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43 Cards in this Set

  • Front
  • Back
clonidine
"<b>Mechanism of Action</b>: <u>alpha-2</u> adrenergic receptor <u>agonist</u>
alpha methyldopa
"<b>Mechanism of Action</b>: <u>alpha-2</u> adrenergic receptor <u>agonist</u>
trimethaphan
"<u>Sympathetic Inhibitor: Ganglionic Blockade</u>
riserpine
"<u>Sympathetic inhibitor: presynaptic catecholamine depletion</u>
phenoxybenzamine
"<b>Mechanism of Action</b>: <b><u>Irreversible</u> </b><u>postsynaptic</u> <u>inhibitor</u> of <u>alpha1</u>- and <u>alph</u>a2- <u>adrenergic</u> <u>receptors</u> (binds covalently)<b>
phentolamine
"<b>Mechanism of Action</b>: <b><u>R</u><u>eversible</u> </b><u>postsynaptic</u> <u>inhibitor</u> of <u>alpha1</u>- and <u>alph</u>a2- <u>adrenergic</u> <u>receptors</u> (binds covalently)<b>
tolazoline
"<b>Mechanism of Action</b>: <b><u>Reversible</u> </b><u>postsynaptic</u> <u>inhibitor</u> of <u>alpha1</u>- and <u>alph</u>a2- <u>adrenergic</u> <u>receptors</u> (binds covalently)<b>
prazosin (terazosin, doxazosin)
"<b>Mechanism of Action</b>: Selective post-synaptic inhibitor of <u>alpha-1 adrenergic receptors</u>
propranolol, nadolol
"<b>Mechanism of Action</b>: <b><u>Non-selective beta-blocker</u></b> (blocks beta-1 and beta-2 adrenergic receptors post-synaptically; <u>reversible</u>)
metoprolol
"<b>Mechanism of Action</b>:""<b><u>Selective"" beta-blocker</u></b> (blocks beta-1 &gt; beta-2 adrenergic receptors post-synaptically; <u>reversible</u>)
carevediolol
"<b>Mechanism of action</b>: <u>beta and alpha blocker (alpha-1, beta-1, beta-2)
labetalol
"<b>Mechanism of action</b>: <u>beta and alpha blocker (alpha-1, beta-1, beta-2)
fenoldopam
"<b>Mechanism of Action</b>:post-synaptic dopamine receptor agonist (<u>selective DA1 peripheral agonist)</u>
erythropoietin (EPO)
"<b>Mechanism of Action</b>: <u>promotes erythropoiesis</u> (hormone)<u>
thiopental
"<b>Mechanism of Action</b>: <u>GABA agonist IV anesthetic</u>.
propofol
"<b>Mechanism of Action</b>: <u>GABA agonist IV anesthetic</u>.
etomidate
"<b>Mechanism of Action</b>: <u>GABA agonist IV anesthetic</u>.
ketamine
"<b>Mechanism of Action</b>: <u>NMDA receptor blocker</u>
dexmedetomidine
"<b>Mechanism of Action</b>: <u>central alpha-2 adrenergic agonist</u>
remifentanil
"<b>Mechanism of Action</b>: opiod receptor agonist
halothane
"<b>Mechanism of Action</b>: <u>Potent, volatile inhaled anesthetic</u>. Alkane.
isoflurane
"<b>Mechanism of Action</b>: <u>Potent, volatile inhaled anesthetic</u>. Ether.
sevoflurane
"<b>Mechanism of Action</b>: <u>Potent, volatile inhaled anesthetic</u>. Ether.
desflurane
"<b>Mechanism of Action</b>: <u>Potent, volatile inhaled anesthetic</u>. Ether.
nitrous oxide (N2O)
"<b>Mechanism of Action</b>: <u>Potent, volatile inhaled anesthetic</u>. Gas.
phenobarbital, primidone
"<b>Mechanism of Action</b>: <u>barbituate</u> anticonvulsants
phenytoin
"<b>Mechanism of Action</b>: Anticonvulsant, blocks <u>rapidly opening Na channels</u>
carbamazepine
"<b>Mechanism of Action</b>: Anticonvulsant, blocks <u>rapidly opening Na channels</u>
valproic acid
"<b>Mechanism of Action</b>: Anticonvulsant, blocks <u>rapidly opening Na channels</u>, <u>enhances GABA / BZ receptors</u>, may have other mechanisms?
lamotrigine
"<b>Mechanism of Action</b>: Anticonvulsant, blocks <u>Na channels associated with pre-synaptic glutamate release</u>
levetiracetam
"<b>Mechanism of Action</b>: <u>Anticonvulsant</u>, binds <u>SV2A vesicle protein</u> on synaptic vesicles
topiramate
"<b>Mechanism of Action</b>: <u>Anticonvulsant</u>, blocks <u>AMPA glutamate receptors</u>
ethosuxamide
"<b>Mechanism of Action</b>: <u>anticonvulsant</u>, blocks <u>voltage-dependent Ca channels</u>
lorazepam, diazepam
"<b>Mechanism of Action</b>: <u>benzodiazepine anticonvulsants</u>
L-DOPA
"<b>Mechanism of Action</b>: <u>Dopamine receptor agonist </u>(via DA, active <u>metabolite</u>)
sinemet (L-DOPA + carbidopa)
"<b>Mechanism of Action</b>: L-DOPA: <u>Dopamine receptor agonist </u>(via DA, active <u>metabolite</u>); <u>carbidopa</u> is a <u>peripheral AADC inhibitor</u>
entacapone
"<b>Mechanism of Action: </b><u>COMT inhibitor</u>.
selegiline (edepryl)
"<b>Mechanism of Action</b>: <u>MAO-inhibitor</u>, for <u>Parkinson Disease</u>
rasagaline (Azilect)
"MAO-B inhibitor: like selegiline, but <u>once-daily</u> (longer duration of action)<u>
pramipexole (Mirapex); riponerole (Requip)
"<b>Mechanism of Action</b>:<u>Non-ergot</u> <u>DA receptor agonists</u> (directly stimulate DA receptors). For <u>Parkinson Disease</u><b>
benztropine (Cogentin), trihexyphenidyl (Artane)
"<b>Mechanism of Action: </b><u>Anti-cholinergic</u> agents (anti-PD)
amantadine (Symmetrel)
"<b>Mechanism of Action</b>: anti-Parkinson Disease agent, multiple effects (poorly understood)
Clonidine
<b>Mechanism of Action</b>: <u>alpha-2</u> adrenergic receptor <u>agonist</u>
<b>Effects</b>:<u>Decreases sympathetic outflow</u> pre-synaptically (takes advantage of feedback mechanism to <u>inhibit AC</u>). <u>Decreases SVR, venous return, and CO</u><b>
Indications</b>: Class-wide: <u>Hypertension</u>. Clonidine-specific: analgesia with <u>cancer pain,</u> suppresion of <u>opiod/opiate withdrawal</u><b>
Administration</b>: Oral, predictable onset & duration but multiple daily doses needed. Also <u>topical patch</u> (1 wk duration)<b>
Toxicity</b>: Class-wide: <u>sedation, orthostatic hypotension, erectile dysfunction</u>. Clonidine-specific: <u>bradycardia</u>, can get <u>rebound hypertension</u> on abupt discontinuation