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220 Cards in this Set
- Front
- Back
CARDINAL SIGNS OF INFLAMMATION INCLUDE ALL EXCEPT:
|
COLD
|
|
THE FOLLOWING MEDIATOR IS RELEASED BY DEGRANULATION FROM MAST CELLS
|
HISTAMINE
|
|
ASA REVERSIBLY INHIBITS BOTH COX 1 AND COX 2.
|
FALSE
|
|
IB INHIBITS LEUKOTRIENE SYNTHESIS
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FALSE
|
|
IN COMBO WITH ORAL ANTICOAG NAPROXYN NAPROXYN DECREASED BLEED TIME.
|
FALSE
|
|
THE FOLLOWING IS PRODUCED BY CYCLOXEGENASE
|
PROSTAGLANDIN
|
|
COX 2 HAVE EFFECTS AT THE LEVEL OF THE
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FALSE
|
|
IB INHIBITS LEUKOTRIENE SYNTHESIS
|
FALSE
|
|
IN COMBO WITH ORAL ANTICOAGULANTS, NAPROXYN LOWERS BLEED TIME
|
FALSE
|
|
SIDE EFFECTS OF GLUCOCORTICOID STEROID TREATMENT INCLUDE THE FOLLOWING EXCEPT
|
LOW BLOOD SUGAR
|
|
PREDNISON IS USED IN MANAGEMENT OF THE FOLLOWING CANCER:
|
LYMPHOMA
|
|
THE FOLLOWING DRUG IN COMBO WITH PREDISONE MAY PRODUCE HYPOKALEMIA.
|
AMPHOTERICIN B
|
|
ANTIHISTAMINE USE IN MANAGEMENT OF HIGH FEVER BLOCKS H2 RECEPTOR.
|
FALSE
|
|
CNS DEPRESSION IS DECREASED OF H1 BLOCKERS ARE USED IN COMBINATION WITH ALCOHOL.
|
FALSE
|
|
DIPHENHYDRAMINE CAN ALSO BE USED IN MANAGEMENT OF MOTION SICKNESS.
|
TRUE
|
|
BENADRYL CAN PROCUCE THE FOLLOWING EXCEPT
|
BRONCHIAL CONSTRICT
|
|
FEXOFENADINE IS A 2ND GENERATION H2 BLOCKER.
|
FALSE
|
|
AFRIN WORKS BY PRODUCING NASAL VASODILATION.
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FALSE
|
|
CYCLOSPORIN MAY PRODUCE IMMUNOSUPPRESSION BY INHIBITING MACROPHAGES.
|
TRUE
|
|
CYCLOSPORIN
|
RENAL TOXIC
|
|
AFRIN
|
REBOUND CONGESTION
|
|
BENADRYL
|
INSOMNIA
|
|
FLONASE
|
CUSHINGS DISEASE
|
|
METICORTEN
|
LYMPHOMA
|
|
A NON ACUTE ATTACK OF ASTHMA IS TREATED BY ALL EXCEPT
|
SEREVENT
|
|
USE OF THE FOLLOWING FOR PROLONGED PERIODS RESULT IN ORAL CANDIADIASIS
|
BECLAMETHASONE
|
|
SALMETROL HAS NON SELECTIVE B1 BINDING CAPABILITIES
|
FALSE
|
|
PAIN ORIGINATING FROM DIRECT INJURY TO NERVES IS SOMATIC PAIN
|
FALSE
|
|
PAIN DESCRIBED AS DULL AND THROBBING AND ORIGINATING FROOM STIMULATION OF NOCIOCEPTORS IS VISCERAL PAIN
|
TRUE
|
|
FC FIBERS ARE NERVES RESPONSIBLE FOR NEUROPATHIC PAIN
|
FALSE
|
|
FC FIBER UNMYELINATED NERVE FIBERS
|
TRUE
|
|
MIOSIS IS PRODUCED BY STIMULATION OF KAPPA RECEPTORS.
