Year 3 drug bank Flashcards
Amitriptyline
Drug type:
Indications:
Main side effects:
Notes:
Drug type: Tricyclic antidepressant
Indications:
- major depressive disorder
- neuropathic pain
- prophylaxis for chronic pain
- tension headaches
- migraine
Main side effects:
- drowsiness
- dry mouth
- blurred vision
- constipation
- urinary retention
- lengthening of QT interval
Notes: amitripyline are most dangerous in overdose, lofepramine is less
Amlodipine
Drug type:
Indications:
Side effects:
Notes:
Drug type: Dihydropridine clacium channel blocker
Indications:
- angina prevention
- hypertension
- Raynaud’s
Side effects:
- Flushing
- headache
- ankle swelling
Notes:
Apixaban
Drug type:
Indications:
Side effects:
Notes:
Drug type: DOAC- highly specific direct factor Xa inhibitor
Indications:
- reduce the risk of stroke and systemic embolism
- prophylaxis for DVT –> PE following hip or knee surgery
Side effects:
- anaemia
- haemorrhage
- nausea
- skin reaction
Notes:
reversal via andexanet
Aripiprazole
Drug type:
Indications:
Side effects:
Drug type: atypical antipsychotic–> D2 partial agonist with weak 5HTLa partial agonism
Indications:
- Schizophrenia
- Mania
- Major depressive disorder
Side effects:
- weight gain
- hyperprolactinaemia
- increased risk of stroke and venous thromboembolism in elderly patients
- galactorrhoea
- gynaecomastia
- hypotension
- leucopaenia
- muscle rigidity, parkinsonism
- QT prolongation
- tremor
Notes: atypical antispychotics are now first line treatment for schiuzophrenia due to less extra-pyramidal side effects
Aspirin
Drug class
Indication
Side effects
Notes
Drug class: NSAID antiplatelet
Indication:
- Unstable angina
- NSTEMI
- STEMI
- TIA
- Ischaemic stroke
- AF
Side effects:
- Dyspepsia (so prescirbe PPI)
- haemorrhage
Notes: works by blocking cyclooxygenase-1 and 2. COX produces prostaglandin, prostacyclin and thromboxane. Blocking thromboxane A2 stops platelet aggregation.
300mg in acute heart attacks.
Atenolol
Drug class:
Indication
Side effects
Contraindications
Drug class: beta blocker- beta 1 selective blocker
Indication:
- Hypertension
- Angina
- Arrhythmias- rate control for AF
- Migraine prophylaxis
- thyrotoxicosis
- migraine prophylaxis
- physiological symptoms of anxiety
Side effects:
- hypotension–> falls
- dry eyes
- bronchospasm–> dyspnoea
- cold peripheries
- fatigue
- sleep disturbances inc. nightmares
- erectile dysfunction
- vomiting
Contraindications:
- Uncontrolled HF
- asthma
- sick sinus syndrome
- concurrent verapamil use –> severe bradycardia
Atorvastatin
Drug class
Indication
Side effects
Notes
Drug class: statin–> HMG-CoA reductase inhibitor
Indication;
- dyslipidaemias (rfx for atherosclerosis) e.g., T2DM
- prevention of MI, stroke, angina
Side effects:
- myopathy–> myalgia, rhabdomyolysis and asymptomatic raised creatinione kinase
- liver impairment –> check LFTs
- nausea
- indigestion
- nosebleeds
- constipation
- diarrhoea
Notes:
Beclametasone
Drug class
Indication
Side effects
Notes
Drug class: inhaled corticosteroid
Indication:
- prophylaxis asthma
- allergic rhinits
- severe inflammatory skin disorders (psoriasis)
- oral ulceration
Side effects:
- headache
- oral candiasis
- pneumonia in COPD patients
Notes
Bendroflumethiazide
Drug class
Indication
Side effects
Notes
Drug class: thiazide diuretic
Indication:
- hypertension
- oedema related to HF
- supresses lactation
Side effects:
- hypokalaemia- constipation, palpitations, fatigue, muscle weakness, spasms, tingling, numbness
- hyponatraemia- nausea, vomiting, headache, confusion, seizures
- hypercalcaemia
- gout
- impaired glucose tolerance
- impotence
Notes: block sodium reabsorption in DCT via thiazide-sensitive Na+ CL- symporter.
