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227 Cards in this Set
- Front
- Back
What is used for post op ileus and urinary retention?
|
Bethanechol
|
|
What is carbachol? Use?
|
cholinomimetic
glaucoma |
|
What is pilocarpine? Use?
|
cholinomimetic
glaucoma (open and closed) PILE on the sweat and tears. |
|
What is used as a challenge test for asthma diagnosis?
|
Methacholine
|
|
What are the anticholinesterases that penetrate the CNS? Use?
|
physostigmine
Glaucoma, Atropine OD |
|
What is Neostigmine used for?
|
post op ileus/urinary retention
Myasthenia Gravis postop reversal of neuromusc blockade |
|
What are the drugs that can be used for Myasthenia Gravis?
|
anticholinesterases
Neostigmine Pyridostigmine Edrophonium (test to see if tx is low or too high - inactivation) |
|
What is the antidote for cholinesterase inhibitor poisoning?
|
atropine
pralidoxime (regen cholinesterase) |
|
How can you get cholinestase inhibitor poisoning?
|
Parathion
organophosphates |
|
What M - antagonist is used for parkinson's disease?
|
Benztropine
PARKinsons your BENZ |
|
What is scopolamine? Use?
|
M ant
motion sickness |
|
What is the M ant used for asthma, COPD?
|
Ipratroprium
I Pray I can breathe soon!! |
|
What are specific toxicities associated with atropine?
|
baby : high temp
old man: no pee old peeps: closed angle glaucoma |
|
What is the treatment for atropine OD?
|
physostigmine
|
|
volume of distribution =
|
amt drug adminstered / plasma conc
|
|
clearance of a drug =
|
rate of elimination/plasma conc
k x volume of distribution |
|
half life =
|
(.7 x Vd) / Clearance
|
|
loading dose =
|
Cp x Vd/bioavailability
|
|
bioavailability =
|
AUC oral x IV dose / AUC IV x oral dose
|
|
maintenance dose =
|
Cp x Clearance/bioavailability
|
|
What does zero order elimination mean?
|
fixed amount of drug is eliminated per unit time
|
|
What drugs show zero order elimination?
|
phenytoin, ethanol, aspiring
(PEA looks like zero) |
|
What drugs are weak acids and what do you do for OD?
|
phenobarbitol, methotrexate, TCAs, aspirin
tx OD with bicarbonate |
|
What happens in phase 1 metabolism?
|
Cyt p 450
red, ox, hydrolyze - makes more water soluble but can still be active |
|
What happens in phase 2 metabolism?
|
conjugation
acetylation, glucuronidation, sulfation - yields very polar, inactive metabolites |
|
Competitive inhibitors don't change the enzymes ________.
|
Vmax
|
|
Non-competitive inhibitors don't change the enzymes ________.
|
Km
|
|
What occurs with alpha 1 excitation?
|
vasocontr, high BP/R
mydriasis high glucose decrease pee/GI fn |
|
What occurs with alpha 2 excitation?
|
decreased symp response
decrease insulin section decreased platelet aggregation |
|
What occurs with beta 1 excitation?
|
increased HR, contractility, renin
increased lipolysis |
|
What occurs with beta 2 excitation?
|
vasodil
bronchodil increased insulin (and blood glucose??) decreased uterine tone - delay birthing |
|
What receptors are Gq?
|
H1, alpha 1, V1
M1, M3 HAVe 1 M&M |
|
What receptors are Gi?
|
M2, alpha 2, D2
MAD 2's |
|
What is isoproterenol used for?
|
AV block
|
|
What is dopamine used for?
|
Shock
heart failure |
|
What is dobutamine used for?
|
shock
heart failure cardiac stress testing |
|
What is phenylephrine used for?
|
cause
pupillary dilation vasoconstriction nasal decongestion |
|
What is terbutaline/ritodrine used for?
|
sympathomimetic
used to reduce premature uterine contractions |
|
What are sympathomimetics that are used for asthma treatment?
|
albuterol (acute)
salmeterol (long term) |
|
How do cocaine, ephedrine and amphetamines work?
|
amphetamines/ephedrines - released stored catecholamines
cocaine - catecholamine uptake inhibitor |
|
What are the applications of amphetamines?
|
narcolepsy
obesity ADD |
|
What are the applications for ephedrine?
|
nasal decongestion
urinary incontinence hypotension |
|
What is clonidine? Use?
|
alpha 2 agonist.
