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138 Cards in this Set
- Front
- Back
bethanechol
|
direct-acting
parasympathomimetic resistent to Cholinesterases |
|
carbachol
|
direct-acting
parasympathomimetic resistent to Cholinesterases |
|
pilocarpine
|
direct-acting
parasympathomimetic resistent to Cholinesterases enters CNS |
|
edrophonium
|
indirect-acting parasympathomimetic (Anticholinesterase - blocks hydrolysis)
reversible inhibitor quaternary alcohol strx |
|
neostigmine
|
indirect-acting parasympathomimetic (Anticholinesterase - blocks hydrolysis)
reversible inhibitor carbamate ester strx |
|
physostigmine
|
indirect-acting parasympathomimetic (Anticholinesterase - blocks hydrolysis)
reversible inhibitor carbamate ester strx enters CNS: *Tx for atropine toxicity* |
|
isofluorophate
|
indirect-acting parasympathomimetic (Anticholinesterase)
Irreversible inhibitor |
|
atropine
|
parasympatholytic (muscarinic blocker)
enters CNS (can cause toxicity) |
|
tropicamide
|
parasympatholytic (muscarinic blocker)
|
|
epinephrine
|
direct-acting, non-selective sympathomimetic
|
|
norepinephrine
|
direct-acting, non-selective sympathomimetic
|
|
phenylephrine
|
sympathomimetic
direct-acting, selective α1 agonist |
|
clonidine
|
sympathomimetic
direct-acting, selective α2 agonist centrally acting |
|
dopamine/dobutamine
|
sympathomimetic
direct-acting, selective β1 agonist |
|
albuterol
|
sympathomimetic
direct-acting, selective β2 agonist used in asthma |
|
pseudephedrine
|
indirect-acting sympathomimetic (stimulates release of NE)
|
|
amphetamine
|
indirect-acting sympathomimetic (stimulates release of NE & reuptake inhibitor of NE/dopamine)
|
|
Cocaine
|
indirect-acting sympathomimetic (reuptake inhibitor)
|
|
phentolamine
|
sympatholytic
non-selective α blocker |
|
prazosin
|
sympatholytic
selective α1 blocker peripherally acting |
|
propranolol
|
sympatholytic
non-selective β blocker |
|
timolol
|
sympatholytic
non-selective β blocker decreases IOP and AH production |
|
metoprolol
|
sympatholytic
selective β1 blocker |
|
quinidine
|
anti-arrhythmia
Na+ channel blocker decreases excitability @ ectopic site |
|
lidocaine
|
anti-arrhythmia, anesthetic
Na+ channel blocker |
|
amiodarone
|
anti-arrhythmia
K+ channel blocker slows repolarization, increases refractory period and decreases abnormal automaticity |
|
sotalol
|
anti-arrhythmia
K+ channel blocker slows repolarization, increases refractory period and decreases abnormal automaticity |
|
verapamil
|
anti-arrythmia, anti-HTN
Ca2+ channel blocker decrease intracellular Ca2+, decreases contracton, SA rate and AV conduction |
|
diltiazem
|
anti-arrythmia, anti-HTN
Ca2+ channel blocker decrease intracellular Ca2+, decreases contracton, SA rate and AV conduction |
|
thiazides
|
heart failure
diuretic fx at DCT, decreases K+ |
|
furosemide
|
heart failure
loop diuretic decreases K+ |
|
captopril
|
heart failure
ACE inhibitor |
|
losartan
|
heart failure
AT-II receptor type 1 blocker |
|
digoxin
|
heart failure
Na+/K+/ATPase blocker weak + inotrope - increases intracellular Na+ and Ca2+ = increased contractility |
|
hydralazine
|
heart failure
vasodilator (increases NO) |
|
nitrates
|
anti angina
vasodilators |
|
sildenafil
|
erectile dysfunction
inhibits PDE-5 causing increased [cGMP] and increase in blood flow to corpus cavernosa |
|
Iron (ferrous sulphate)
|
anemia
|
|
folic acid
|
anemia
|
|
Vitamin B12
|
anemia
|
|
erythropoietin
|
anemia
|
|
cholestyramine
|
anti-hyperlipidemia
Resin binds to/prevents reabsorption of bile acids |
|
lovastatin
|
anti-hyperlipidemia
inhibits hepatic synthesis of cholesterol via inhibition of HMG-Co-A Reductase |
|
simvastatin
|
anti-hyperlipidemia
inhibits hepatic synthesis of cholesterol via inhibition of HMG-Co-A Reductase |
|
niacin
|
anti-hyperlipidemia
VLDL secretion inhibitor |
|
gemfibrozil
|
anti-hyperlipidemia
stimulates lipoprotein lipase decreases VLDL and increases HDL |
|
fenofibrate
|
anti-hyperlipidemia
stimulates lipoprotein lipase decreases VLDL and increases HDL |
|
ezetimibe
|
anti-hyperlipidemia
inhibits intestinal sterol absorption (targets NPC1L1) |
|
vitamin K
|
hemorrhagic disease
|
|
factor VIII, factor IX(?)
