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Block 1 Drugs
Block 1 Week 4-7
156
Pharmacology
Professional
09/25/2009

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Cards

Term
Amiloride/HCTZ
Definition
Moduretic
Term
Spironolactone/HCTZ
Definition
Aldactazide
Term
Triamterene/HCTZ
Definition
Maxzide-25MG, Dyazide, Maxzide (75 mg triamterene, 50 mg HCTZ)
Term
Bumetanide
Definition
only generic in USA, Bumex DSC; loop diuretic
Term
Ethacrynate
Definition
Edecrin, loop diuretic, Tab; inj, powder for soln.
Term
Furosemide
Definition
Lasix, loop diuretic; tabs, soln, inj
Term
Torsemide
Definition
Demadex, loop diuretic; tabs
Term
Amiloride HCl
Definition
Midamor, K sparing diuretic; tab
Term
Spironolactone
Definition
Aldactone, K-sparing diuretic; tab; BBW: tumorigen
Term
Triamterene
Definition
Dyrenium, K-sparing diuretic; cap
Term
Chlorthiazide
Definition
Diuril, thiazide; tab, susp, inj powder
Term
Chlorthalidone
Definition
Thalitone, Hygroton; thiazide; tabs
Term
Hydrochlorothiazide
Definition
HydroDIURIL, Hydro-Par, Ezide, Microzide capsules; thiazide; tab, cap
Term
Indapamide
Definition
generic only; thiazide
Term
Methyclothiazide
Definition
Enduron; thiazide; tab
Term
Metolazone
Definition
thiazide; Zaroxolyn; tab; BBW--do not interchange Zaroxylon tab & other formulations
Term
Oral aminoglycosides
Definition
Indications: Suppression of intestinal bacteria. 2) Hepatic coma.
PK: poorly absorbed. Unabsorbed excreted in feces
Term
Amikacin
Definition
aminoglycoside; Amikin; BBW--Ototoxicity, nephrotoxicity, neuromuscular blockade, Monitoring--toxic > 35 mcg/ml.
Pharmacology: g(-) infections. Irreversible bind 30S subunit.
PK: IM--rapidly absorbed, Peak 12 mcg/ml (250 mg); E: 92% urine
IV--500 mg over 30 min, Peak 38 mcg/ml; repeat inf 7.5 mg/kg q12h
Term
Gentamicin Sulfate
Definition
aminoglycoside; inj.
A/D: IM--peak in 30-60 min. IV inf over 2 h, same. May accumulate. Peak is 4x's the IM dose.
M/E: 70% urine.
Term
Kanamycin
Definition
aminoglycoside; Kantrex.
Term
Streptomycin Sulfate
Definition
aminoglycoside
TB agent
Nephro, oto, neurotoxic
May be 4th drug in initial phase of TB tx.
Term
Tobramycin
Definition
aminoglycoside; TOBI
Term
Erythromycin & Sulfisoxasole
Definition
Granules for Oral Suspension
Term
Trimethoprim/Sulfamethoxazole
Definition
Bactrim, Bactrim DS, Septra DS, Cotrim Pediatric, Sulfatrim
Indications: acute ex of chronic bronchitis, AOM, enteritis, PJP proph, PJP tx, Traveler's diarrhea, UTI
Term
Isoniazid
Definition
Isonicotinic acid hydrazide; Nydrazid. BBW--hepatitis. Actions--inhibits synthesis of mycolic acids of cell wall.
Term
p-Aminosalicylic acid
Definition
Paser
Pharm: bacteriostatic agains M. tuberculosis. Inhibits onset resistance to streptomycin & isoniazid. Inhibits folic acid synthesis & mycobactin of cell wall, thus reducing iron uptake by M. tuber.
Term
Capreomycin
Definition
Capastat; BBW--ototoxic, nephrotoxic
Pharm: polypeptide AB.
2nd Line antiTB drug
Term
Cycloserine
Definition
Seromycin Pulvules
Inhibits cell-wall synthesis
2nd line TB drug
Term
Ethambutol HCl
Definition
Myambutol
Diffuses into mycob cells.
