theophylline Flashcards

1
Q

give an example

A

xanthine

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2
Q

what type of drug is it?

A

a competitive non selective phosphodiesterase inhibitor

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3
Q

what is it used in?

A

asthma

STABLE copd

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4
Q

mechanism of action

A

works by activating CAMP pathway
inhibiting TNF and leukotriene synthesis therefore reducing inflammatory activity
also antagonises A,1,2,3 receptors therefore explains the cardiac side effects

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5
Q

caution in who?

A
[1] elderly
[2] those at risk of hypokalaemia 
[3]  CVD patients- hypertension and arrthymias 
[4] peptic ulcer
[5] hyperthyroidism
[6] epilepsy
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6
Q

SE

A
convulsions
tachycardia
palpitations 
nausea 
vomiting
diarrhoea 
headache
insomnia
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7
Q

drug interactions

A

additive effect with beta agonists - increase hypokalaemia risk.

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