|
hemorrhagic disease
|
|
desmopressin acetate
|
hemorrhagic disease
|
|
aminocaproic acid
|
hemorrhagic disease
|
|
tranexamic acid
|
hemorrhagic disease
|
|
heparin
|
thromboembolic disease
|
|
dicoumarol
|
thromboembolic disease
|
|
warfarin
|
thromboembolic disease
|
|
aspirin
|
thromboembolic disease, NSAID
↓ COX-1 and COX-2 = ↓ PG and TXA2 |
|
ticlopidine
|
thromboembolic disease
|
|
streptokinase
|
thromboembolic disease
|
|
alteplase
|
thromboembolic disease
|
|
anistreplase
|
thromboembolic disease
|
|
donepezil
|
aetylcholinesterase inhibitor
prolongs ACh used in Alzheimer Disease |
|
levodopa
|
dopamine agonist
used in Parkinson Disease |
|
selegiline
|
selective inhibitor of monoamine oxidase-B (MAO-B metabolizes dopamine)
used in Parkinson Disease |
|
benztropine
|
muscarinic antagonist/parasympatholytic
decreases ACh overactivity used in Parkinson Disease |
|
chlorpromazine
|
anti-psychotic
typical neuroleptic α receptor blockade: decreases serotonin, blocks D2?? I think |
|
haloperidol
|
anti-psychotic
typical neurolptic α receptor blockade: decreases serotonin, blocks D2 |
|
clozapine
|
anti-psychotic
atypical neuroleptic α receptor blockade: decreases serotonin, blocks D4 and D2 |
|
imipramine
|
non-selective, tricyclic antidepressant also used for micturation
-antimuscarinic -antihistaminic -anti-α |
|
buproprion
|
non-selective, tricyclic antidepressant
-anti-α |
|
fluoxetine
|
anti-depressant
selective serotonin reuptake inhibitor |
|
phenelzine
|
anti-depressant
monoamine oxidase inhibitor |
|
lithium
|
used in Bipolar Disorder to stabilize mood
|
|
diazepam
|
anxiolytic, anti-epileptic
enhances GABA neurotransmission (increases frequency of opening of GABA mediated Cl- channel) - requires GABA for effect |
|
pentobarbitol
|
anxiolytic, anti-epileptic
enhances GABA neurotransmission (increases duration of opening of GABA mediated Cl- channel) - at high doses will work even without the presence of GABA |
|
phenytoin
|
anti-epileptic
Na+ channel blocker |
|
carbamazepine
|
anti-epileptic
Na+ channel blocker |
|
valproic acid
|
anti-epileptic
inhibits GABA transaminases |
|
morphine
|
opioid
less lipid soluble (no BBB) but enters placenta |
|
codeine
|
opioid that enters CNS and placenta
|
|
dextromethorphan
|
opioid
cough suppressant no addictive properties |
|
oxycodone
|
opioid - semisynthetic derivative of morphine
+ ASA = Percodan + Acetaminophin = Percocet Mod/severe pain |
|
fentanyl
|
synthetic opioid agnoist
used for profound pain 100X more analgesia than morphine used as epidural |
|
meperidine
|
synthetic opioid agonist
short acting, 1/10 as potent as morphine |
|
naloxone
|
opioid antagonist - binds to opioid receptor (high affinity for Mu rec) and prevents narcotic vinding
used to tx opioid induced respiratory depression |
|
loperamide
|
opioid with limited access to brain
Used as anti-diarrheal decreases GI motility and secretions |
|
diphenoxylate
|
opioid + atropine (decreases abuse)
used as anti-diarrheal decreases GI motility and secretions |
|
prednisone
|
short-acting steroidal anti-inflammatory
|
|
triamcinolone
|
intermediate-acting steroidal anti-inflammatory
|
|
dexamethosone
|
long-acting steroidal anti-inflammatory
|
|
celecoxib
|
COX-2 selective NSAID
|
|
acetaminophen
|
anti-pyretic, analgesic
unknown mechanism of ↓PG in CNS |
|
antihistamines
|
allergies
|
|
salmeterol
|
long-acting β2 agonist
used in asthma/COPD |
|
ipratropium
|
muscarinic antagonist, inhibits vagal induced bronchoconstriction
used in chronic tx of asthma |
|
aminophylline
|
methylxanthine (tea?)
