Systems Pharmacology Flashcards
What is the MOA of amiodarone?
Blocks IK,INa, ICa-L channels and β adrenoreceptor which prolongs AP duration and QT interval
What is the MOA of aspirin?
Irreversibliy inhibitis cyclooxygenase 1 and 2 enzyme by covalent acetylation which decreases synthesis of thromboxane A2 (TXA2) and prostaglandins
What is the MOA of atropine?
Nonselective competitive muscarinic antagonist
What is the MOA of captopril?
Prototype ACE inhibitor; Inhibits angiotensin-converting enzyme (ACE) in the lungs thereby reducing conversion of angiotensin I to angiotensin II and increasing bradykinin
What is the MOA of cefuroxime?
Second-generation cephalosporin; β-lactam that binds to penicillin binding protein which inhibits cell wall synthesis; more resistant to β-lactamase activity
What is the MOA of chloramphenicol?
Blocks peptidyltransferase at 50S ribosomal subunit preventing bacterial protein synthesis; Bacteriostatic
What is the MOA of cimetidine?
Prototype H2 antagonist; Reversibly blocks histamine H2 receptors
What is the MOA of ciprofloxacin?
Flouroquinolone; Inhibits DNA replication by binding to DNA gyrase (topoisomerase II) and topoisomerase IV; Bacteriacidal
What is the MOA of clonidine?
Centrally acting selective α2 adrenoreceptor agonist; Inhibits adenylyl cyclase reducing central sympathetic outflow
What is the MOA of cotrimoxazole?
Trimethoprim-sulfonamide (TMP-SMX); Inhibits dihydropteroate reductase and synthase decreasing folate acid synthesis; Bacteriostatic
What is the MOA of cromolyn sodium?
Alters function of delayed Cl channels; Inhibits inflammatory cell activation
What is the MOA of diazepam?
Prototype benzodiazepine; Binds and potentiates GABA-A receptor at CNS neuronal synapses facilitating frequency of GABA-mediated Cl channel opening thereby enhancing membrane hyperpolarization
What is the MOA of diphendydramine?
Prototype first-generation H1 antagonist; Reversibly blocks histamine H1 receptors
What is the MOA of dobutamine?
Selective β1 adrenoreceptor agonist; Activates adenylyl cyclase increasing myocardial contractility; Desensitization occurs
What is the MOA of digoxin?
Na/K-ATPase inhibition results in reduces Ca expulsion and increased Ca stored in sarcoplasmic reticulum
What is the MOA of enalapril?
Inhibits angiotensin-converting enzyme (ACE) in the lungs thereby reducing conversion of angiotensin I to angiotensin II and increasing bradykinin
What is the MOA of epinephrine?
Nonselective α and β adrenoreceptor agonist
What is the MOA of esomeprazole?
New-generation proton pump inhibitor; Irreversiblity inhibits H/K-ATPase pump in stomach parietal cells
What is the MOA of furosemide?
Loop diuretic; Blocks Na/K/2Cl transporter in the thick ascending limb of the loop of Henle decreasing NaCl and KCl reabsorption
What is the MOA of glipizide?
Sulfonylurea; Stimulates insulin release of β pancreatic cells by closing K channels; Insulin secratagogue
What is the MOA of hydrochlorothiazide?
Thiazide diuretic; Blocks Na/Cl transporter in renal distal convoluted tubule decreasing NaCl reabsorption
What is the MOA of hydrocortisone?
Alters gene expression; Decrease production of leukotrienes and prostaglandins by inhibiting phospholipase A2 and expression of COX-2
What is the MOA of insulin?
Activates insulin receptor
What is the MOA of loratidine?
Prototype second-generation H1 antagonist; Reversibly blocks histamine H1 receptors
What is the MOA of mebendazole?
Inhibits microtubule synthesis
What is the MOA of Metformin?
Reduces hepatic and renal gluconeogenesis
What is the MOA of Nifedipine?
Blocks vascular L-type Ca cahnnels
What is the MOA of omeprazole?
Prototype first-generation proton pump inhibitor; Irreversiblity inhibits H/K-ATPase pump in stomach parietal cells
What is the MOA of ondansentron?
5-HT3 antagonist in gut and CNS
What is the MOA of oxacillin?
β-lactam that binds to penicillin binding protein which inhibits cell wall synthesis
What is the MOA of phenobarbital?
Prototype barbiturate; Binds and enhances phasic GABA-A receptor at CNS neuronal synapsesincreasing duration of GABA-mediated Cl channel opening thereby enhancing membrane hyperpolarization
What is the MOA of prazosin?
Prototype selective α1 adrenoreceptor antagonist
What is the MOA of prednisone?
Alters gene expression; may trigger apoptosis
What is the MOA of propranolol?
Prototype nonselective β adrenoreceptor antagonist (β1 and β2)
What is the MOA of ranitidine?
New-generation H2 antagonist; Reversibly blocks histamine H2 receptors
What is the MOA of salbutamol?
Short-acting selective β2 adrenoreceptor agonist
What is the MOA of spironolactone?
K-sparing diuretic; Blocks aldosterone receptor in renal collecting tubule and androgen receptor (weak)
What is the MOA of terbutaline?
Selective β2 adrenoreceptor agonist
What are the clinical indications of amiodarone?
Serious ventricular arrhythmia
Supraventricular arrhythmia
(Class III anti-arrhythmic)
What are the clinical indications of aspirin?
Antipyretic
Analgesic
Anti-inflammatory
Antiplatelet
What are the clinical indications of atropine?
Retinal examination (mydiasis and cycloplegia) Prevent synechiae after surgery Antidote for severe cholinesterase inhibitor poisoning
What are the clinical indications of captopril?
Hypertension
Heart failure
Diabetes
What are the clinical indications of cefuroxime?
Gram-positive cocci Haemophilus influenzae Enterobacter Neisseria spp. Proteus mirabilis Escherichia coli Klebsiella pneumoniae Serratia marcescens
What are the clinical indications of chloramphenicol?
Typhoid fever (Salmonella typhi) Meningitis or epiglottitis (Haemophilus influenzae)
What are the clinical indications of cimetidine?
Peptic ulcer
GERD
Erosive gastritis