|
TRUE
|
|
SUBSTANCE P BINDS TO OPIOID RECEPTOR
|
FALSE
|
|
OPIOID WORKS AT LEVEL OF PERIPHERY WHILE NSAIDS WORK AT THE LEVEL OF THE CNS
|
FALSE
|
|
PENTAZOCINE BLOCKS BOTH MY AND KAPPA RECEPTORS
|
FALSE
|
|
NARCAN OPIOID AGONIST
|
FALSE
|
|
OPIOID COUGH STIMULANT
|
TRUE
|
|
MORPHINE HAS SYNERGISTIC EFFECTS WITH ALCOHOL
|
TRUE
|
|
MORPHINE BINDS TO SUBSTANCE P RECEPTORS TO STIMULATE IT
|
FALSE
|
|
INCREASED LEVELS OF SUBSTANCE P MEDIATE PAIN
|
TRUE
|
|
ADVERSE EFFECTS FROM MORPHINE WHICH INCLUDE ANXIETY AND DEPRESSION IS KNOWN AS EUPHORIA
|
FALSE
|
|
BESIDES ANALGESIA, MORPHINE CAN BE USED TO TREAT PULMONARY EDEMA
|
TRUE
|
|
NOLOXENE EFFECTS ARE DUE TUE BLOCKING MU RECEPTORS ONLY
|
FALSE
|
|
ADVERSE EFFECTS OF NALOXONE INCLUDE HYPOVENTILATION
|
FALSE
|
|
NARCAN IS PREGNANCY A
|
FALSE
|
|
TYLENOL HAS ANTI INFLAMMATORY EFFECTS
|
FALSE
|
|
NSAIDS STIMULATE COX 1 AND 2
|
FALSE
|
|
PROSTAGLANDIN PRODUCTION INCREASES WITH USE OF NSAIDS
|
FALSE
|
|
THE RISK OF ULCERS IS GREATER WITH COX 2 INHIBITORS THAN COX 1.
|
FALSE
|
|
The effects of acetylsalicyclic acid decreases with pheonbarbital.
|
True
|
|
The effects of aspiring increase with insulin.
|
False
|
|
Tylenol reduces fever by acting at the level of the hypothalamus.
|
False
|
|
Increased prostaglandin product with alcohol, tylenols's risk of hepatic necrosis is decreased.
|
False
|
|
Imitrex is used in management of tension headaches.
|
False
|
|
Antimigraines like sumatriptan relieve headaches by producing vasodilation.
|
False
|
|
Sumatriptan stimulates seratoning in __ arteries to produce vasodilation
|
False
|
|
Tension headache are due to vasodilation of cranial artery.
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False
|
|
Loss of consciousness with systemic loss of sensation is general anesthesia.
|
True
|
|
Local anesthesia includes administration thru topical route
|
True
|
|
The effects of acetylsalicyclic acid decreases with pheonbarbital.
|
True
|
|
The effects of aspiring increase with insulin.
|
False
|
|
Tylenol reduces fever by acting at the level of the hypothalamus.
|
False
|
|
Increased prostaglandin product with alcohol, tylenols's risk of hepatic necrosis is decreased.
|
False
|
|
Imitrex is used in management of tension headaches.
|
False
|
|
Antimigraines like sumatriptan relieve headaches by producing vasodilation.
|
False
|
|
Sumatriptan stimulates seratoning in __ arteries to produce vasodilation
|
False
|
|
Tension headache are due to vasodilation of cranial artery.
|
False
|
|
Loss of consciousness with systemic loss of sensation is general anesthesia.
|
True
|
|
Local anesthesia includes administration thru topical route
|
True
|
|
APPLICATION OF ANESTHESIA VIA SUPPOSITORIES IS GENERAL ANESTHESIA
|
FALSE
|
|
INFILTRATIVE ANESTHESIA IS ADMINISTERED VIA EPIDURAL ROUTE.
