Year 1 Drugs List Flashcards
Atropine
- muscarinic antagonist
- abolishes vagus mediated cardiac slowing
- used to treat bradycardia
Bethamethasone
- glucocorticoid receptor agonist
- reduced synthesis of prostaglandins and leukotrienes
Digoxin
- Inhibits Na/K ATPase
- leads to intracellular sodium accumulation. More sodium is extruded by NCX
- Increased Ca increases contractility
Edrophonium
- acetylcholinesterase inhibitor
- used in cardiac arrythmias and tensillon test
Ethanol
- binds to AcHr, 5-HTr. GABAr and NMDAr
- dehydrating agent
Ethinylestradiol
- synthetic estradiol
- binds to oestrogen receptor
- combined pill - prevents ovulation by supressing FSH release via negative feedback
Ketaconazole
- broad spectrum antifungal
- causes increased fungal cellular permeability
Morphine
- mu opioid agonist
Naloxone
- opiate antagonist
- used to reverse the effects of opioid overdose
Rifampicin
- broad spectrum antibiotic
- inhibits RNA polymerase therefore suppresses RNA synthesis and leads to cell death
Suxamethonium
- nAcHr agonist
- hydrolysed much slower than AcH, causing prolonged depolarisation and therefore desensitisation
- muscle relaxant
Tamoxifen
- selective oestrogen receptor modulator
- used to prevent breast cancer
Tubocuraine
- nAcHr antagonist
- used as a muscle relaxant during surgery
Paracetamol
- NSAID - COX inhibitor
- lacks anti-platelet and anti-inflammatory effects but is a useful analgesic
- does not have gastric ulcerative effects
Pyridostigmine
- cholinesterase inhibitor
- used to treat myasthenia gravis
Diamorphine
mu opioid agonist
Atenolol
selective beta 1 antagonist
reduces heart rate and CO as well as BP
Propranolol
non-selective beta antagonist
Bendroflumethiazide
thiazide diuretic
Inhibits sodium reabsorption by binding to Na/Cl co-transporter
Amiodarone
antiarrythmic agent
prolongs cardiac action potential (phase 3 - repolarisation)
Warfarin
vitamin K antagonist
anticoagulant
Ramipril
ACE inhibitor
Verapamil
anti-arrhythmia agent
Inhibits Can channels causing a reduction in isotropy and chronotropy
Domperidone
antiemetic
D2/D3 antagonist
Acts on CTZ
metoclopramide
dopamine antagonist
antiemetic
acts on CTZ
Perphenazine
dopamine antagonist
acts on CTZ
antiemetic
Cyclizine
antihistamine
used to treat motion sickness
Promethiazine
H1 antagonist
used to treat motion sickness
Hycosine
anti-muscarinic
used to treat motion sickness
Ondansetron
Granisetron
5-HT3 antagonist
Inhibits the visceral afferent stimulation of the vomiting centre
Omeprazole
PPI
Ranitidine
H2 antagonist
inhibits the promotion of stomach acid secretion by histamine
Magnesium Trisilicate
antacid
neutralises stomach acid
Misoprostol
prostaglandin mimetic
inhibits the production of stomach acid promoted by histamine
Amoxycillin
beta lactam antibiotic
helicobacter pylori
Clarythromycin
macrolide antibiotic
helicobacter pylori
Metronidazole
antibacterial and protazoal
Orlistat
inhibits lipase
TAG not broken down so can’t be absorbed
Statins
HMG-CoA inhibitors
prevent cholesterol synthesis
Fibrates
promotes transcription of lipoprotein lipase therefore reducing VLDL and LDL levels and increasing HDL levels
Hydroxybalamin
synthetic form of vitamin B12
Ferrous Sulphate
iron supplementation therapy
Folic Acid
member of vitamin B family
Used to treat megaloblastic anaemia
Required for purine synthesis and for erythropoiesis
Azathioprine
antagonist of purine metabolism
used to treat auto-immune diseases and to prevent rejection in transplant recipients
Ciclosporin
immunosuppressant
calcineurin inhibitor - prevents synthesis of IL-2
