Respiratory Drugs Reverse Flashcards
A agonists
Pseudoephedrine, Phenylephrine - mech
Acute exacerbation of asthma
Albuterol - use
Allergic asthma resistant to inhaled steroids and long-acting B2 agonists
Omalizumab - use
Allergy
Loratidine, Fexofendaine, Desloratadine - use
Allergy
Motion sickness
Sleep aid
Dipenhydramine, Dimenhydrinate, Chlorpheniramine - use
Antileukotreine that blocks leukotriene receptors (CysLT1)
Montelukast, Zafirlukast - mech
Antileukotriene that inhibits 5-lipoxygenase pathway
Blocks conversion of arachidonic acid to leukotrienes
Zileuton - mech
Asthma
Zileuton, Theophylline - use
Asthma - first line
Fluticasone, Budesonide - use
Asthma prophylaxis, long acting
Salmeterol, Formoterol - use
B2 agonist relaxes bronchial smooth muscle
Albuterol, Formoterol, Salmeterol - mech
Bronchial challenge test for asthma dx
Methacholine - use
Causes bronchodilation by inhibiting phosphodiesterase to increase cAMP levels due to decreased cAMP hydrolysis
Metabolized by CYP 450Blocks action of adenosin
Theophylline - mech
Direct vasodilatory effect on pulm and systemic arterial vascular beds
Inhibit platelet aggregation
Prostacyclin analogs (incl epoprostenol, iloprost) - mech
Disrupts disulfide bonds
N-acetylcysteine - mech
Far less sedating than 1st gen because decreased entry to CNS
Loratidine, Fexofenadine, Desloratadine - side fx
Flushing
Jaw pain
Prostacyclin analogs (incl epoprostenol, iloprost) - side fx
For aspirin-induced asthma
Montelukast, Zafirlukast - use
For Pulm HTN: Decrease pulm vascular resistance
Endothelin receptor antagonists (incl. bosentan) - use
Hepatotoxic
Zileuton - side fx
Hepatotoxicity (LFT)
Endothelin receptor antagonists (incl. bosentan) - side fx
HTN
Phenylephrine, Pseudoephedrine - side fx
HTN
CNS stimulation/anxiety
Pseudoephedrine - side fx
Inhibit cGMP PDE5 and prolong vasodilatory effect of NO
PDE-5 Inhibitors (incl sildenafil) - mech
Inhibiting endothelin-1 receptor
Endothelin receptor antagonists (incl. bosentan) - mech
M3 agonist
Methacholine - mech
Monoclonal anti-IgE AB, binds unbound serum IgE and blocks binding to FcERI
Omalizumab - mech
Mucolytic - loosen mucus plugs in CFAntidote for acetaminophen overdose
N-acetylcysteine - use (2)
Muscarinic antagonist that blocks muscarinic receptor competitively
Ipratroprium - mech
Narrow therapeutic window
Theophyilline - side fx
Prevent bronchoconstriction in asthmaCOPD
Ipratroprium - use
Pulm HTN
Prostacyclin analogs (incl epoprostenol, iloprost), PDE-5 inhibitors (sildenafil) - use
Reduce hyperemia, edema, nasal congestion
Open obstructed Eustachian tubes
Pseudoephedrine, Phenylephrine - use
Reversible inhibitors of H1 histamine receptor, 1st gen
Dipenhydramine, Chlorpheniramine, Dimenhydrinate - mech
Reversible inhibitors of H1 histamine receptor, 2nd gen
Loratidine, Fexofenadine, Desloratadine - mech
Sedation
Antimuscarinic
Anti-a-adrenergic
Dipenhydramine, Dimenhydrinate, Chlorpheniramine - side fx (3)
Steroid
Inhibit synthesis of all cytokinesInactivate NF-KB, the transcription factor that induces production of TNF-a and other inflammatory agents
Fluticasone, Budesonide - mech
Thins respiratory secretions, does not suppress cough reflex
Guaifenesin - use
Tremor
Arrythmia
Salmeterol, Formoterol - side fx (2)