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95 Cards in this Set

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Acetylcholine

Direct cholinergic agonists via Muscarinic receptor
.
– Postoperative atony
– Glaucoma

Metacholine
Direct cholinergic agonists via Muscarinic receptor
.
– Postoperative atony
– Glaucoma
Carbachol
Direct cholinergic agonists via Muscarinic receptor
.
– Postoperative atony
– Glaucoma
Betanechol
Direct cholinergic agonists via Muscarinic receptor
.
– Postoperative atony
– Glaucoma
Pilocarpin
Direct cholinergic agonists via Muscarinic receptor
.

–ophthalmic solution to treat Glaucoma
Muscarin
Direct cholinergic agonists via Muscarinic receptor
.
– Glaucoma
Physostigmine
Indirect cholinergic agonist
Reversible inhibitor of acetylcholinesterase
Increasing Acetylcholine concentration in blood.
.
– Atony of Bladder and Intestine,
– Glaucoma.
Neostigmine
Indirect cholinergic agonist
Reversible inhibitor of acetylcholinesterase
Increasing Acetylcholine concentration in blood.
.
– Myasthenia Gravis
– Postoperative atony of intestine and bladder
Pyridostygmine
Indirect cholinergic agonist
Reversible inhibitor of acetylcholinesterase
Increasing Acetylcholine concentration in blood.
– chronic Myasthenia Gravis
Edrophonium
Indirect cholinergic agonist
Reversible inhibitor of acetylcholinesterase
Increasing Acetylcholine concentration in blood.
Donepezil
Indirect cholinergic agonist
Reversible inhibitor of acetylcholinesterase
Increasing Acetylcholine concentration in blood.
.
– Supportive care of Alzheimer’s
Rivastigmine
Indirect cholinergic agonist
Reversible inhibitor of acetylcholinesterase
Increasing Acetylcholine concentration in blood.
.
– Supportive care of Alzheimer’s
Parathion
Indirect cholinergic agonist
Irreversible inhibitor of Cholinesterases
– Used in agriculture as insecticides
Malathion
Indirect cholinergic agonist
Irreversible inhibitor of Cholinesterases
– Used in agriculture as insecticides
Tabun​
Indirect cholinergic agonist
Irreversible inhibitor of Cholinesterases
– Nerve gasses.
Soman
Indirect cholinergic agonist
Irreversible inhibitor of Cholinesterases
– Nerve gasses.
Atropine
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,
Benzatropine
Muscarinic Receptor Antagonist
– Parkinson disease
Scopolamine / Hyoscine
Muscarinic Receptor Antagonist
– antiemetic agent
– prevention of motion sickness
Adiphenine,
Muscarinic Receptor Antagonist
– antispasmodics
Oxyphenonium
Muscarinic Receptor Antagonist
– antispasmodics
Ipratropium bromide​
Muscarinic Receptor Antagonist
– Bronchoconstriction
– patients with heart disease
– patients who not tolerate beta 2 agonists
Oxybutynine
Muscarinic Receptor Antagonist
– Urinary incontinence (infantile enuresis)
Pirenzepine

