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50 Cards in this Set

  • Front
  • Back
Increase bone density, also being tested for breast CA prophylaxis
Raloxifene (SERM-selective estrogen receptor modulator)
Used intranasally and decreases bone resorption
Calcitonin (salmon prep)
Used especially in postmenopausal women, dosage should be 1500 mg
Calcium
Vitamin given with calcium to ensure proper absorption
Vitamin D
Drugs with important actions on smooth muscle
Disease caused by excess ergot alkaloids
St. Anthony's Fire
Endogenous substances commonly interpreted as histamine, serotonin, prostaglandins, and vasoactive peptides
Autocoids
Syndrome of hypersecretion of gastric acid and pepsin usually caused by gastrinoma; it is associated with severe peptic ulceration and diarrhea
Zollinger-Ellison Syndrome
Drug that causes contraction of the uterus
Oxytocin
Distribution of histamine receptors H1, H2, and H3
Smooth muscle; stomach, heart, and mast cells; nerve endings, CNS respectively
Prototype antagonist of H1 and H2 receptors (2)
Diphenhydramine and cimetidine, respectively
1st generation antihistamine that is highly sedating
Diphendydramine
1st generation antihistamines that are least sedating (2)
Chlorpheniramine or cyclizine
2nd generation antihistamines (3)
fexofenadine, loratadine, and cetirizine
Allegra, Claritin, Zyrtec
Generation of antihistamine that has the most CNS effects
First generation due to being more lipid-soluble
Major indication for H1 receptor antagonist
Use in IgE mediated allergic reaction
Antihistamine that can be used for anxiety and insomnia and is not addictive
hydroxyzine (Atarax)
H1 antagonist used in motion sickness (3)
Dimenhydrinate, meclizine, and other 1st generation
Most common side effect of 1st generation antihistamines
Sedation
Lethal arrhythmias resulting from concurrent therapy with azole fungals (metabolized by CYP 3A4) and these antihistamines which inhibit the 3A4 iso-enzyme.
Terfenadine and astemizole (have been removed from the market)

aSTEMIzole
H2 blocker that causes the most interactions with other drugs
Cimetidine
Clinical use for H2 blockers
Acid reflux disease, duodenal ulcer and peptic ulcer disease
Receptors for serotonin (5HT-1) are located where?
What do they do?
Mostly in the brain, and they mediate synaptic inhibition via increased K+ conductance
5HT-1d agonist used for migraine headaches (3)
Sumatriptan, naratriptan, and rizatriptan
Triptan available in parenteral and nasal formulation
Sumatriptan
H1 blocker that is also a serotonin antagonist
Cyproheptadine
Agents for reduction of postpartum bleeding (3)
Oxytocin, ergonovine and ergotamine
Agents used in treatment of carcinoid tumor (3)
Ketanserin, cyproheptadine, and phenoxybenzamine
5HT-3 antagonist used in chemotherapeutic induced
emesis (4)
Ondansetron, granisetron, dolasetron, alosetron
5HT-3 antagonist that has been associated with QRS and QTc prolongation and should not be used in patients with heart disease
Dolasetron
DOC to treat chemo-induced nausea and vomiting
Odansetron
Drug used in ergot alkaloids overdose, ischemia and gangrene
Nitroprusside
Reason ergot alkaloids are contraindicated in pregnancy
Uterine contractions
SE of ergot alkaloids
Hallucinations resembling psychosis
Ergot alkaloid used as an illicit drug
LSD
Dopamine agonist used in hyperprolactinemia
Bromocriptine
Peptides causing increased capillary permeability and edema (2)
Bradykinin and histamine
Mediator of tissue pain, edema, inactivated by ACE, and may be a contributing factor to the development of angioedema
Bradykinin
Drug causing depletion of substance P (vasodilator)
Capsaicin
Prostaglandins that cause abortions
Prostaglandin E1 (misoprostol) PGE2, and PGF2alpha
Difference between COX 1 and COX 2
COX 1 is found throughout the body and COX 2 is only in inflammatory tissue
Drug that selectively inhibits COX 2
Celecoxib and rofecoxib
Inhibitor of lipoxygenase
zileuton (Zyflo)
Major SE of zileuton
Liver toxicity
Inhibitor of leukotrienes (LTD4) receptors and used in asthma
Zafirlukast and montelukast
Used in pediatrics to maintain patency of ductus arteriosis
PGE1
Prostaglandin approved for use in severe pulmonary HTN
PGI2 (epoprostenol)
Prostaglandin used in the treatment of impotence
Alprostadil (PGE1)
Irreversible, nonselective COX inhibitor
Aspirin
Class of drugs that reversibly inhibit COX
NSAIDS