma
bedomethasone
locally acting inhaled steroids
controller
asthma
triamcinolone
locally acting inhaled steroids
controller
asthma
fluticasone
locally acting inhaled steroids
controller
asthma
flunisolide
locally acting inhaled steroids
controller
asthma
hydrocortisone
systemic parenteral steroids (IV)
controller
status asthmaticus (non responsive to bronchodilators)
methylprednisolone
systemic parenteral steroids (IV)
controller
status asthmaticus (non responsive to bronchodilators)
prednisone
systemic oral steroids
controller
asthma
prednisolone
systemic oral steroids
controller
asthma
phenylephrine
short acting topical decongestant
oral decongestant
nmt 3-5 days tx
decongestant (a-agonist)
cough & colds preparations
naphazoline
intermediate acting topical decongestant
nmt 3-5 days tx
decongestant (a-agonist)
cough & colds preparations
tetrahydrolozine
intermediate acting topical decongestant
nmt 3-5 days tx
decongestant (a-agonist)
cough & colds preparations
oxymetazoline
long acting topical decongestant
nmt 3-5 days tx
decongestant (a-agonist)
cough & colds preparations
xylometazoline
long acting topical decongestant
nmt 3-5 days tx
decongestant (a-agonist)
cough & colds preparations
pseudoephedrine
oral decongestant
nmt 3-5 days tx
decongestant (a-agonist)
cough & colds preparations
phenylpropanolamine
oral decongestant
nmt 3-5 days tx
decongestant (a-agonist)
cough & colds preparations
levodropropizine
Levopront
antitussive - peripherally acting
cough & colds preparation
benzonatate
antitussive - peripherally acting
cough & colds preparation
dextrometorphan
suppress cough center
inc cough treshold
antitussive - centrally acting
cough & colds preparation
codeine
lolo
suppress cough center
inc cough treshold
antitussive - centrally acting
cough & colds preparation
noscapine
suppress cough center
inc cough treshold
antitussive - centrally acting
cough & colds preparation
butamirate citrate
Sinecod
lesser side effect
suppress cough center
inc cough treshold
antitussive - centrally acting
cough & colds preparation
guaifenesin
aka glyceryl guaiacolate
Robitussin
expectorant (inc respiratory tract fluid = madulas)
cough & colds preparation
hypertonic saline
decrease viscosity (break disulfide bonds)
mucolytics
cough & colds preparation
n-acetylcysteine
Fluimucil
decrease viscosity (break disulfide bonds)
mucolytics
cough & colds preparation
acetylcysteine
Mucomyst
decrease viscosity (break disulfide bonds)
mucolytics
cough & colds preparation
ambroxol
Mucosolvan
stimulate cilia to expel & tunaw phlegm
mucoregulators
cough & colds preparation
carbocisteine
Solmux
stimulate cilia to expel & tunaw phlegm
mucoregulators
cough & colds preparation
bromhexine
Bisolvon
stimulate cilia to expel & tunaw phlegm
mucoregulators
cough & colds preparation
chlorphenamine
antihistamine
cough & colds preparation
diphenyhydramine
antihistamine
cough & colds preparation
inhaler instructions
puff + inhale (forceful)
gargle after = avoid steroids affecting normal flora (candida albicans)