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84 Cards in this Set

  • Front
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Cholinergic Agonists
Teens Pile in Bethany's Chevy Car someWhere
Nicotine Pilo Bethan Ceve Carb Vare
Bethanechol
Pilocarpine
Cevimiline
Carbachol
Nicotine
Varemidine (chantix)
Cholinesterase Inhibitors
EdroNeoPhysoEchoOrgo2-PAM- DONE! (say it fast)
Edropium
Neostigmine
Physostigmine
Organophosphate Pesticides
Echothiophate
Donepazil
2-PAM
Cholinergic Antagonists
Scopolamine
Tolterodine (Detrol)
Solfenacin (Versican)
Glycopyrolate (Robinul)
Oxybutymin
Dicyclomine (Bentyl0
Ipratroprium (atrovent)
Tropicamide (Mydriacil)
Diphenoxylate-atropine (lomotil)
Non Depolarizing Muscle Block
D-uronium
D-Tubocurarine
Pancuronium
Vecuronium
Cisatracurim
Rocuronium
Depolarizing Muscle Block
Succinylcholine
Ganglion Blockers
Mecamylamine (inversine)
Hexamethonium
alpha blocker
phentolamine
phenoxybenzamine (dibenzylene)
A1 blocker
Prazoisn (minipress)
Tamsulosin (flomax)
A2 blocker
Yohimbine
B blocker
Propanolol
Beta 1 blocker
B-Men
Metaprolol (lopressor)
Esmolol (brevibloc)
Betaxolol (betoptic)
Nebivolol (Bystolic)
Beta Blocker W/ Intrinsic Sympathetic Activity
PinAce (Penis, sympathetic, pfffff)
Pindolol
Acebutolol
A,B combo blocker
ABs=Core (muscles)
Carvedilol (Coreg)
Neurotransmitter release inhibitors
Guanetheline
Reserpine
Catecholamines
Epi, NOrepi, Isoproterol
A1 agonists
Phenylephrine
Pseudoephedrine (Sudafed)
A2 Agonists
A2=Clone of A
Clonadine (Catapress)
Apriclonidine (Iopidine)
B1 Agonist
Dobutamine (dobutrex)
B2 Agonist
Alberuterol
Other Adrenergic Stimulants
Ephedrine
Amphetamine
Methylphenidate-Ritalin
Cocaine
Tyramine
DA agonists
Dopamine
Fenodopam
Bethanechol (urecholine)
M-Cholinergic Agonist
increase bowel and bladder motility
urinary retention drug

Bath=Bowel and Bladder (no Brains)
Pilocarpine (pilocar)
M-cholinergic agonist
increase saliva and sweat(excessive)
BBB, Eye- cycloplegia.

S&S. Erector Pili next to sweat glands, then, of course you lick the sweat.
Cevimelin (evoxac)
M3- cholinergic agonist
increase sweat/saliva
Sjogrens Dry mouth- less effect on sweat gland

New York Jew "Sjogren" taking the Civeme-line train downtown.
Carbachol
M+N Cholinergic Agonist
Closest to ACh, doesn't cross BBB
effects both pre-post terminals
Nicotine
Nicotinic-Direct activation
Sympathetic and Parasympathetic action
Rapid desensitization of receptor- no secondary response shortly after
Poisoning a lot like Organophosphate
Low dose= alertness/attention
High dose= vomiting, tremors
Varemicline (chantix)
Nicotine partial agonist- decreases effects
Stop smoking drug
Nightmare farts
Edrophonium
Cholinesterase inhibitor
Used to diagnose myasthenia gravis
quick acting
can reverse NeuroMuscular Block
Physostimin
Cholinesterase inhibitor
Could be used for glaucoma-won't be
CNS side effects

EYE! So stick me!
Echothiophate
Cholinesterase inhibitor
Organophosphate
SLUDGE symptoms= poisoning

Eco-Phate (name says Organophosphate in it)
Organophosphate pesticides
Cholinesterase inhibitors
SLUDGE -2 PAM Atropine
Donepezil
Cholinesterase inhibitor
Alzheimers
Similar to physostygmine