Clopidogrel
antiplatelet
administered as prodrug
Active metabolite antagonises purine receptor
Heparin
anticoagulant
low MW inhibits factor Xa
high MW inhibits factor Xa and thrombin
Prednisolone
corticosteriod
reduces transcription of inflammatory proteins
Chlorphrenamine
histamine receptor inverse agonist
relief of hayfever
Hydrocortisone
glucocorticoid receptor agonist
Increase expression of lipocortins, which inhibit phospholipase A2 (which is required for arachidonic acid synthesis)
Aldendronate
Bisphosponate
reduces osteoclast activity
Calciferol
Vitamin D3
Raloxifine
selective oestrogen receptor modulator
Has oestrogen like effects on bone and lipid metabolism but antagonises the effects of oestrogen on breast and uterine tissue
Codeine
opioid receptor agonist
converted to morphine
Pethidine
opioid receptor agonist
faster onset but shorter duration of action than morphine
Lidocaine
local anaesthetic
sodium channel blocker
Tramadol
centrally acting analgesic
Dobutamine
beta 1 agonist
inotropic effects
Isoprenaline
beta 2 agonist
bronchodialator
Salbutamol
beta 2 agonist
long acting bronchodialator
Salmeterol
beta 2 agonist
long acting bronchodialator
Phenoxybenzamine
alpha receptor antagonist
used to treat hypertension
Doxazosin
alpha 1 antagonist
hypertension
Muscarine
mimicks effects of AcH at mAcHr
Pilocarpine
muscarinic agonist
used to treat glaucoma
Cocaine
local anaesthetic - sodium channel blocker
vasoconstrictive properties - blocks NA reuptake in ANS
Amphetamines
promotes the release of NA
Fluoxetine
SSRI
depression and panic disorder
Hemicholinium
choline reuptake inhibitor
myasthenia gravis
Imipramine
tricyclic antidepressant
Phenylzine
MAOI
Diazepam
GABA allosteric agonist
Zopiclone
non-benzo hypnotic
short term treatment of insomnia
Memantine
NMDA receptor antagonist
used in treatment of dementia (prevents glutamate toxicity)
Chlorpromazine
DA antagonist
antipsychotic
Haloperidol
DA antagonist
antipsychotic
Amitryptiline
Tricyclic antidepressant
Citalopram
SSRI
Methylphenidate
NA/DA releaser
used to treat ADHD and narcolepsy
Ritilin
Lithium
mood stabiliser
Busripone
partial 5-HT agonist
used to treat generalised anxiety
Risperidone
atypical antipsychoitc
inhibits D2, 5-HT2, alpha and HI receptors
Clozapine
atypical antipsychoitc
inhibits D2, 5-HT2, alpha, muscarinic and HI receptors
drug of last resort
Thiopental
Barbituate
GABA Enhancer
Mefanemic Acid
NSAID used to treat period pain
Tranexamic Acid
antifibrinolytic drug
inhibits the activation of plasminogen to plasmin
Plasmin degrades fibrin clots
Mestranol
synthetic derivative of estradiol
Estriol
an oestrogen
only produced in significant amounts in pregnancy
approved for the treatment of post-menopausal hot flashes
Norethisterone
Progestin
more potent inhibitor of ovulation
used in treating amenorrhea, functional uterine bleeding, endometriosis, and for contraception.
Medroxyprogesterone Acetate
progestin
contraceptive, HRT and treatment of endometrosis
Desogestrel/Levonorgestrel
progestin in contraceptives
Sildenafil
Phosphodiesterase V inhibitor
used to treat erectile dysfunction
Goserelin
LH releasing hormone (GnRH) superagonist
can inhibit the growth of androgen-dependent prostate cancer
Finasteride
5-alpha reductase inhibitor
treatment of benign prostatic hyperplasia
Bicalutamide
androgen receptor antagonist
prostate cancer
Alprostadil
synthetic version of prostaglandin E1
relaxes smooth muscle of corpora cavernosa when administered by intracavernosal injection
Nandrolone
Anabolic steroid
increases production and urinary excretion of erythropoietin