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95 Cards in this Set
- Front
- Back
- 3rd side (hint)
Acetylcholine |
Direct cholinergic agonists via Muscarinic receptor |
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Metacholine
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Direct cholinergic agonists via Muscarinic receptor
. – Postoperative atony – Glaucoma |
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Carbachol
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Direct cholinergic agonists via Muscarinic receptor
. – Postoperative atony – Glaucoma |
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Betanechol
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Direct cholinergic agonists via Muscarinic receptor
. – Postoperative atony – Glaucoma |
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Pilocarpin
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Direct cholinergic agonists via Muscarinic receptor
. –ophthalmic solution to treat Glaucoma |
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Muscarin
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Direct cholinergic agonists via Muscarinic receptor
. – Glaucoma |
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Physostigmine
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Indirect cholinergic agonist
Reversible inhibitor of acetylcholinesterase Increasing Acetylcholine concentration in blood. . – Atony of Bladder and Intestine, – Glaucoma. |
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Neostigmine
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Indirect cholinergic agonist
Reversible inhibitor of acetylcholinesterase Increasing Acetylcholine concentration in blood. . – Myasthenia Gravis – Postoperative atony of intestine and bladder |
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Pyridostygmine
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Indirect cholinergic agonist
Reversible inhibitor of acetylcholinesterase Increasing Acetylcholine concentration in blood. – chronic Myasthenia Gravis |
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Edrophonium
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Indirect cholinergic agonist
Reversible inhibitor of acetylcholinesterase Increasing Acetylcholine concentration in blood. |
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Donepezil
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Indirect cholinergic agonist
Reversible inhibitor of acetylcholinesterase Increasing Acetylcholine concentration in blood. . – Supportive care of Alzheimer’s |
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Rivastigmine
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Indirect cholinergic agonist
Reversible inhibitor of acetylcholinesterase Increasing Acetylcholine concentration in blood. . – Supportive care of Alzheimer’s |
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Parathion
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Indirect cholinergic agonist
Irreversible inhibitor of Cholinesterases – Used in agriculture as insecticides |
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Malathion
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Indirect cholinergic agonist
Irreversible inhibitor of Cholinesterases – Used in agriculture as insecticides |
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Tabun
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Indirect cholinergic agonist
Irreversible inhibitor of Cholinesterases – Nerve gasses. |
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Soman
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Indirect cholinergic agonist
Irreversible inhibitor of Cholinesterases – Nerve gasses. |
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Atropine
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Muscarinic Receptor Antagonist
– Painful Spasms(biliary and renal colic pain) – Bradycardia & Block, – Parkinsons Disease, – Poisonings ( of muscarin & anticholinesterase) – in anesthesiology– Prevention of respiratory |
tract secretions, bronchospasm,
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Benzatropine
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Muscarinic Receptor Antagonist
– Parkinson disease |
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Scopolamine / Hyoscine
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Muscarinic Receptor Antagonist
– antiemetic agent – prevention of motion sickness |
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Adiphenine,
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Muscarinic Receptor Antagonist
– antispasmodics |
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Oxyphenonium
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Muscarinic Receptor Antagonist
– antispasmodics |
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Ipratropium bromide
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Muscarinic Receptor Antagonist
– Bronchoconstriction – patients with heart disease – patients who not tolerate beta 2 agonists |
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Oxybutynine
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Muscarinic Receptor Antagonist
– Urinary incontinence (infantile enuresis) |
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Pirenzepine
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Muscarinic Receptor Antagonist |
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Unfractionated heparin (UFH) / HMW heparin
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Indirect thrombin inhibitors
Heparin binds to antithrombin III (AT–III) and activate it The activated AT–III then inactivates thrombin & Xa & (VII, IXa,XIa,XIIa). The rate of inactivation by AT–III increases 1000–fold due to the binding of heparin. – acute deep vein thromosis – pulmonary embolism – prevent postoperative venous theombosis – pregnant women with prosthetic hart valves or with venous thromboembolism – coronary artery rethrombosis after thrombolytic treatment – prevent thrombosis in extracorporeal divices |
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Enoxaparin
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Indirect thrombin inhibitors