bronchodilator increases cAMP causing bronchodilation used in asthma |
|
cromolyn
|
unclear mechanism - prevent release of granular contents
used in antigen and exercise-induced asthma |
|
echinacea
saw palmetto St. John's Wort ginkgo |
botanicals
|
|
melatonin
glucosamine coenzyme Q10 |
nutraceutical
|
|
meclizine
diphenhydramine |
H1 antagnoist
anti-emetic |
|
prochlorperazine
|
D2 antagonist
anti-emetic |
|
metaclopramide
|
D2 antagonist
anti-emetic/prokinetic |
|
hyoscine
|
anticholinergic
anti-emetic |
|
aprepitant
|
NK-1 antagonist
anti-emetic |
|
ondansetron
granisetron |
5HT3 antagonist
anti-emetic |
|
domperidone
|
D2 antagonist
prokinetic |
|
erythromycin
|
macrolide antibiotic used as a pro kinetic (motilin agonist)
|
|
pancrelipase
sulfasalazine ursodiol |
misc GI drugs
|
|
aluminum hydroxide
magnesium hydroxide calcium carbonate sodium carbonate |
acid-peptic
antacids |
|
cimetidine
famotidine ranitidine nizatidine |
acid-peptic
H2 blockers |
|
misoprostol
|
acid-peptic
prostaglandin analogues |
|
omeprazole
lansoprazole |
acid-peptic
proton pump inhibitors |
|
sucrasulfate
|
acid-peptic
cytoprotectant |
|
castor oil
senna aloe |
laxatives
irritant/stimulants |
|
lactulose
sorbitol MgO |
laxatives
osmotic |
|
methylcellulose
psyllium seed |
simple bulk laxatives
|
|
mineral oil
docusate glycerin |
emollient laxatives
|
|
kaolin/pectin
bismuth subsalicylate |
antidiarrheals (adsorbents)
|
|
diphenoxylate
loperamide |
antidiarrheal opioids
|
|
eplerenone
triamterone amiloride |
K+ sparing diuretics
|
|
chlorothiazide
hydrochlorothiazide |
thiazide diuretics
|
|
mannitol
urea glycerin |
osmotic diuretics
|
|
furosemide
torsemide |
loop diuretics
|
|
doxazosin
|
α antagonist (α1?) for micturation
|
|
oxybutinin
solifenacin tolterodine |
cholinergic antagonists for micturation
|
|
oxytocin
desmopressin vasopressin atosiban (oxytocin antagonist) |
posterior pituitary
|
|
teriparatide (parathyroid hormone)
calcitonin calcitrol (vit D) raloxifene risedronate |
bone mineral homeostasis
|
|
lispro
aspart regular |
short/rapid acting insulin
|
|
NPH
lente |
intermediate acting insulin
|
|
ultralente
glargine |
long acting insulin
|
|
glucagon
exenatide |
antidiabetic
|
|
glyburide
glipizide |
sulfonylureas
insulin secretagogues |
|
repaglinide
|
meglitinide
insulin secretagogue |
|
acarbose
|
α-glucosidase inhibitor
|
|
pioglitazone
|
thiazolidinedione
insulin sensitizer |
|
metformin
|
biguanide
insulin sensitizer |
|
levothyroxine (T4)
liothyroxine (T3) iodine liotrix (T4/T3) |
used in hypothyroidism
|
|
radioactive iodine
KI methimazole propylthiouracil iodinated contrast media propranolol, diltiazem |
used in hyperthyroidism
|