|
FALSE
|
|
BLOCKING A NERVE WHICH INNERVATES A REGION IS AN EXAMPLE OF TOPICAL ANESTHESIA
|
FALSE
|
|
INJECTION INTO CSF IS EXAMPLE OF GENERALIZED ANESTHESIA
|
FALSE
|
|
EPIDURAL OFTEN ADMINISTERED IN OBSTETRICS PROCEDURE.
|
TRUE
|
|
LOCAL EFFECTS EXERT ANESTHESIA EFFECT BY STIMULATING NA CHANNELS.
|
FALSE
|
|
EPINEPHRINE IS GIVEN IN CONJUNCTION TO PRODUCE VASODILATION.
|
FALSE
|
|
AMIDE ANESTHETICS HAVE SHORTER DURATION OF ACTION COMPARED TO THE ESTERS.
|
FALSE
|
|
COCAINE IS COMPOSED OF CO-O GROUP.
|
TRUE
|
|
FIRST MANIFESTATION OF SIDE EFFECTS FROM ANY ANESTHETIC IN CNS OVERSTIMULATION.
|
FALSE
|
|
LIDOCAINE AS AN ANTIDYSRHYTMIC CAN ALSO PRODUCE DYSRHYTHMIAS IN A NORMAL PATIENT.
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TRUE
|
|
LIDOCAINE EFFECTS ARE DECREASED WITH BARBITUATES.
|
TRUE
|
|
BALANCED ANESTHESIA DESIGNED TO INCREASE INDIVIDUAL DOSE TO ENHANCE SAFETY.
|
FALSE
|
|
ISOFLURANE IS MOST HEPATOTOXIC OF THE VOLATILE ANESTHETICS.
|
FALSE
|
|
VOLATILE LIQUIDS CONVERT TO LIQUID FROM GAS FOR INHALATION.
|
FALSE
|
|
AT HIGHER DOSES NITROUS OXIDE HAS THE POTENTIAL FOR INDUCING STAGE 2 ANESTHESIA.
|
TRUE
|
|
HALOTHANE HAS POTENTIAL TO INDUCE MALIGNANT HYPOTHERMIA IN GENETICALLY PREDISPOSED INDIVIDUALS.
|
TRUE
|
|
HALOTHANE DECREASES HEARTS SENSITIVITY TO ENPINEPHRINE.
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FALSE
|
|
DECREASE RISK OF APNEA OBSERVED WITH HOLOTHANE IN COMBINATION WITH POLYMIXIN.
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FALSE
|
|
IN NEUROLEPTIC ANESTHESIA, PATIENTS ARE UNCONSCIOUS HOWEVER AWARE OF ENVIRONMENT.
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TRUE
|
|
IV ANESTHETICS ARE IDEAL TO ADMINISTER IN STAGE 3 ANETHESIA.
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FALSE
|
|
IN COMBINATION WITH OTHER CNS DEPRESSANTS CNS DEPRESSANT EFFECTS OF THIOPENTAL IS INCREASED
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TRUE
|
|
SUCCINYLCHOLINE PRDUCES MUSCLE RELAXATION BY BLOCKING EPINEPHRINE RECEPTOR ON MUSCLE CELLS AND PRODUCES DEPOLARIZATION.
|
FALSE
|
|
PROMETHAZINE IS GIVEN AFTER A SURGERY TO INDUCE EMESIS.
|
FALSE
|
|
SUCCINYCHOLINE IN COMBINATION WITH HALOTHANE DECREASES RISK OF MALIGNANT HYPOTHERMIA.
|
FALSE
|
|
CLINDAMYCIN HAS AN ADDITIVE EFFECT WITH SUCCINYCHOLINE
|
TRUE
|
|
STAGE 3 ANESTHESIA IS PREFERRED STAGE FOR INVASIVE SURGERY.
|
TRUE
|
|
STAGE 2 ANESTHESIA IS CATEGORIZED BY HYPOACTIVITY AND STABILIZATION OF THE HEART RATE.