Low–molecular–weight heparins (LMWH) binds to antithrombin III (AT–III) and activate it The activated AT–III then inactivates Xa The rate of inactivation by AT–III increases 1000–fold due to the binding of heparin. – acute deep vein thromosis – pulmonary embolism – prevent postoperative venous theombosis – pregnant women with prosthetic hart valves or with venous thromboembolism – coronary artery rethrombosis after |
thrombolytic treatment
– prevent thrombosis in extracorporeal divices |
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Dalteparin
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Indirect thrombin inhibitors
Low–molecular–weight heparins (LMWH) binds to antithrombin III (AT–III) and activate it The activated AT–III then inactivates Xa The rate of inactivation by AT–III increases 1000–fold due to the binding of heparin. – acute deep vein thromosis – pulmonary embolism – prevent postoperative venous theombosis – pregnant women with prosthetic hart valves or with venous thromboembolism – coronary artery rethrombosis after |
thrombolytic treatment
– prevent thrombosis in extracorporeal divices |
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Ardeparin
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Indirect thrombin inhibitors
Low–molecular–weight heparins (LMWH) binds to antithrombin III (AT–III) and activate it The activated AT–III then inactivates Xa The rate of inactivation by AT–III increases 1000–fold due to the binding of heparin. – acute deep vein thromosis – pulmonary embolism – prevent postoperative venous theombosis – pregnant women with prosthetic hart valves or with venous thromboembolism – coronary artery rethrombosis after |
thrombolytic treatment
– prevent thrombosis in extracorporeal divices |
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Nadroparin
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Indirect thrombin inhibitors
Low–molecular–weight heparins (LMWH) binds to antithrombin III (AT–III) and activate it The activated AT–III then inactivates Xa The rate of inactivation by AT–III increases 1000–fold due to the binding of heparin. – acute deep vein thromosis – pulmonary embolism – prevent postoperative venous theombosis – pregnant women with prosthetic hart valves or with venous thromboembolism – coronary artery rethrombosis after |
thrombolytic treatment
– prevent thrombosis in extracorporeal divices |
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Tinzaparin
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Indirect thrombin inhibitors
Low–molecular–weight heparins (LMWH) binds to antithrombin III (AT–III) and activate it The activated AT–III then inactivates Xa The rate of inactivation by AT–III increases 1000–fold due to the binding of heparin. – acute deep vein thromosis – pulmonary embolism – prevent postoperative venous theombosis – pregnant women with prosthetic hart valves or with venous thromboembolism – coronary artery rethrombosis after |
thrombolytic treatment
– prevent thrombosis in extracorporeal divices |
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Reviparin
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Indirect thrombin inhibitors
Low–molecular–weight heparins (LMWH) binds to antithrombin III (AT–III) and activate it The activated AT–III then inactivates Xa The rate of inactivation by AT–III increases 1000–fold due to the binding of heparin. – acute deep vein thromosis – pulmonary embolism – prevent postoperative venous theombosis – pregnant women with prosthetic hart valves or with venous thromboembolism – coronary artery rethrombosis after thrombolytic treatment – prevent thrombosis in extracorporeal divices |
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Hirudin
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Direct acting thrombin inhibitors
– blood coagulation disorders (varicose veins) |
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Lepirudin
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Direct acting thrombin inhibitors
– patients with HIT who require parental anticoagulant therapy. – acute coronary syndrom. |
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bivalirudin
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Direct acting thrombin inhibitors
– patients with HIT who require parental anticoagulant therapy. – acute coronary syndrom. |
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Argatroban
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Direct acting thrombin inhibitors
– prophylaxis and treatment of thrombosis in patients with heparin–induced thrombocytopenia (HIT) |
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Warfarin
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Inhibits the synthesis of the active forms of:
• vitamin K–dependent clotting factors: II, VII, |
IX , X
• protein C, protein S – prophylaxis of thrombosis and embolism in many disorders |
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Coumarin
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Inhibits the synthesis of the active forms of:
• vitamin K–dependent clotting factors: II, VII, |
IX , X
• protein C, protein S – prophylaxis of thrombosis and embolism in many disorders |
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Rivaroxaban
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Directly inhibit X factor
– prevent venus tromboembolism, after hip and knee surgery |
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Dabigatran
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Direct inhibitor of II factor
– prevent venus tromboembolism, after hip and knee surgery |
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Tissue plasminogen activator (tPA) /
Alteplase |
Dissolve blood clots by:
Activat the conversion of plasminogen to plasmin Plasmin hydrolyzes Fibrin to Fibrin degradation products (FdP) – acute myocardial infarction (within 12h of onset). – Acute thrombotic stroke (within 3 h of onset) – – deep vein thrombosis – pulmonary embolus – acute arterial thromboembolism |
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Streptokinase (SK)
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Dissolve blood clots by:
Activat the conversion of plasminogen to plasmin Plasmin hydrolyzes Fibrin to Fibrin degradation products (FdP) – acute myocardial infarction (within 12h of onset). – Acute thrombotic stroke (within 3 h of onset) – – deep vein thrombosis – pulmonary embolus – acute arterial thromboembolism |