Muscarinic Receptor Antagonist
– peptic ulcers​

Unfractionated heparin (UFH) / HMW heparin
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
Enoxaparin
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
Dalteparin
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
Ardeparin
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
Nadroparin
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
Tinzaparin
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
Reviparin
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
Hirudin
Direct acting thrombin inhibitors
– blood coagulation disorders (varicose veins)
Lepirudin
Direct acting thrombin inhibitors
– patients with HIT who require parental
anticoagulant therapy.
– acute coronary syndrom.​
bivalirudin
Direct acting thrombin inhibitors
– patients with HIT who require parental
anticoagulant therapy.
– acute coronary syndrom.​​
Argatroban
Direct acting thrombin inhibitors
– prophylaxis and treatment of thrombosis in
patients with heparin–induced
thrombocytopenia (HIT)​
Warfarin
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​
Coumarin
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​
Rivaroxaban
Directly inhibit X factor
– prevent venus tromboembolism, after hip and
knee surgery​
Dabigatran
Direct inhibitor of II factor
– prevent venus tromboembolism, after hip and
knee surgery​
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
Streptokinase (SK)
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
Urokinase (UK)
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
Aspirin
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​
Clopidogrel
ADP receptor inhibitors
– patients in whom aspirin is not tolerated when
– dual antiplatelet therapy is desirable​
Ticlopidine
ADP receptor inhibitors
– Patients in whom aspirin is not tolerated when
– dual antiplatelet therapy is desirable​
plasugrel
ADP receptor inhibitors
– patients in whom aspirin is not tolerated when
– dual antiplatelet therapy is desirable​
Abciximab
Glycoprotein IIB/IIIA inhibitors
– prevention of cardiac ischemic complications.
– unresponsive unstable angina
– prophylactic use in myocardial infarction​
Tirofiban
Glycoprotein IIB/IIIA inhibitors
Vorapaxar

Inhibit trombin​ receptor on platelets

Cimetidine
H2 receptor antagonist
– Reducing intragastric acidity
– Peptic ulcer disease
– Gastro esophageal reflux disease
– Dyspepsia Stress ulcer prophylaxis
– Gastroduodenal ulcers
Ranitidine
H2 receptor antagonist
– Reducing intragastric acidity
– Peptic ulcer disease
– Gastro esophageal reflux disease
– Dyspepsia Stress ulcer prophylaxis
– Gastroduodenal ulcers
Famotidine
H2 receptor antagonist
– Reducing intragastric acidity
– Peptic ulcer disease
– Gastro esophageal reflux disease
– Dyspepsia Stress ulcer prophylaxis
– Gastroduodenal ulcers
Nizatidine
H2 receptor antagonist
– Reducing intragastric acidity
– Peptic ulcer disease
– Gastro esophageal reflux disease
– Dyspepsia Stress ulcer prophylaxis
– Gastroduodenal ulcers
Omeprazol
Proton pump inhibitors
– Reducing intragastric acidity
– Peptic ulcer disease
– Gastro esophageal reflux disease
– Dyspepsia Stress ulcer prophylaxis
– Gastroduodenal ulcers
Lansoprazole
Proton pump inhibitors
– Reducing intragastric acidity
– Peptic ulcer disease
– Gastro esophageal reflux disease
– Dyspepsia Stress ulcer prophylaxis
– Gastroduodenal ulcers
Rabeprazole
Proton pump inhibitors
– Reducing intragastric acidity
– Peptic ulcer disease
– Gastro esophageal reflux disease
– Dyspepsia Stress ulcer prophylaxis
– Gastroduodenal ulcers
Pantoprazole
Proton pump inhibitors
– Reducing intragastric acidity
– Peptic ulcer disease
– Gastro esophageal reflux disease
– Dyspepsia Stress ulcer prophylaxis
– Gastroduodenal ulcers
Esomeprazole
Proton pump inhibitors
– Reducing intragastric acidity
– Peptic ulcer disease
– Gastro esophageal reflux disease
– Dyspepsia Stress ulcer prophylaxis
– Gastroduodenal ulcers
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
Bismuth chelate
(tripotassium dicitratobismuthate)
Coating ulcer base
Adsorbing pepsin
Stimulating bicarbonate synthesis
Enhancing local prostaglandin levels Antimicrobial activity
– Promoting mucosal defense
– Peptic ulcer disease
Aluminum hydroxide
Magnesium hydroxide
Calcium salts
Carbonate
Sodium
Antiacids
buffer gastric acid
– Peptic ulcer disease
Metoclopramide
Prokinetic drugs (motility stimulants)
Dopamine antagonists
– Non–ulcer dyspepsia Non–specific or cytotoxic
– induced nausea and vomiting
Domperidone
Prokinetic drugs (motility stimulants)
Dopamine antagonists
– Non–ulcer dyspepsia Non–specific or cytotoxic
– induced nausea and vomiting
Psyllium husk
Methylcellulose
Agar
Bran
Bulk–producing agents
– Laxative, constipation
Docusate
Glycerin suppository
Mineral oil
Stool softeners/ Surfactans
– Occasional constipation
– Anorectal conditions that make passage of firm
stool painful
Saline:
Sodium phosphate
Magnesium citrate
Magnesium hydroxide
Magnesium sulfate
Hydrating agent (osmotic)
– Constipation
Bisacodyl
Senna
Aloe vera
Castor oil
Stimulant laxatives
– Constipation
Dolasetron
5HT3 receptor antagonist
– Post–operative & cytoxic drug induced nausea
and vomiting
Granisetron
5HT3 receptor antagonist
– Post–operative & cytoxic drug induced nausea
and vomiting
Ondansetron
5HT3 receptor antagonist
– Post–operative & cytoxic drug induced nausea
and vomiting
Palonsetron
5HT3 receptor antagonist
– Post–operative & cytoxic drug induced nausea
and vomiting
Droperidol
Dopamine antagonists
– Neoplastic disease vomiting and diarrhea
– Radiation sickness
– Opioids
– Cytotoxic drugs
– General anesthetics
Haloperidol
Dopamine antagonists
– Neoplastic disease vomiting and diarrhea
– Radiation sickness
– Opioids
– Cytotoxic drugs
– General anesthetics
Chlorpromazine
Dopamine antagonists
– Neoplastic disease vomiting and diarrhea
– Radiation sickness
– Opioids
– Cytotoxic drugs
– General anesthetics
Promethazine
Dopamine antagonists
– Neoplastic disease vomiting and diarrhea
– Radiation sickness
– Opioids
– Cytotoxic drugs
– General anesthetics
Prochlorperazine
Dopamine antagonists
– Neoplastic disease vomiting and diarrhea
– Radiation sickness
– Opioids
– Cytotoxic drugs
– General anesthetics
Thietylperazin
Dopamine antagonists
– Neoplastic disease vomiting and diarrhea
– Radiation sickness
– Opioids
– Cytotoxic drugs
– General anesthetics
Opiates:
Loperamide
Diphenoxylate
Codeine
Antimotility agents
– Diarrhea
Prophanteline
Dicyclomine
Anticholinergic drugs
– Diarrhea
Kaolin
Pectin
Chalk
Charcoal
Methyl cellulose