|
FALSE
|
|
DRUG DESGINED TO INHIBIT GROWTH OF BACTERIA WITHOUT KILLING THEM ARE REFERRED TO AS:
|
BACTERIOSTATIC
|
|
SMALL PIECES OF CIRCULAR DNA THAT HELP BACTERIA ACQUIRE RESISTANCE
|
PLASMIDS
|
|
PATIENTS ON THE FOLLOWING CLASS OF ANTIBIOTICS ARE MORE PRONE TO SUNBURNS.
|
TETRACYCLINE
|
|
ALTERNATIVES TO BETA LACTAM DUE TO ALLERGIES INCLUDE THE FOLLOWING CLASS OF DRUGS
|
MACROLIDES
|
|
CETOTAXIME INHIBITS BACTERIOCIDAL ACTIVITY BY INHIBITING THE FOLLOWING
|
CELL WALL SYNTHESIS
|
|
PHOTOSENSITIVY IS CHARACTERISTIC OF THE DRUG THAT EXERTS ITS EFFECT VIA
|
PROTEIN SYNTHESIS
|
|
IN A RECENT CULTURE SENSITIVTY TEST S AUREUS WAS FOUND TO BE METHICILLIN RESISTANT THE DRUG OF CHOICE FOR PATIENTS INFECTED WITH THIS STRAIN IS
|
VANCOMYCIN
|
|
THESE DRUGS ARE NOT TO BE PRESCRIBED IN CHILDREN
|
TETRACYCLINES
|
|
A PATIENT TREATMENT FOR E COLI DEVELOPED RENAL FAILURE WHILE ON THERAPY, THE DRUG INVOLVED IS MOST LIKELY
|
GENTAMYCIN
|
|
SULFONAMIDES DUE TO THEIR ANTIFOLATE EFFECTS PREDISPOSES THE PATIENT TO THE FOLLOWING SIDE EFFECTS
|
MEGALOBLASTIC ANEMIA
|
|
ISONIAZID
|
LIVER TOXICITY
|
|
VANCOMYCIN
|
INHIBITS DNA REPAIR
|
|
ERYTHROMYCIN
|
GIVEN TO PATIENT WITH BETA LACTAM ALLERGIES
|
|
PENTIDS
|
GIVEN IV OR IM
|
|
CLAFORAN
|
THIRD GENERATION
|
|
GARAMYCIN
|
OTOTOXIC
|
|
RETROVIRUSES ARE OFTEN MANAGED WITH DRUGS CAPABLE OF INHIBITING
|
REVERSE TRANSCRIPTASE
|
|
THIS DRUG INHIBITS THE PRODUCTION OF DNA FROM RNA
|
ZIDOVUDINE
|
|
BY RESEMBLING THE CHEMICAL STRUCTURE OF THYMIDINE THIS DRUG PREVENTS REPLICATION OF VIRUS DNA
|
ZIDOVUDINE
|
|
THE OUTER PROTEIN LAYER OF A VIRUS STRUCTURE
|
CAPOID
|
|
HERPES SIMPLEX II HAS THE POTENTIAL TO ___ VIRUS SHEDDING BY WHICH MECHANISM
|
DNA SYSTHESIS
|
|
IN THE MANAGEMENT OF A PATIENT WHO WAS RECENTLY DIAGNOSED WITH A DERMATOPHYTE INFECTION DRUG X WAS ADMINSTERED VIA IV THIS DRUG WORKS BY
|
INCREASING PERMEABILITY
|
|
PROPHYLAXIS FOR MALARIA
|
PROGUANIL
|
|
METALLIC TASTE IS AN ADVERSE EFFECT OF DRUG TREATMENT FOR
|
GIARDIA LAMBIA
|
|
A "HANGOVER" AFTER ALCOHOL CONSUMPTION IS OFTEN A CONSEQUENCE OF A DRUG USE IN TREATMENT OF