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Urokinase (UK)
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Dissolve blood clots by:
Activat the conversion of plasminogen to plasmin Plasmin hydrolyzes Fibrin to Fibrin degradation products (FdP) – acute myocardial infarction (within 12h of onset). – Acute thrombotic stroke (within 3 h of onset) – – deep vein thrombosis – pulmonary embolus – acute arterial thromboembolism |
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Aspirin
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Irreversibly inhibits cyclooxygenase COX1 in platelets and thereby blocks the formation of thromboxane A2
– prophylactic treatment of transient cerebral ischemia. – reduce the incidence of recurrent myocardial infarction – decrease mortality in pre– and post myocardial infarct patients |
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Clopidogrel
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ADP receptor inhibitors
– patients in whom aspirin is not tolerated when – dual antiplatelet therapy is desirable |
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Ticlopidine
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ADP receptor inhibitors
– Patients in whom aspirin is not tolerated when – dual antiplatelet therapy is desirable |
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plasugrel
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ADP receptor inhibitors
– patients in whom aspirin is not tolerated when – dual antiplatelet therapy is desirable |
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Abciximab
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Glycoprotein IIB/IIIA inhibitors
– prevention of cardiac ischemic complications. – unresponsive unstable angina – prophylactic use in myocardial infarction |
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Tirofiban
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Glycoprotein IIB/IIIA inhibitors
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Vorapaxar
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Inhibit trombin receptor on platelets |
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Cimetidine
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H2 receptor antagonist
– Reducing intragastric acidity – Peptic ulcer disease – Gastro esophageal reflux disease – Dyspepsia Stress ulcer prophylaxis – Gastroduodenal ulcers |
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Ranitidine
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H2 receptor antagonist
– Reducing intragastric acidity – Peptic ulcer disease – Gastro esophageal reflux disease – Dyspepsia Stress ulcer prophylaxis – Gastroduodenal ulcers |
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Famotidine
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H2 receptor antagonist
– Reducing intragastric acidity – Peptic ulcer disease – Gastro esophageal reflux disease – Dyspepsia Stress ulcer prophylaxis – Gastroduodenal ulcers |
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Nizatidine
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H2 receptor antagonist
– Reducing intragastric acidity – Peptic ulcer disease – Gastro esophageal reflux disease – Dyspepsia Stress ulcer prophylaxis – Gastroduodenal ulcers |
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Omeprazol
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Proton pump inhibitors
– Reducing intragastric acidity – Peptic ulcer disease – Gastro esophageal reflux disease – Dyspepsia Stress ulcer prophylaxis – Gastroduodenal ulcers |
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Lansoprazole
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Proton pump inhibitors
– Reducing intragastric acidity – Peptic ulcer disease – Gastro esophageal reflux disease – Dyspepsia Stress ulcer prophylaxis – Gastroduodenal ulcers |
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Rabeprazole
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Proton pump inhibitors
– Reducing intragastric acidity – Peptic ulcer disease – Gastro esophageal reflux disease – Dyspepsia Stress ulcer prophylaxis – Gastroduodenal ulcers |
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Pantoprazole
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Proton pump inhibitors
– Reducing intragastric acidity – Peptic ulcer disease – Gastro esophageal reflux disease – Dyspepsia Stress ulcer prophylaxis – Gastroduodenal ulcers |
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Esomeprazole
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Proton pump inhibitors
– Reducing intragastric acidity – Peptic ulcer disease – Gastro esophageal reflux disease – Dyspepsia Stress ulcer prophylaxis – Gastroduodenal ulcers |
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Sucralfate
(Aluminium hydroxide and sulfated sucrose complex) |
Binds to positively charged glycoproteins at the ulcer base Forms complexes that protect mucosa against pepsin and hydrogen anions
– Promoting mucosal defense – Peptic ulcer disease |
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Bismuth chelate
(tripotassium dicitratobismuthate) |
Coating ulcer base
Adsorbing pepsin Stimulating bicarbonate synthesis Enhancing local prostaglandin levels Antimicrobial activity – Promoting mucosal defense – Peptic ulcer disease |
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Aluminum hydroxide
Magnesium hydroxide Calcium salts Carbonate Sodium |
Antiacids
buffer gastric acid – Peptic ulcer disease |
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Metoclopramide
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Prokinetic drugs (motility stimulants)
Dopamine antagonists – Non–ulcer dyspepsia Non–specific or cytotoxic – induced nausea and vomiting |
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Domperidone
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Prokinetic drugs (motility stimulants)
Dopamine antagonists – Non–ulcer dyspepsia Non–specific or cytotoxic – induced nausea and vomiting |
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Psyllium husk
Methylcellulose Agar Bran |
Bulk–producing agents
– Laxative, constipation |
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Docusate