HTN, esp with renal disease |
|
What is methyldopa? Use?
|
alpha 2 agonist
prego HTN |
|
What drug can be used before removing a pheo?
|
non selective alpha blockers
phenoxybenzamine (noncompetitive)... can't use phentolamine cuz that's competitive and will be overwhelmed by high NE/E |
|
What can prazosin be used for?
|
alpha 1 blocker
HTN urinary retention in BPH |
|
What is the antidote for acetaminophen poisoning?
|
N-acetylcysteine
|
|
What is the antidote for salicylates poisoning?
|
bicarb - alkalinize urine
|
|
What is the antidote for amphetamine poisoning?
|
ammonium chloride - acidify urine
|
|
What is the antidote for B blocker poisoning?
|
glucagon
|
|
What is the antidote for iron poisoning?
|
deferoxamine
|
|
What is the antidote for lead poisoning?
|
EDTA, dimercaprol, penicillamine
'the lead patrol" |
|
What is the antidote for copper poisoning?
|
penicillamine
|
|
What is the antidote for cyanide poisoning?
|
nitrates -
convert Hb to metHb, which binds CN better --- allows cyt oxidase to work |
|
What is the antidote for methemoglobin poisoning?
|
Methylene blue
|
|
What is the antidote for opiods poisoning?
|
naloxone, naltrexone
mu receptor antagonists |
|
What is the antidote for benzo poisoning?
|
flumazenil
|
|
What is the antidote for TCAs poisoning?
|
sodium bicarb - serum alkalinize
|
|
What is the antidote for heparin poisoning?
|
protamine
|
|
What is the antidote for warfarin poisoning?
|
Vit K, fresh frozen plasma
|
|
What is the antidote for theophylline poisoning?
|
B blocker
|
|
What drugs cause coronary vasospasm?
|
cocaine
sumatriptan |
|
What drugs cause cutaneous flushing?
|
vancomycin
adenosine nitrates CCBs VANC |
|
What drugs cause torsades de pointes?
|
quinidine (class 1A)
sotalol (class 3) cuz prolong QT interval!!!! |
|
What drugs cause agranulocytosis?
|
clozapine (schizo)
carbamazepine (bipolar, partial/tonic clonic seizures) colchicine propylthiouracil (hyperthyroid) dapsone (leprosy) |
|
What drugs cause aplastic anemia?
|
carbamazapine
chloramphenicol propylthiouracil |
|
What drugs cause grey baby syndrome?
|
chloramphenicol
|
|
What drugs cause hemolysis in G6Pd deficient patients?
|
INH
sulfonamides primaquine aspirin/ibuprofen |
|
What drugs cause megaloblastic anemia?
|
phenytoin
methotrexate sulfa drugs having a BLAST with PMS |
|
What drugs cause pulmonary fibrosis?
|
amiodarone
bleomycin busulfan (alkylating agent) |
|
What drugs cause acute cholestatic hepatitis?
|
Macrolides
|
|
What drugs cause hepatic necrosis?
|
Halothane
Valproic acid (tonic clonic, myoclonic seizures) acetaminophen |
|
What drugs cause hepatitis?
|
INH
|
|
What drugs cause pseudomembranous colitis?
|
clindamycin
ampicillin |
|
What drugs cause boobs?!
|
spironolactone
digitalis cimetidine alcohol ketoconazole Some Drugs Create Awesome Knockers |
|
What drugs cause hypothyroidism?
|
lithium
amiodarone |
|
What drugs cause gingival hyperplasia?
|
phenytoin, verapamil
|
|
What drugs cause gout?