Alzheimers pts are almost DONE!
Scopolamine
Cholinergic Agonist
Motion sickness patch
Oral= CNS effects, amnesia, sedation
old date rape drug

Get dizzy looking through a scope
Tolterodine (Detrol)
Cholinergic Agonist
M3 receptor
bladder incontenence in elderly
NO CNS effect

Sol/terodine - old and single if you're peeing your pants all the time
Solifenacin (Versican)
Cholinergic Agonist
M3 selective
overactive bladder and bladder spasms
No salivation effect

Sol/terodine
Glycopyrorrolate (Robinul)
Cholinergic antagonist
used in surgery to prevent vagal response when handling organs
Reduces neostigmine/edroponium effect

Robbin U Liver- sucka!
Oxybutynin (Ditropan)
Cholinergic Antagonist
Prevent bladder spasms post prostate surgery
closes bladder sphincter tight
NOT for BPH pts
Dicyclomine (Bentyl)
Cholinergic Antagonist
Antispasmodic for GI

you're not bentyl you're not crappin yourself.
Ipratroprium (Atrovent)
Cholinergic Antagonist
Bronchodilator in acute asthma/ CHF (inhaler)
quaternary amine- large- diesn't get to brain
Causes dry mouth

I Pray To Breathe
Tropicamide (mydriacil)
Cholinergic Antagonist
Short acting Mydriasis, cycloplegia

Mydriacil (seriously?)
Diphenoxylate-Atropine (lomotil)
Cholinergic antagonist
opioid w/atropine to treat diarrhea.

low#2- only two worded drug we have
Anticholinergic side effects
Dry mouth
Tachycardia in youth
Decreased GI control
mydriasis + cycloplegia
D-Tubocurarine
Non-Depolarizing Muscle Block
Long-acting
decrease plate potential
causes histamine release- hypotension/bronchospasm
What drug releases histamine?
D-tubocurarine
Pancuronium
NonDepolarizing Muscle block
Slow-long
ganglionic block w/ Muscarinic Vagal block- Tachycardia
Vecuronium
nonDepolarizing Muscle block
intermediate length action
Metabolized in the liver and products can be toxic
Cisatracurium (nimbex)
nonDepolarizing Muscle block
low toxicity, no histamine= POPULAR
Rocuronium
nonDepolarizing Muscle Block
Rapid acting intermediate effect
paralytic in surgery
immediate- contractures/fasiculations to paralysis
effect prolonged by cholinesterase inhibitors!
Succinylcholine
Nicotinic Depolarizing Muscle block
Rapid/short effect for trach/intubation
if prolonged causes desensitization
Size of twitch reduced, no reduce in height
Hydrolyzed by plasma pseudocholinesterase
Mecamylamine (inversine)
Gainglion blocker (only available)
Blocks sympathetic and parasympathetic
SO... TONE will determine response.
Hexamethonium
Prototype ganglia blocker- no sympathetic or parasympathetic response at all
no physical reaction
Phentolamine
alpha blocker
Reversible
decrease BP increase HR
decrease gastric secretion b/c of lack of serotonin
tachycardia, hypotension
Phenoxybenzamine (dibenzylene)
Alpha blocker
Irreversible
Epi reversal in pheochromocytoma (makes it more like isoproternol)
Tachycardia hypotension if hypovolemic
Which alpha blocker (blocks both) is reversible vs irreversible?
Phentolamine
Phenoxybenzamine
Say them backwards, can't say the longer one if my life depended on it
Prazosin (minipress)
Alpha 1 blocker
Reversible
relax A/V through a1
no change in HR- blocks reflex tach
First dose phenom
Tamsulosin (Flomax)
a1 blocker
a1a in prostate (specific)
no change in BP (for hypertensive pt)
Relaxes prostate bladder/sphincter for BPH
NO Ejac... sorry bro
Yohimbine
A2 blocker
increase NE/BP/HR
Antagonize clonidine
NOT for hypertension
Doesn't work
Propanolol
B1,2 blocker
Prototype blocker
Hyperthryroidism, Ischemic heart disease, Migraine
locla anesthetic (not for eyes)
don't stop quickly
problems with hypoglycemia
efects prolonged with cimetidine
shortened with phenobarb/phentoyn
Metaprolol (lopressor)
B1 blocker
Decrease HR
used in Hypertension, MI, migraine
Esmolol (brevibloc)
Beta1 blocker
short duration -8min
used IV during surgery
Betaxolol (Betoptic)
B1 blocker
Asthmatics
Glaucoma relief
Nebivolol (Bystolic)
Beta1 blocker
VasoD due to NO
Most B1 selective drug
decrease BP w/o decrease Lvent action
decreases cholesterol/glucose/triglycerides
Pindolol (Visken)
Beta w/ISA
local anesthetic
HTN in angina
lower bradycardia risk
Acebutolol
B1! w/ISA
local anesthetic
HTN in angina,
lower bradycardia risk
What drugs also have local anesthetic properties that shouldn't be used in the eye?
Pindolol
Acebutolol
Metoprolol
propanolol
Labetolol
Caredilol (Coreg)
A,B combo
VasoD, Decrease BP w/o Tachy
used for HTN, CHF, MI