|
PROTOZOA
|
|
LATENT FOR OF THE PROTOZOA PLASMODIUM CAN BE ELIMINATED BY
|
PRIMAQUINE
|
|
CENTRALLY ACTING MUSCLE RELAXANTS WORKS BY DEPRESSING MOTOR ACTIVITY AT THE LEVEL OF
|
BRAIN STEM AND SPINAL CORD
|
|
CYCLOBENZAPRINE RELAXES SKELETAL MUSCLE BY
|
INCREASING LEVELS OF NON EPI
|
|
OFTEN USED IN MANAGEMENT OF MALIGNANT HYPERTHERMIA
|
DANTROLENE
|
|
DANTRIUM WORKS BY AFFECTING
|
CA LEVELS IN THE SKELETAL MUSCLE ITSELF
|
|
THE ACTIVE FORM OF VITAMIN D IS MADE IN
|
THE KIDNEY
|
|
THE MECHANISM OF ACTION FOR CALCITRIOL
|
NONE OF THE ABOVE
|
|
RALOXIFENE ESERTS ITS EFFECTS BY ACTING ON THE
|
ESTROGEN RECEPTOR
|
|
THE ENZYME SERUM ALKALLINE PHASPHATASE IS LOWERED BY THE FOLLOWING MEDICATION
|
ETIDRONATE
|
|
MANAGEMENT OF GOUT INCLUDES
|
INHIBITING THE MOVEMENT OF WBC
|
|
HYDROXYCHOLORQUINE IN ADDITION TO MANAGEMENT OF R.A. IS USED IN TREATMENT OF:
|
MALARIA
|
|
RALOXIFENE
|
OSTEOPOROSIS
|
|
DANTROLENE
|
MALIGNANT HYPERTHERMIA
|
|
CALCHININE
|
GOUT
|
|
CALCITRIOL
|
PARATHRYROIDISM
|
|
ETIDRONATE
|
PAGETS DISEASE
|
|
DIDRONEL
|
ERRATIC BP
|
|
Evista
|
Hot flashes
|
|
Hydroxychloroquine
|
Photophobia
|
|
Kalcinate
|
Calcemia
|
|
Cycloflex
|
Swelling of the tongue
|
|
Symptoms of hypoglycemia in diabetes may be masked by the concomitant usage of
|
Beta Blockers
|
|
Ketoacidosis in a patient with polydipsia, polyphagia and polyuria is managed by
|
Insulin
|
|
Glipizide exerts effects by
|
Secreting insulin from pancreas
|
|
THE FOLLOWING DRUG IS USED IN TREATMENT OF TYPE 2 DIABETES.
|
GLIPIZIDE
|
|
SIGNS AND SYMPTOMS OF HYPERTHROIDISM MAY BE OBSERVED WITH
|
LEVOTHYROXINE
|
|
THE DRUG PROPHYLTHIOURACIL EXERTS ITS EFFECTS IN ABOUT 6 YO 12 WEEKS BECAUSE
|
PREFORMED HORMONES HAVE BEEN STORED OR SECRETED BEFORE THE DRUG EXERTED ITS EFFECTS
|
|
HYDROCORTISONE ABSORPTION MAYBE DECREASED BY THE FOLLOWING MEDS
|
CHOLEOTYRAMINE AND COLESTIPOL
|
|
ORTHO NOVUM SUPERESSES THE RELEASE OF
|
FSH
|
|
ADVERSE EFFECTS OF ETHINYL ESTRADIOL INCLUDE
|
PULMONARY EMBOLISM, STROKE, BLOOD CLOTS AND BREAK THROUGH BLEEDING.