|
furosemide
thiazide |
|
What drugs cause osteoporosis?
|
corticosteroids
heparin |
|
What drugs cause photosensitivity?
|
sulfonamides
amiodarone tetracycline |
|
What drugs cause Steven Johnson's syndrome?
|
ethosuximide, lamotrigine, phenytoin, carbamazepine, phenobarbital
sulfa drugs PCN allopurinol |
|
What drugs cause SLE-like syndrome?
|
* dev anti histone Ab
hydralazine INH phenytoin procainamide it's not HIPP to have lupus |
|
What drugs cause tendonitis?
|
fluoroquinolones
|
|
What drugs cause interstitial nephritis?
|
methicilin
NSAIDs furosemide sulfonamides rifampin |
|
What drugs cause hemorrhagic cystitis?
|
cyclophosphamide (prevent with mesna)
|
|
What drugs cause diabetes insipidus?
|
lithium
|
|
What drugs cause parkinson-like syndrome?
|
haloperidol
chlorpromazine - can give benztropine anti-ach for this reserpine (prevent DA from being packaged into NE vesicles) metoclopramide (D2 rec ant for post surgery gastroparesis) |
|
What drugs cause seizures?
|
bupropion (atypical antidepressant. used for smoking cessation)
imipenam/ciastatin isoniazid (cuz B6 deficiency) |
|
What drugs cause a disulfiram-like reaction?
|
metronidazole
some cephalosporins 1st gen sulfonylureas |
|
What drugs cause nephro and ototoxicity?
|
aminoglycoside
vanco loop diuretic cisplatin (cross link DNA) |
|
What drugs are p450 inducers?
|
carbamezepine, barbs, phenytoin
rifampin griseofulvin chronic alcohol |
|
What drugs are p450 inhibitors?
|
Sulfonamide
Isoniazid Cimetidine Ketoconazole Acute alcohol Grapefruit juice Erythromycin |
|
What kinds of drugs can be used for glaucoma?
|
alpha agonist (but not in closed angle) - epinephrine
beta blockers - timolol, carteolol diuretics - acetazolamide cholinomimetics - pilocarpine, carbachol, physostigmine prostglandin - latanoprost |
|
Name the basic opiods
|
codeine, morphine, heroine, fentanyl, dextromethorphan, meperidine, methadone
|
|
What is the basic opioid mechanism?
|
open K channels - decrease synaptic transmission
|
|
What drug can be used to decrease tolerance to morphine?
|
Ketamine - NMDA receptor blocker which inhibits Glu actions
|
|
What are first line drugs for
partial tonic/clonic absence status |
partial - carbamazapine
tonic/clonic - phenytoin, carbamazapine, valproic acid absence - ethosuxamide status - benzos, phenytoin |
|
What drug is used for trigeminal neuralgia?
|
carbemazepine
|
|
What drug is used for myoclonic seizures?
|
valproic acid
|
|
What is the mechanism of phenytoin?
|
increases Na channel inactivation
|
|
What are SE of carbamazapine?
|
diplopia
ataxia agranulocytosis, aplastic anemia Stevens Johnson syndrome induce p450 |
|
What are the SE of phenytoin?
|
eye stuff - nystagmus, diplopia
ataxia SLE like syndrome uggo- gingival hyperplasia, hirsuitism, acne, general lymphadeno megaloblastic anemia induce p450 |
|
What is unique about thiopental?
|
short acting barbituate used for anesthesia induction
rapid redistrib to tissue/fat - rapid recovery from anesthesia |
|
What are the different benzos and which ones are most addictive?
|
short acting -
zolpidem (acts like benzo but isn't) alprazolam - highest addictive potential mediam - lorazepam long - diazepam |
|
What are the characteristics of anesthetics that have rapid induction?
|
low solubility in blood = low blood/gas coeff = low A/V gradient
(anesthetic starts to work in brain after equilibration in blood) |
|
What are the characteristics of anesthetics that have a high potency?