Bisoprolol
Drug class
Indication
Side effects
Notes
Drug class: beta blocker
Indication:
- Hypertension
- Angina
- Arrhythmias- rate control for AF
- Migraine prophylaxis
- thyrotoxicosis
- migraine prophylaxis
- physiological symptoms of anxiety
Side effects:
- hypotension–> falls
- dry eyes
- bronchospasm–> dyspnoea
- cold peripheries
- fatigue
- sleep disturbances inc. nightmares
- erectile dysfunction
- vomiting
- Contraindications:
- Uncontrolled HF
- asthma
- sick sinus syndrome
- concurrent verapamil use –> severe bradycardia
Bumetanide
Drug class
Indication
Main side effects
Notes
Drug class: loop diuretic
Indication: oedema
Main side effects:
- Dizziness
- Electrolyte imbalance
- Fatigue
- Headache
- Metabolic alkalosis
- Muscle spasms
- Nausea
Notes:
Candesartan/ losartan/ irbesartan
Drug class:
Indications:
Main side effects:
Notes:
Drug class: antihypertensive–> angiotensin II receptor blocker (AT1 receptor)
Indications:
- hypertension
- HF w left vent hypertrophy
- delay progression of diabetic nephropathy
- migraine prophylaxis
Main side effects:
- headaches
- dizziness
- hyperkalaemia
- hypotension
Notes:
- usually used in those that can’t tolerate ACEi usually due to cough
- use w caution in those with renal impairment
Carbamezapine
Drug class
Indication
Main side effects
Notes
Drug class: Anticonvulsant- particularly partial seizures (1st line)
Indication:
- Seizures
- pain from trigeminal neuralgia
- bipolar disorder
Main side effects:
- P450 inducer
- dizziness and ataxia
- drowsiness
- visual disturbances
- Steven-Johnson syndrome- disorder of skin and mucous membranes- flu like then painful rash and blisters killing skin
- leucopaenia and agranulocytosis
- hyponatraemia 2* to inappropriate ADH secretion
Notes:
- chemically similar to tricyclic antidepressant
- binds to Na+ channels and increases their refractory period
- autoinduction- return of seizures after 3-4 weeks treatment
Carbimazole
Drug class
Indication
Main side effects
Notes
Drug class: imizadole antithyroid agent
Indication: treatment of
- hyperthyroidism
- thyrotoxicosis
Main side effects:
- agranulocytosis
- crosses the placenta, can be used in low doses in pregnancy
- nausea
- vomiting
- diarrhoea
- dizziness
- headache
- arthralgia
- itchy skin or rash
Notes:
- regular blood tests
- 6 weeks high dose until euthyrotic
- blocks thyroid peroxidase from coupling and iodinating tyrosine on thyroglobulin reducing thyroid hormone production
Carbocisteine
Drug class
Indication
Main side effects
Notes
Drug class: expectorant mucolytic
Indication
- reduction of mucous viscosity
- reduction of COPD and other conditions associated with increased mucous viscosity
Main side effects
- GI haemorrhage
- Skin reactions
- Stevens-Johnson syndrome (rare, serious disorder of the skin and mucous membranes. Starts with flu-like symptoms painful rash and blisters)
- Vomiting
Notes
Cetrizine
- Drug class
- Indication
- Side effects
- Notes
Drug class: selective histamine-1 antagonist–> “non drowsy antihistamine”
Indication: symtomatic release in conditions like
- allergic rhinitis
- chronic urticaria
- atopic dermatitis
Side effects:
- sleepiness
- dry mouth
- feeling sick
- dizziness
- diarrhoea
- weight increase
Notes:
Chlorphenamine
Drug class
Indication
Side effects
Notes
Drug class: Histamine H1 receptor antagonist
Indication:
- rhinitis
- urticaria
- allergy
- common cold
- asthma trigger control
- hay fever
- vestibular disease symptoms
- motion sickness
Side effects:
- impaired concentration
- dizziness
- dry mouth
- fatigue
- headache
- nausea
- blurred vision
Notes
Cinnarizine
Drug class
Indication
Side effects
Notes
Drug class: antihistamine calcium channel blocker
Indication:
- vertigo/ menieres
- nausea
- motion sickness
- vestibnular symptoms
Side effects:
- drowsiness
- GI disomfort
- nausea
- weight increase
Notes
Clopidrogel
Drug class
Indication
Side effects
Notes
interactions
Drug class: antiplatelet (thienopyridines like ticagrelor)
Indication:
- management of CV disease
Side effects:
- Diarrhoea
- GI discomfort
- excessive bleeding
- skin reactions
Notes: antagonist of P2Y12 adenosine diphosphate (ADP) receptor inhibiting the activation of platelets
interaction: PPI concurrent use makes clopidogrel less useful - lansoprazole ok
Co-beneldopa
Drug class
Indication
Side effects
Notes
Drug class: mixture of Levodopa (dopamine precursor) and Benserazide-peripheral decaroxylase inhibitor
Indication:
- Parkinsons disease
- Restless leg disease
Side effects
- Wearing off- long term levodopa use –> wears off at end of dose –> stiff and slow
- Dyskinesia (involuntary movements)
- impulsive and compulsive behaviours
- withdrawal syndrome–> sudden cessation–> depression, anxiety, pain
- nausea
- vomiting
- loss of appetite
- hallucinations
- sleep problems
Notes
Co-careldopa
Drug class
Indication
Side effects
Notes
Drug class: mixture of carbidopa (dopa decarboxylase inhibitor) and levodopa
Indication: parkinsons disease
Side effects
- Wearing off- happens when you have levodopa for a long time. Wears off at the end of dose stiff and slow
- Dyskinesia (involuntary movements)
- Impulsive and compulsive behaviours
- Withdrawal syndrome- sudden cessation of use depression, anxiety, pain
- Nausea
- Vomiting
- Hypotension
- Loss of appetite
- Hallucinations
- Sleep problems
Notes
Codeine sulphate:
Drug class
indication
side effects
notes
Drug class: opioid analgesic
indication:
- treatment of moderate to severe pain
- cough suppressant
- acute diarrhoea
side effects:
- Constipation
- Nausea and vomiting
- Feeling sleepy
- Confusion, dizzy and vertigo
- Dry mouth
- Headaches
- Addiction
- Respiratory depression
- Anaphylaxis
- Eurphoric mood
- Palpitations
notes