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33 Cards in this Set

  • Front
  • Back

ethanol

blood level determined by rate of which it reaches the small intestine


RL: acetyldehyde


chronic users metabolize it faster because it has its own metabolism via CYP2E1

DISulfiram

(used for alch abuse)


aldehyde dehydrogenase inhibitor; reacts to increase acetyldehyde in blood and causes unpleasant reaction

ACAMProsate

(used for alch abuse)


NMDA receptor antagonist; may temper CNS activity and reduce internal cues that motivate drinking

NALtrexone

(used for alch abuse)


opioid receptor antagonist; reduces ethanol induced activation of DA reward pathway




SIDE EFFECTS: psychoactive

tetrahydrocannabinol (THC)

phytocannibinoid; CB1 receptors mediate psychoactive effects ; memory, motor control, pain reg

cannabidiol (CBD)

antagonist of CB1 and CB2; may potentiate THC effects though; main ingredient in cannabis

DRONabinol

synthetic THC, for AIDS; anti emetic for cancer patients when 5-HT drugs are not well tolerated

EPIdiolex

99% CBD, used for severe childhood epilepsy

amphetamines/cocaine

Stimulant; Adderal; used for ADHD


decreased sleep, increase attention, decrease appetite; increase DA in meso pathways ; overdose is a consequence of activation of the Sympathetic nervous system




side effects: arrhythmias, stroke, infarction

LSD

Hallucinogen; activated serotonergic systems ; psychological stuff happens

PCP/Ketamine

Hallucinogen; antagonist of NMDA glutamate receptors;Mew and delta opioid receptor agonist; Increase release of DA NE and 5-HT


pain relief, sedation (ketamine used as anesthetic)

ALLOpurinol

used for gout and hyperuricemia;well tolerated; xanthene oxidase inhibitor


prevents uric acid formation




SIDE EFFECT: hypersensitivity

PROBENecid

used for gout and hyperuricemia; increase excretion of uric acid in urine




SIDE EFFECT: Kidney stones

rasburiCASE

used for gout and hyperuricemia; people with malignancy; recombinant uricase; promotes breakdown of it to soluable allantoin which can be excreted




SIDE EFFECTS: ANAphalaxis

COLchicine

gout and hyperurecemia; anti-inflammatory; disrupts microtubules in luekocytes; inhibits synthesis of inflammatory interleukin 1B

ANAKinra

IL-1 receptor antagonist; rheumatoid arthritis




side effects: infections; hypersensitivity

InflixiM/Ab

monoclonal antibody that binds directly to TNF; used for RA, Crohn's disease, psoriasis




SIDE EFFECTS: increase cancer risk; infection

METHotrexate

inhibits dihydrofolate reductase and conversion of it to tetrahydrofolate; leads to decrease DNA synthesis; lead to hepatotoxicity and myelosuppression; inhibits IL-B




Used for leukemia/Cancer

HYDROXYchloroquine

blocks the activity of toll like receptors (TLR) on dendrites; inhibits the maturation of them and presentation of antigens to T cells; blocks production of cytokines that lead to inflammation


USED FOR: lupus, arthritis


SIDE EFFECTS: retinal damage; rash; diarrhea

SULFasalazine

suppresses function of T & B cells and inhibits COX; used for RA and Colitis




Side effects: rash photosensitivity

eTANERcept

TNF decoy receptor; binds to circulating TF with a long half life




Used for: RA, psoriasis, arthritis

glucosamine

amino sugar from shellfish; MAY have anti-inflammatory effects




Used for: OA


SIDE EFFECTS: Mainly GI (nausea, vomiting)


worried about bleeding if taken with an NSAID

chondroitin

glycosaminoglycan; component of joint matrix




USED FOR: OA pain


Side effects: Creutz Jakob disease

penicillins/cephalosporins (cefepime)

bactericidal; inhibit transpeptidase; prevents cell wall formation; broad spectrum; decrease T cell activity




USED FOR: RA; Wilson's Disease




Side effects: rash; proteinuria

VANcomycin

HA-MRSA; antibiotic

(aminoglycoside) GENTamicin

bactericidal; blocks protein synthesis; causing misreading of codons; blocks translocation of tRNA from A to P site




SIDE EFFECTS: nephro neuro and ototoxicity (8th CN)

azithromycin

antibiotic that fights bacteria; treat different types of infections; pink eye; inhibits translation of mRNA; interferes with protein synthesis




SIDE EFFECTS: Nausea; GI problems

levoFLOXacin (aFLUoroquinolone)

antibiotics; treats infections; stops the growth of bacteria


prevents DNA from being separated (targets topoisomerase)


USED FOR: Pneumonia; kidney infections

acycloVIR

Antiviral; used to treat (HSV) and varicella-zoster (VZV); taken up by cells (preferentially by infected cells),phosphorylated by viral thymidine kinase, and the triphosphate form inhibit viral DNA polymerase by acting as a dGTP analogue;thus, it is anucleoside analogue that inhibits viral replication

ZIDOVudine

widely used for the treatment of HIV; nucleoside reverse transcriptase inhibitor; typically given in combination with other anti retroviral agents


can cause neutropenia and anemia; prolonged use can also lead to myopathy

VINcristine

binds to tubulin to prevent microtubule formation; blocks cells during metaphase; promotes apoptosis


USED FOR: cancer


SIDE EFFECTS: peripheral neuropathy; hyponautremia

imaTINIb

inhibits tyrosine kinase; in chronic leukemia, one TK known as BCR-Abl, appears to always be in the active state, so when it is inhibited, cells die by apoptosis


USED FOR: Cancer


hypersensitivity reactions, hepatotoxictiy; cardiac issues

Cyclophosphamide

alkalyates DNA strands to prevent cancer from forming; immunosupressive activity; prodrug activated by p450


Used for: Cancer