|
high solubility in lipids = high potency = 1/MAC
MAC = conc where 50% of population is anesthetized |
|
What is malignant hyperthermia?
what drugs cause it? what's the treatment for it? |
- abnormal ryanodine rec release lots of Ca post anesthesia
- ATP dep sarcoplasmic reuptake - fever, ridigity seen with inhaled (halothane, NO, enflurane) and succinylcholine tx: dantrolene |
|
What are the categories and names of local anesthetics?
|
esters - one I
amIdes - two I's |
|
What is the mechanism of local anesthetics?
|
Block Na channels
usu given with epi to enhance local action |
|
What is the order of nerve blockade for local anesthetics?
|
small myelinated
small unmyelinated large myelinated large unmyelinated |
|
What are the different kinds of neuromuscular blockers?
|
depolarizing - succinylcholine (acts like Ach)
(can't reverse in prolonged depol phase. reverse with neostigmine in repolarized but blocked phase) non-depolarizing - tubocurarine - compete with Ach for receptors reverse with neostigmine |
|
What drugs agonize DA receptors in PD?
|
pramipexole
bromocriptine |
|
What drugs increase dopamine in PD?
|
Amantadine (also an antiviral)
L-dopa/Carbidopa (decarboxylase inhibitor) |
|
What drugs prevent DA breakdown?
|
MAO-inhib
- selegiline COMT inhib - entacapone (peripheral) - tolcapone (in brain) |
|
What are the SE of levodopa/carbidopa?
|
On/off phenomena
behavioral changes w/o carbidopa, get N/V, tachyarrhythmias, postural hypotension, hot flashes |
|
What are the drugs used for Alzheimer's disease?
|
Memantine - NMDA ant - prevents excitotoxicity
Donezepil - Ach-esterase inhib |
|
What drug can be used for acute migraines and how does it work?
|
Sumatriptan
5-HT agonist - vasoconstric - inhib trigeminal activation SE: coronary vasospasm |
|
What are the low potency antipsychotics and their SE?
|
thioridazine - reTinal deposits
chlorpromazine - Corneal deposits block M (dry mouth, constip) block H (sedation) block alpha (hypotension) |
|
What are high potency antipsychotics and their SE?
|
haloperidol, fluphenazine, trifluoperazine
4 hrs - dystonia 4 days - akinesia (use benztropine) 4 wks - akasthia (restlessness) 4 mo - tardive dyskinesia |
|
What are the atypical antipsychotics and their mechanism of action?
|
olanzapine
clozapine quietiamine risperidone aripiprazole ziprasidone block 5-HT, alpha, histamine and DA rec use for + and - schizo symptoms |
|
What are drugs for bipolar disease?
|
carbamazapine
lithium valproic acid |
|
What are the SE of lithium?
|
tremor
DI hypothyroidism ebstein's anomaly |
|
What is busipirone?
|
stim 5-HT receptors
for generalized anxiety disorder no sedation, low abuse potential |
|
What are the names of tricyclics and their major SE?
|
imiPRAMINE, amiTRIPTYLINE, doxepin
convulsions coma cardiotoxicity (arrythmias, hypotension) mimic atropine cytotoxicity |
|
Name some SSRIs
|
fluoxetine
sertraline paroxetine citalopram |
|
What is Serotonin syndrome and what drugs cause it?
tx? |
SSRIs and MAOi
hyperthermia, rigidity, myoclonus cardiovascular collapse, seizures tx: cyproheptadine |
|
What drug can be used for diabetic peripheral neuropathy?
|
duloxetine
|
|
Name some MAO-i
|
phenelzine
selegiline (used in PD) |
|
What is the mechanism of MAOi
|
block MAO - increase levels of amine NTs (5-HT, DA, NE)
btw, these ARE NOT first line drugs cuz of associated dietary restrictions |
|
Mechanism of tricyclics
|
inhib NE and 5-HT uptake
|
|
What is an atypical antidepressant used for insomnia?
|
Trazodone.... causes priapism!
