Week 2 Drugs Flashcards
Lysergic Acid Diethylamide
Serotonin Agonist
Full/partial agonist of 5-HT.2 R
LSD= hallucinogen
Buspirone
Serotonin Agonist
Partial agonist of 5-HT.1A R
(X) antianxiety
Sumatriptan
Serotonin Agonist Agonist of 5HT.1D-R -inhibit release of vasoactive peptides -promote vasoCONSTRICTION (X) migraine headaches (-) nausea, vomiting, dizziness, angina, flushing (O) Recent MI
Fluoxetine
Indirect Serotonin Agonist
SSRI–/ reuptake of serotonin
(X) affective disorders: OCD and panic attacks
(-) sexual dysfunction, nausea
Phenelzine
MAOI—/ metab of serotonin, NE, and DA
X) depression
narcolepsy
(-) food induced hypertensive crisis (pyridines
Cyproheptadine
5HT.2-R Antagonist
(X) allergic skin reactions (pruritis, uticaria)
-Carcinoid
Ondansetron
5HT.3 R Antagonist
X) chemotherapy-induced nausea/vomit (GI and brain R
Alosetron
Selective 5HT.3 Antagonist
(X) women with diarrhea-predominant IBS
(-) severe GI side effects
Nitroglycerin
VasoDILATOR
^ cGMP>relax arterial/venous sm
(X) heart failure
(-) hypotension
venous dominant- reduced preload
Nitroprusside
VasoDILATOR
>*NO–> ^ cGMP> relax arterial/venous sm
(X) hypertensive emergency
(-) hypotension
arterial/venous; ^ SV (reduced pre and after load)
Hydralazine
VasoDILATOR_ direct (^cGMP)
(X) heart failure
(-) hypotension
arterial
Minoxidil
VasoDILATOR_direct “rogaine”(K+channel opener)
(X) Heart failure
HTN
(-) fluid retention
Arterial
Diazoxide
VasoDILATOR_ membrane channel dilator
K+ channel activator
(X) HTN emergency, hypoglycemia
Ca++Channel blockers
VasoDILATORs
- verapamil
- diltiazem
- nifedipine
-increase heart cntxn
- reduced sm cntxn
Arterial
Verapamil
VasoDILATOR_ Ca++ blocker
Phenylalkylamine
Diltiazem
VasoDILATOR_ Ca++ blocker
Benzothiazapine
Milrinone
VasoDILATOR_ PDE 3 inhib
^ cAMP^ heart cntxn, rlxn bv
(X) Heart failure
Inamrinone
VasoDILATOR_PDE 3 inhib
^cAMP^ heart cntxn, rlxn bv
(X) heart failure
Cilostazol
VasoDILATOR_PDE 3 inhib
^cAMP–> ^ heart cntxn, rlxn bv
(X) heart failure
Sildenafil
VasoDILATOR_ PDE 5 inhibitor
^cGMP–> rlxn bv
(X) erectile dysfunction
Tadalafil
VasoDILATOR_ PDE 5 inhibitor
^cGMP–> rlxn bv
(X) erectile dysfunction
ACE Inhibitors
VasoDILATOR_ Angiotensin Converting Enzyme inhib
Fenoldopam
VasoDILATOR_ D.A1 R agonist
(X) hypertensive crisis
Prazosin
VasoDILATOR_ a-adrenergic blocker
(X) HTN
Albuterol
BronchoDILATOR_ B2 agonist
Pirbuterol
BronchoDILATOR_ B2 agonist
Terbutaline
BronchoDILATOR_ B2 agonist
Salmeterol
BronchoDILATOR_ B2 agonist
Formoterol
BronchoDILATOR_ B2 agonist
Ipratropium
BronchoDILATOR_ Anti-cholinergic
Tiotropium
BronchoDILATOR_ Anti-cholinergic
Theophylline
BronchoDILATOR_ methylxanthine
Aminophylline
BronchoDILATOR_ methylxanthine
Aliskiren
Renin inhibitor
(blocks angiotensinogen> angiotensin I)
(X) HTN
(-) minimal side effects ~ placebo
Losartan
Angiotensin AT.1-R blocker (X) essential HTN Heart failure (-) dizziness, cough, angioedema (O) pregnancy
Captopril
ACE inhibitor (X) essential HTN Heart failure (-) rash, proteinuria, neutropenia, cough, angioedema hyperkalemia
Enalapril
ACE inhibitor_ prodrug (X) essential HTN Heart failure (-) rash, proteinuria, neutropenia, cough, angioedema hyperkalemia
Lisinopril
ACE inhibitor_ prodrug (X) essential HTN Heart failure (-) rash, proteinuria, neutropenia, cough, angioedema hyperkalemia
Spironolactone
Aldosterone inhibitor_ MC-R antagonist
(X) diuretic, HTN
Eplerenone
Aldosterone inhibitor_ MC-R antagonist
(X) diuretic, HTN
Propranolol
B- adrenergic blocker (1st gen)
—/ renin release
Metoprolol
B-adrenergic blocker (1st gen)
—/ renin release
Desmopressin
ANTI-diuretic
intranasal
(X) NEUROgenic diabetes insipidus
(X) pre-op prophylactic for hemophilia (^ vonW factor and VIII)
Phenylalkylamines
Calcium Channel Blocker (CCB)
Verapamil
Benzothiazepines
Calcium Channel Blocker (CCB)
Diltiazem
1,4- Dihydropyridines
Calcium Channel Blocker (CCB)
Nifedipine, Amlodipine
Verapamil
Phenylalkylamine_ myocardial CCBs
(-) heart block
(O) hypotension, bradycardia, conduction defect, cardiac failure
Diltiazem
Benzothiazepines_myocardial CCBs
(-) heart block
(O) hypotension, bradycardia, conduction defects, cardiac failure
Nifedipine
1,4 dihydropyridine_ CCB
Amlodipine
1,4 dihydropyridine_ CCB