Topic List B Flashcards
Agents used in dyslipidaemias
simavastatin, atorvastatin, rosuvastatin - HMG-CoA reductase inhibitor
fenofibrate - PPAR alpha agonist
ezetimibe - Niemann-Pick C1-like 1 blocker
colesevelam -bile acid sequestrant
niacin - lipoprotein lipase agonist
PSCK9 inhibitors - no breakdown of LDL-R
Antiarrhytmic agents
Na+ ch - procainamide, quinidine, lidocaine, propafenone beta-blockers - esmolol K+ ch - sotalol, amiodarone Ca2+ ch - verapamil, diltiazem other - Mg+, digoxin, adenosine
Potassium excreting (wasting) diuretics
CA inhibitor - acetazolamide
loop diuretics (triple ch) - furosmide, etacrynic acid
DCT - hydrochorothiazide, indapamide
Potassium sparing diuretics, ADH antagonists, osmotic diuretics
collecting tubule - spironolactone, eplerenone, amiloride, triamterene
osmotic - glycerin, mannitol
ADH antagonist - tolvaptan
Histamine and antihistamines
1st gen - promethazine, diphenhydramine
2nd gen - fexofenadine, dimetinden, cetirizine, loratadine
Angina pectoris
nitroglicerin, isosorbid-mononitrate - activate guanyl cyclase
trimetazidine - inhibit beta-oxidation and increase glucose utilization
ivabradin - inhibit If
Ca2+ ch - verapamil, nifidipine
beta-blockers - propanol, pindalol
Ca2+ ch blockers + vasodilators
Ca2+ ch -amlodipine, felodipine, nifedipine, nimodipine, verapamil
bozentan - endothelin receptor antagonist (A/B)
hydralazine - direct smooth muscle relaxant, inhibit Ca2+ release
sidenafil - PDE5 inhibitor
The RAAS system
renin inhibitor - aliskiren
ACEI - captopril, ramipril, perindopril, enalapril
ARBs - losartan, valsartan, irbesartan
valsartan+sacubitril - inhibit breakdown of ANP/BNP
Positive inotropic agents
digitoxin, digoxin - NA/K blockers
milrinone - PDE3i
dobutamine - beta1 agonist
levosimendan - increase Ca sensitivity
Cholinomimetics
pilocarpine - eyedrops, M3
carbachol - eyedrops, M3
neostigmine - inhibit acetylcholinesterase, reverse neuromuscular blockers
rivastigmine - inhibit acetylcholinesterase, BBB
pyridostigmine - inhibit acetylcholinesterase
edrophonium - inhibit acetylcholinesterase, shortest
Muscarinic receptor blocking drugs
atropine - all M oxybutynin - urinary incontinence, M3 solifenacin - overactive bladder, M3 ipratropium - SAMA tiotropium - LAMA scopolamine - BBB, motion sickness butylacopolamine - tx pain of abdominal and mestrual cramps and prevent cramps procyclidine - brain, for parkinsonism cyclopentolate - eyedrops, dilation
Catecholamines
E - b>a NE - a>b1 dobutamine - b1>b2 dopamine - low D1, medium b1, high a1 isoprenaline - b1=b2
Indirect sympathomimetics
phenylephrine - indirect a1 and a2
oxymetazoline - direct a1 and a2, topical decongestant
clonidine - a2 and I1, for hypertension and ADHD
methyldopa - a2
ephedrine - a1
rilmenidine - imidazole receptor I1 which inhibit symp nervous systems
Alpha - receptor antagonists
prazosin - a1 doxazosin - a1 tamsulozin - a1a urapidil - non selective, no reflex tachycardia phentolamine - non-selective carvedilol - a and b
Beta -receptor antagonists
propanolol - non-selective, reach brain, migraine
bisprolol - b1 selective, CHF
nebiprolol - b1 selective
timolol - non-selective, eyedrops glucoma
metoprolol- b1 selective, CHF
carvedilol - a and b blocker
esmolol - b1 selective, short, IV
sotalol - non-selective, also anti-arrhythmic
pindolol - non-selective, partial agonist