|
|
What is Bupropion used for?
|
smoking cessation. good alternative if SSRIs cause sexual dysfn.
increases NE and DA. can cause seizures no sexual SE |
|
What drugs are associated with fat redistribution?
|
glucocorticoids and HAART
|
|
What are anti-M effects and what drugs cause them?
|
flushed skin, mydriasis, dry skin, cant pee....
atropine TCA H1 receptor antagonists low potency antipsychotics |
|
What kind of glaucoma is acute w/ headache and pain?
cause tx |
narrow angle
cause: anti-chol tx - B blockers: decrease aq humor prod by ciliary epith cholimimetics (pilocarpine, carbachol) - increase outflow |
|
What are the SE of niacin?
|
flushed face (high PGE.. prevent with aspirin)
hyperglycemia hyperuricemia |
|
What lipid lowering agents cause gallstones ?
|
fibrates (gemfibrozil)
resins (cholestyramine) |
|
What is the mechanism of niacin?
|
reduce VLDL secretion.
inhibit lipolysis in adipose tissue |
|
What lipid lowering agents cause increases in LFTs?
|
statins, gemfibrozil
|
|
What lipid lowering drugs cause muscle problems?
|
stains, gemfibrozil
|
|
What is the mechanism of gemfibrozil?
|
upreg LPL - increased TG clearance
|
|
What drugs are used for stress testing?
|
Dobutamine and adenosine
|
|
What is the cellular cascade caused by NO or nitrates?
|
high cGMP - low intracel Ca - myosin gets dephosphorylated - dilated vessels
|
|
What are the SE of amphotericin?
|
renal toxicity - low serum K/Mg
have to supplement those vitamins and drink lots of water |
|
What receptors does epi work on?
|
alpha 1/2, beta 1/2
|
|
What do D1 receptors do?
|
relax renal vascular smooth muscle
|
|
What is the mechanism and excretion of Digoxin?
|
mechanism -
block Na/K - block Na/Ca - more intracel Ca - greater strength of contraction also stim vagus - slow AV node cond excretion - RENAL! |
|
Digoxin SE
|
blurry yellow vision, delirium
hyperK, arrhythmia (V tach) N/V, diarrhea tx: normalize K, lidocaine, anti-dig Fab fragments |
|
Hydralazine mechanism and SE
|
mech: vasodil arterioles
SE: reflex symp activation - tachy, edema, lupus-like syndrome |
|
Which drugs can be used for atrial arrhythmias?
|
class IA, verapamil
|
|
Name Class 3 antiarhythmics.
|
amiodarone
bretylium ibutilide sotelol dofetilide |
|
Name Class 1 antiarhythmics.
|
1A - quinidine, procainamide, disopyramide
1B - Lidocaine, Mexiletine, Tocainide 1C - Flecainide, Encainide, Propafenone |
|
What hormones use the cAMP signaling pathway?
|
flat champ CG
FSH LH ACTH TSH CRH hCG ADH MSH PTH calcitonin Glucagon |
|
What anti-arrhythmics increase the length of an action potential?
|
Class Ia, Class 3
|
|
What is the preferred drug for supraventricular tachycardia?
|
Adenosine
|
|
What are the SE of amiodarone?
|
pulm fibrosis
hepatotoxicity hypo/hyper thyroid corneal deposits blue/grey skin photosensitivity |
|
What are the SE of quinidine?
|
cinchonism - headache, tinnitus
thrombocytopenia torsades de pointes |
|
What antiarrhythmics increase the PR interval?
|
B blockers, CCBs
|
|
What are SE of mannitol?
|
pulm edema
|
|
What is the mechanism of mannitol?
|
osmotic diuretic. (increase plasma and tubular osm) - use to decrease intracranial/intraocular pressure
|
|
What are the indications for azetazolamide?
|
glaucoma
urinary alkalinization metab alkalosis altitude sickness |
|
What are the SE of furosemide?
|
Ototoxicity
HypoK Dehydration Allergy Nephritis Gout also, hypo K, Mg, Ca |
|
What are the SE of thiazides?