Adsorbents
– Diarrhea

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​
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​​
Theophylline
(methylxanthines)
Non–specific inhibition of phosphodiesterase enzymes
–COPD
–Asthma
Cromoglicate (cormolyn)
Mast cell stabilizers
Prevent release of histamine from mast cells
– preventive of asthma​
Nedocromil (Tilade)
Mast cell stabilizers
Prevent release of histamine from mast cells
– preventive of asthma​
Montelukast
Leukotriene receptor antagonists
– Preventive treatment in asthma
Zafirlukast
Leukotriene receptor antagonists
– Preventive treatment in asthma
Pranlukast
Leukotriene receptor antagonists
– Preventive treatment in asthma
Zileuton
Leukotriene receptor antagonists
– Preventive treatment in asthma
Omalizumab
IgE blocker
– Severe allergic asthma that does not respond
to other drugs
Methotrexate
Antimetabolite of folic acid
–Treatment of cancer Autoimmune disease
Flucitasone
Inhaled Glucocorticoids/ corticosteroids
– Preventive treatment in asthma
Budesonide /
Beclomethasone
Inhaled Glucocorticoids/ corticosteroids
– Preventive treatment in asthma
Flunisolide
Inhaled Glucocorticoids/ corticosteroids
– Preventive treatment in asthma
Triamcinolone

Inhaled Glucocorticoids/ corticosteroids
– Preventive treatment in asthma