Glycerin suppository Mineral oil |
Stool softeners/ Surfactans
– Occasional constipation – Anorectal conditions that make passage of firm stool painful |
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Saline:
Sodium phosphate Magnesium citrate Magnesium hydroxide Magnesium sulfate |
Hydrating agent (osmotic)
– Constipation |
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Bisacodyl
Senna Aloe vera Castor oil |
Stimulant laxatives
– Constipation |
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Dolasetron
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5HT3 receptor antagonist
– Post–operative & cytoxic drug induced nausea and vomiting |
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Granisetron
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5HT3 receptor antagonist
– Post–operative & cytoxic drug induced nausea and vomiting |
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Ondansetron
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5HT3 receptor antagonist
– Post–operative & cytoxic drug induced nausea and vomiting |
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Palonsetron
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5HT3 receptor antagonist
– Post–operative & cytoxic drug induced nausea and vomiting |
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Droperidol
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Dopamine antagonists
– Neoplastic disease vomiting and diarrhea – Radiation sickness – Opioids – Cytotoxic drugs – General anesthetics |
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Haloperidol
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Dopamine antagonists
– Neoplastic disease vomiting and diarrhea – Radiation sickness – Opioids – Cytotoxic drugs – General anesthetics |
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Chlorpromazine
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Dopamine antagonists
– Neoplastic disease vomiting and diarrhea – Radiation sickness – Opioids – Cytotoxic drugs – General anesthetics |
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Promethazine
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Dopamine antagonists
– Neoplastic disease vomiting and diarrhea – Radiation sickness – Opioids – Cytotoxic drugs – General anesthetics |
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Prochlorperazine
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Dopamine antagonists
– Neoplastic disease vomiting and diarrhea – Radiation sickness – Opioids – Cytotoxic drugs – General anesthetics |
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Thietylperazin
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Dopamine antagonists
– Neoplastic disease vomiting and diarrhea – Radiation sickness – Opioids – Cytotoxic drugs – General anesthetics |
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Opiates:
Loperamide Diphenoxylate Codeine |
Antimotility agents
– Diarrhea |
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Prophanteline
Dicyclomine |
Anticholinergic drugs
– Diarrhea |
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Kaolin
Pectin Chalk Charcoal Methyl cellulose |
Adsorbents |
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Benzocaine
Chloroprocaine Cocaine Procaine Tetracaine |
Inhibition of sodium influx through sodium–specific ion channels in neuronal cell membrane→ no action potential →signal conduction is inhibited
– Local anesthetics – Lidocaine is used as antiarrhythmic drug |
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Bupivacaine
Lidocaine Mepivacaine Prilocaine Ropivacaine Articaine |
Inhibition of sodium influx through sodium–specific ion channels in neuronal cell membrane→ no action potential →signal conduction is inhibited
– Local anesthetics –Lidocaine is used as antiarrhythmic drug |
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Theophylline
(methylxanthines) |
Non–specific inhibition of phosphodiesterase enzymes
–COPD –Asthma |
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Cromoglicate (cormolyn)
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Mast cell stabilizers
Prevent release of histamine from mast cells – preventive of asthma |
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Nedocromil (Tilade)
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Mast cell stabilizers
Prevent release of histamine from mast cells – preventive of asthma |
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Montelukast
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Leukotriene receptor antagonists
– Preventive treatment in asthma |
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Zafirlukast
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Leukotriene receptor antagonists
– Preventive treatment in asthma |
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Pranlukast
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Leukotriene receptor antagonists
– Preventive treatment in asthma |
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Zileuton
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Leukotriene receptor antagonists
– Preventive treatment in asthma |
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Omalizumab
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IgE blocker
– Severe allergic asthma that does not respond to other drugs |
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Methotrexate
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Antimetabolite of folic acid
–Treatment of cancer Autoimmune disease |
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Flucitasone
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Inhaled Glucocorticoids/ corticosteroids
– Preventive treatment in asthma |
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Budesonide /
Beclomethasone |
Inhaled Glucocorticoids/ corticosteroids
– Preventive treatment in asthma |
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Flunisolide
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Inhaled Glucocorticoids/ corticosteroids
– Preventive treatment in asthma |
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Triamcinolone
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Inhaled Glucocorticoids/ corticosteroids |
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