|
hyperGLUC
glycemia lipidemia uricemia calcemia also hypo K, Mg, Na |
|
If patient is on Li, can't take what diuretic?
|
thiazide
cuz Li gets reabs with Na in collecting ducts - toxic |
|
Name the K sparing diuretics
|
Aldo Ant
Spironolactone Eplerenone Na channel blockers in CT Amiloride Triamterene |
|
What are the SE of spironolactone?
|
antiandrogen effects - testicular atrophy, gynecomastia, impotence
|
|
What diuretics cause acidemia?
|
Carbonic anhydrase inhibitors
K sparing |
|
What diuretics cause alkalemia?
|
Loop and thiazides
|
|
What medicine blocks the actions of adenosine?
|
Theophylline which causes bronchodil
|
|
What med is used for pulm HTN?
|
Bosentan
|
|
What are the SE of PDE inhibitor used for asthma?
|
theophylline
cardiotoxic, seizures. metab by p450 |
|
What drug is a GnRH analog?
Use? |
Leuprolide
infertility (pulsatile) prostate ca (continuous w/ flutamide) uterine fibroids |
|
What is testosterone used for?
|
hypogonadism
dev secondary sex traits stim anabolism to promote recovery after burn/injury |
|
What does ketoconazole do?
|
inhibits desmolase (and therefore steroids synthesis)
in PCOS - prevent hirsuitism (so does spironolactone) |
|
What does spironolactone do in reproduction system?
|
inhibits steroid binding...
in PCOS - prevent hirsuitism (so does ketoconazole) |
|
What does Clomiphene do?
|
partial agonist at E rec in hypoth - prevents normal feedback inhib - increase release of LH/FSH -
stim ovulation tx for infertility and PCOS |
|
What is Anastrozole?
|
Aromatase inhib used in postmeno women with breast ca
(inhib androstenedione to estrone conversion) |
|
What drugs are typically used to induce abortion?
|
Mifepristone (P inhibitor @ receptor)
Misoprostol (PGE1 - induce contractions) |
|
How does viagra work?
|
inhibit cGMP PDE -
increase cGMP - smooth muscle relaxation in penis - increased blood erection.. yeow! |
|
LT C/D/E function?
|
broncho/vaso constriction
increased permeability |
|
PGI function?
|
decreased plt aggregation
broncho/vaso dilation decreased uterine tone |
|
PGE function?
|
vasodil
pain increased uterine tone - abortifactant maintain GI mucous barrier increased temp maintain patent ductus arteriosus |
|
TXA2 function?
|
increased plt aggregation
vasoconstriction bronchoconstriction |
|
What is the mechanism of fluid retention with NSAID use?
|
PGE's inhibited - so less vasodil -
relative ischemia kidneys retain H20 and Na |
|
In what specific situations are NSAIDs prohibited?
|
CHF
Li use |
|
What is the treatment for CMV?
|
Ganicyclovir
if don't work, Foscarnet |
|
Drugs that cause colored vision changes?
|
Digoxin
Ethambutol (TB) |
|
What lipid lowering drug increases TG?
|
Cholestyramine
|
|
What drug has a similar effect on platelet aggregation as aspirin?
|
Clopidogrel, ticlopidine
|
|
How are heparin and enoxaparin different?
|
enoxaparin - (low molecular weight heparin)
high bioavail, longer half life, no need for monitoring |
|
What is HIT
instead use? |
heparin induced thrombocytopenia
heparin binds plts - autoAb destroy platelets and overactivate remaining ones - so thrombytopenia and hypercoag at the same time! instead use - lepirudin/bivalirudin/argatroban these directly inhibit thrombin |
|
What is the different b/w efficacy and potency?
|
efficacy = Emax (does dont matter)
potency = dose req to prod certain effect - dep on drug-rec affinity and drug access to tissue |
|
What drug irrev blocks ADP rec and inhibits plt aggregation?