ABs-Core muscles
Guanethidine (Ismelin)
NT release drug
inhibits NE release
displaces from vesicles
inhibited by cocaine
Reserpine
NT release drug
inhibits NE release
deplete NE/Epi/Dop/Ser/ from nerve terminals
Metyrosine
RLS in Dopamine synthesis
Decreases Norepi/Epi
Pre-surg drug for Pheochromocytoma
Epinephrine
Catecholamine, a1b1b2
Anaphylactic shock BronchoD
Vasopressor
Glaucoma- decrease aqueous humor
Not for ppl on B blockers, causes severe hypertension

Large dose- HTN hemmorhage, arrythmia
Isoproternol
Chatecholamine
Isolate B1 (b/c of large molecular size)
Increase HR, contractility, Vasodilates Sk M, decreases reflex brady
Phenylephrine
a1 agonist
vasoconstriction, increase bp w/ reflex
Decongestant w/ rebound effect
cautions w/ HTN patients
Causes Medriasis
pseudoephedrine (sudafed)
a1 agonist
decongestant without HTN
Clonidine (catapress)
a2 agonist
brain, decrease NE, decrease sympathetic response, decrease BP/HTN
for recovering addicts and hot flashes in menopause
excess= hypotensive
rapid withdrawal= hypertension
apraclonidine (Iopidine)
a2 agonist
decrease intraoccular pressure through a2 mediated vasoconstriction
dobutamine
B1agonist
INcrease Heart contractility/force
increase renin,
cardiac stress test- short acting

all those dopes can't even get out of bed we have to stress their hearts while they sit there.
Albuterol
B2 agonist
Relax respiratory sm m/ Uterine, BV to SkM
increases K uptake into muscle and increases glycogenolysis
Ephedrine
Adrenergic Stimulant
Not catecholamine
similar to NE,
CNS stimulant, bronchoDilator
causes HTN (ephedra)
Amphetamine
Not catecholamine
Indirect- displaces NE into synapses
Psychosis and tachycardia
Methylphenidate (Ritalin)
Not catecholamine,
like amphetamine
Paradoxical decrease in activity in ADHD disorder
Cocaine
Adrenergic Stimulant
inhibits reuptake of NE, addictive, causes HTN, stroke, arrythmia, MI, Psychosis
Tyramine
adrenergic stimulant
indirect- displaces NE from nerve ending, hydroxylized by MAO
if taking MAOinhibitors and eat lots of tyramine= Hypertension emergency
Dopamine
DA agonistf
low dose- D1 receptors on renal vasculature- vasoD/increased flow
High dose-B1 stimulation-> positive inotropy similar to epi-> nausea and vomiting
Fenoddolpam (Corlopam
D1 agonist
dilation of vascular bed
decreases BP short term for severe HTN tx