Xantines Flashcards
1
Q
name a xantine
A
Theophylline
2
Q
what do they target?
A
phosphodiesterase
3
Q
antagonist/ agonist?
A
inhibitor
4
Q
how do they work ?
A
reduces breakdown of cAMP/cGMP
block adenosine receptors
activates histone deacetylase to reverse resistance to corticosteroid
5
Q
what are they used for?
A
step 3/4 asthma
6
Q
adverse effects?
A
dysrhythmia
seizures
7
Q
prescribing advice
A
metabolized by P450 enzyme in liver
narrow therapeutic window
NOT with heart conditions , acute porphyria (rare hereditary disease in which there is abnormal metabolism of the blood pigment haemoglobin)
jaundice in neonates