SE? |
clopidogrel/ticlopidine
neutropenia |
|
What is the function of
Cox 1 and Cox 2 |
COX 1 - GI, plt stuff
COX 2 - inflam |
|
SE of opioids?
|
Sphincter of Odi contraction
|
|
What lipid lowering drugs are used to treat high TG?
|
Niain
Fibrates |
|
names of protease inhibitors
|
ritoNAVIR, saquiNAVIR
|
|
SE of protease inhibitors
|
hyperglycemia
lipodystrophy GI sympt inhib p450 |
|
What is a nucleoside RT inhibitor? SE?
|
ZidoVUDINE, zalcitaBINE
SE: BM suppression, lactic acidosis, megaloblastic anemia |
|
Names of non-nucleoside RT inhibitors?
|
Nevirapine, Efavirenz, Delavirdine
NEVIR EFAVer Deliver |
|
Use of heparin
|
immediate anticoag for
PE, stroke, acute coronary syndrome, MI, DVT |
|
Use of warfarin
|
chronic anticoag for thromboemb
|
|
What drugs inhibit DHF reductase?
|
methotrexate
trimethoprim pyrimethamine |
|
Name alkylating agents
function? |
cisplatin, cyclophosphamide, busulfan
cross link DNA |
|
What do dactinomycin/doxorubicin do?
|
intercalate DNA
|
|
What drugs block at the G2 phase? How?
|
bleomycin - causes DNA breaks
etoposide - inhib topoisom II |
|
What drugs decrease purine synth?
Differences in activation and excretion? |
6-MP and 6-TG
both activated by HGPRT 6-MP excreted by xanthine oxidase - toxicity with allopurinol |
|
What is trastuzumab
|
AKA herceptin
AntiB against HER-2 (erb-B2) use in metastatic breast ca |
|
What is imatinib?
|
Philly chr bcr-abl kinase inhib
use in CML |
|
What is azathioprine?
|
interferes with purine synth ... prodrug form of 6-MP
use in transplantation |
|
name NSAIDs
|
ibuprofen
naproxen indomethacin ketorolac |
|
Acetominophen mechanism
|
COX inhib in CNS (analgesic, anti-pyretic)
inactiv peripherally |
|
Name bisphosphonates
mechanism? |
etiDRONATE
analog of pyroP (component of hydroxyapatite) - inhib osteoclast activity |
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What are acute gout tx?
|
NSAIDs
colchicine - impair PMN chemotaxis GC (if renal failure) |
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What are the TNF inhibitors?
|
Etanercept - decoy receptor
Infliximab - anti-TNF antiB Adalimumab - blocks receptor *** do PPD test before beginning therapy |
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What insulin is used
post meal DKA super long acting |
lispro/aspart
regular glargine |
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mechanism of Sulfonylurea?
|
close K channel - depol cell - Ca influx - release insulin
|
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glitazone mechanism
|
decrease insulin resistance by changing glu/lipid metab genes
|
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glitazone SE?
|
weight gain, edema, CV toxicity
Hepatotoxic |
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Mechanism of methimazole
|
inhib thyroid peroxidase (like propylthiouracil)
btw, propylthiouracil also decreases peripheral T4 to T3 converson |
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What is sucralfate?
|
(like Bismuth.. peptobismol)
use for ulcer healing, travelers diarrhea |
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What is sulfasalazine?
|
combo of
sulfapyridine (antibacterial) 5-aminosalicylic acid (inhib PGE and LT synth durng inflam) use for UC, Crohns |
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Drug for cirrhosis related hepatic encephalopathy?
|
lactulose
|
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What is an antiemetic for chemo patients?
|
ondansetron... 5-HT antagonist
|
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Name the 1st generation H1 blockers.
SE? |
diphenhydramine, chlorpheniramine
SE - sleepy, anti-M, anti-alpha adren |
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Name the 2nd generation H1 blockers
|
Loratidine, cetirizine
|
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What drugs cause softies?
|
anti-HTN
SSRIs neuroleptics ethanol |