|
|
PREM PRO _______ THE RISK OF CORONARY ARTERY DISEASE
|
NULLIFIES
|
|
THE PRIMARY TARGET TISSUE OF PROVERA IS THE
|
ENDOMETRIUM
|
|
VIRULATION IS A CONCERN IN
|
WOMEN ON TESTERONE THERAPY
|
|
ERECTILE TISSUE OF THE PENIS
|
CORPUS CAVERNOSUM
|
|
VIAGRA MAY INCREASE BLOOD FLOW TO THE PENIS AND MAY RESULT IN SYSTEMIC
|
HYPOTENSION
|
|
FINASTERIDE ACTS BY INHIBITING THE ENZYME
|
5 ALPHA REDUCTASE
|
|
PITOCIN
|
SMOOTH MUSCLE CONTRACTION
|
|
PROPACIL
|
HYPOTHYROIDISM
|
|
SYNTHROID
|
REVOTHYROIDISM
|
|
GLUCOTROL
|
TYPE II DIABETES
|
|
SILDENAFIL
|
VASODILATOR
|
|
PITOCIN PROMOTES ITS EFFECT THROUGH
|
SMOOTH MUSCLE CONTRACTING
|
|
SILDENAFIL AS VASODILATOR MAY PROMOTE
|
HYPOTENSION
|
|
RANITIDINE DECREASED THE PRODUCTION OF HCI BY INHIBITING THIS RECEPTOR
|
H2
|
|
PSYLLIUM MUCILLOID DRAWS WATER INTO THE INTESTINE CAUSE IT
|
IS INDIGESTIBLE
|
|
DIPHENOXYLATE IS CLASSIFIED AS AN:
|
OPIOID
|
|
LOMOTIL WHEN COMBINED WITH MAOIS AMY RESULT IN:
|
HYPERTENSION CRISIS
|
|
ANTIEMETICS SUCH AS PROCHLOROPEROZINE MAY PRODUCE SYMPTOMS OF
|
PARKSINSON'S DISEASE
|
|
MAIN RISK ASSOCIATED WITH PROLSEC
|
GASTRIC CANCER
|
|
SUBITRAMINE AS AN SSRI MAY RESULT IN SYMPTOMOS OF
|
ALL OF THE ABOVE (DRY MOUTH TACHYCARDIA INSOMNIA
|
|
DRY MOUTH AND TACHYCARDIA WITH LOMOTIL ARE ASSOCIATED WITH
|
ANTICHOLINERGIC EFFECTS
|
|
COMPAZINE DEPRESSES THE VOMITING CENTER IN THE
|
MEDULLA
|
|
APPETITE SUPPRESSANT EFFECTS OF MERIDIA ARE THE RESULT OF
|
INCREASE IN SEROTONIN IN THE SYNAPTIC CLEFT
|
|
All convulsions (involuntary, violent spasms of skeletal muscles) are seizures, but not all seizures are convulsions…therefore antiseizures not
|
anticonvulsants
|
|
Antiseizure meds ________ the effectiveness of oral contraceptives
|
diminish
|
|
Poor management of seizures causes
|
depression
|
|
Drop attacks are known as
|
drop seizures
|
|
Mechanism of action of seizure medications are:
|
Influx of chloride ions
Delay of influx of sodium Delay of influx of calcium |
|
If seizure free for ___years…drug discontinuation can be attempted
|
3 years
|
|
GABAnergics used for seizures are:
|
Barbiturates…phenobarbital, mephobarbital, amobarbital
Benzodiazepines…clonazepam, clorazepate, lorazepam, diazepam |
|
Which medication is used for all types except absence seizures and has a narrow therapeutic range?
|
Phenytoin…
|
|
Hydantoins and phenytoin-like do what to control seizures
|
delay influx of sodium
|
|
Name Hydantoins and phenytoin-like meds.
|
Carbamezapine , valproic acid,zonisamide, felbamate, lamotrigine
|
|
How do Succinimides work?
|
Succinimides…delay influx of calcium channels
|
|
What is the drug of choice for absence seizures?
|
Ethosuximide
|
|
Phenobarbital generic name is?
|
luminal
|
|
Phenobarbital is a long acting or short acting barbituate?
|
Long acting
|
|
What are the adverse effects of phenobarbital?
|
may cause dependence, drowsiness, vitamin deficiency (D, folate, B9, B12), laryngospasm; OD…respiratory/CNS depression, coma, death
|
|
Phenobarbital increases or decreases the metabolism of other drugs.
|
increases
|
|
diazepam generic name
|
valium
|
|
What does valium do for seizures?
|
Controls seizures (short term, status epilepticus), calming without sedation, skeletal muscle relaxation
|
|
Therapeutic effect of valium takes how long?
|
Therapeutic effect in 1 to 2 weeks…IV – immediate with effects lasting 20 minutes
|
|
Valium tolerance occurs when?
|
tolerance in 4 weeks
|
|
levodopa and barbiturates decrease its effects
|
Diazepam (valium)
|
|
cimetidine, oral contraceptives, valproic acid, metoprolol potentiate its effects
|
Diazepam (valium)
|
|
increases the level of phenytoin and may cause toxicity
|
diazepam (valium)
|
|
adverse effects of valium are
|
hypotension, muscular weakness, tachy, respiratory depression with IV; tolerance, dependency
|
|
Phenytoin generic name
|
(Dilantin)
|
|
What drug is Not effective against absence seizures
|
Dilantin
|
|
Desensitizes sodium channel responsible for neuronal activity…preventing spread of electrical charge
|
Dilantin
|
|
What are the adverse effects of Dilantin?
|
dysrhythmia (brady or V. fib.), hypotension, hyperglycemia; headache nystagmus, ataxia, confuion, slurred speech, paradoxical nervousness, twitching, insomnia; peripheral neuropathy with long term use; agranulocytosis and aplastic anemia; rashes, exfoliative dermatitis, Stevens-Johnson syndrom; lupus erythematosa, hypertrichosis, hirsutism , gingival hypertrophy
|
|
What drug DI – impairs the effectiveness of digitoxin, doxycycline, furosemide, estrogens and oral contraceptives, theophylline;
|
Dilantin
|
|
What drugs interact with Dilantin?
|
interacts with oral anticoagulants, glucocorticoids, H2 antagonist, antituberculin agents, folic acid, calcium, vitamin D
|
|
Valproic acid is known as:
|
depakene
|
|
Valproic acid (depakene) acts how on the body?
|
Same mechanism as phenytoin with effects on GABA and calcium channels
|
|
What is valproic acid/depakene used for?
|
Absence seizures, other seizures…bipolar disorder, prophylactic use for migraines
|
|
What are the adverse effects of valproic acid/depakene?
|
sedation, drowsiness, GI upset, prolonged bleeding time, visual disturbances, muscle weakness, tremor, psychomotor agitation, bone marrow suppression, weight gain, abdominal cramps, rash, alopecia, pruritis, photosensitivity, erythema multiforme, fatal hepatotoxicity
|
|
Valproic acid or depakene has valproic toxicity when combined with the following:
|
DI – aspirin, cimetidine, chlorpormazine, erythromycin, felbamate…valproic acid toxicity;
|
|
Valproic acid causes severe bleeding when combined with the following:
|
Warfarin, aspirin and alcohol
|
|
benzodiazepam and cns depressants when combined with Valproic acid/depakene cause
|
cns depression
|
|
Lamotrigine, phenytoin, rifampin…lower its levels
|
walproic acid/depekene
|
|
phenobarbital, Lamotrigine, phenytoin, rifampin…lower its levels
|
walproic acid/depekene
|
|
Drug of choice for absence seizures
|
Ethosuximide (zarontin)
|
|
this drugs causes Depression of neuronal activity by increasing the threshold of discharge
|
Ethosuximide (zarontin)
|
|
This drug is Ineffective against psychomotor or tonic-clonic seizures…but may be given in combo
|
Ethosuximide (zarontin)
|
|
This drug comes in Tablet and flavored syrup form
|
Ethosuximide (zarontin)
|
|
The adverse effects of Ethosuximide (zarontin) are:
|
impair mental and physical activities; psychosis, extreme mood swings, depression, with suicidal ideation (history of psychiatric illness); dizziness, headache, lethargy, fatigue, ataxia, sleep pattern disturbances, attention difficulty, hiccups; bone marrow suppression with blood dsycrasias are possible as is SLE; gingival hypertrophy, tongue swelling; abdominal distress, weight loss
|
|
The drug interactions of Ethosuximide (zarontin) are:
|
increases phenytoin serum levels; valproic acid causes its serum levels to fluctuate (increase or decrease)
|