Monthly eye exams advised
Term
Ethionamide
Definition
Trecator
For active TB resistant to INH, RIF.
Directly observed therapy for all TB pts
Get baseline AST/ALT, glucose, thyroid, eye exam
Give pyridoxine
Term
Tab: 120 mg RIF, 50 mg INH, 300 mg PYR
Definition
Rifater
Term
Cap: 300 mg RIF, 150 mg INH
Definition
IsonaRif, Rifamate
Term
Pyrazinamide
Definition
use with INH, RIF, ETH for 2 mo
Term
Rifabutin
Definition
Mycobutin; inhibits RNA polymerase.
For MAC in HIV pts
Less-potent enzyme induceer than rifampin; may be used in pts on protease inhibitors
Term
Rifampin
Definition
Rifadin; Initial tx INH, PYR, RIF, & either streptomycin or ethambutol
Term
Rifapentine
Definition
Priftin
Ong-acting rifamycin that can be used once weekly in continuation phase of tx in carefully selected HIV pts.
85% as potent an enzyme inducer as rifampin
Term
Bacitracin
Definition
Baci-IM. BBW--can cause renal failure
Use limited to infants w/ pneumonia & empyema caused by staph.
Term
Doripenem
Definition
carbapenem; Doribax.
For complicated IAI, UTIs.
Active against aerobic & anaerobic g(+) and g(-) bacteria. Inhibits cell-wall synthesis. Inactivates multpile essentail PBP, resulting in inhibition of cell-wall synthesis & death. Binds to PBP 2, 3, 4.
Term
Ertapenem
Definition
carbapenem; Invanz; inj
For API, CAP, IAI, SSSIs, UTIs
Term
Imipenem/Cilastatin
Definition
carbapenem; Primaxin I.V., Primaxin I.M.
For LRTI, UTI, IAI, GynI, sepsis, BJI, SSSI, Endoc,
Cilastatin--inhibits dehydropeptidase 1, which inactivates imipenem when given alone. Cilastatin increases urinary recovery of imipenem & decreases renal toxicity. Imipenem high affinity for PBP 1A, 1B, 2,4,5,6.
Term
Meropenem
Definition
Merrem I.V.
For meningitis, SSSI, IAI
Term
Cefadroxil
Definition
1st gen cephalosporin; generic only
cap, tab, powder for oral susp.
Term
Cefazolin
Definition
1st gen ceph; generic only
only formulation: Powder for Injection
Term
Cephalexin
Definition
1st gen ceph; Keflex
tab, cap; powder for oral susp.
Term
Cefaclor
Definition
2nd gen ceph; Raniclor, Ceclor Puvules, Ceclor,
Tab, chewable; tab, ext release; cap; powder oral susp;
Term
Cefotetan Disodium
Definition
2nd gen ceph; generic only
Injection, powder for solution
Term
Cefdinir
Definition
3rd gen ceph; Omnicef
Cap, powder for oral susp
Term
Cefditoren
Definition
3rd gen ceph; Spectrcef tablets
Term
Cefepime
Definition
4th gen ceph; Maxipime injection
Inj, sol; Inj, powder for solution
Term
Cefotaxime sodium
Definition
3rd gen ceph; Claforan injection
Powder for injection; Injection premixed
Term
Cefotetan Disodium
Definition
2nd gen ceph; generic only
Injection, powder for soln.
Term
Cefixime
Definition
3rd gen ceph; Suprax powder for oral susp
Term
Cefoxitin
Definition
2nd gen ceph; generic only
Powder for inj
Term
Cefpodoxime proxetil
Definition
3rd gen ceph; Vantin.
Tab, granules for oral susp
Term
Cefprozil
Definition
2nd gen ceph; generic only
Tab, powder for oral susp
Term
Ceftazidime
Definition
3rd gen ceph; Fortaz, Ceptaz, Tazicef, Tazidime
Injection, powder for soln; Inj
Term
Ceftibuten
Definition
3rd gen ceph; Cedax cap, powder for oral susp.
Term
Ceftizoxime Sodium
Definition
3rd gen ceph; Cefizox injection; powder for injection
Term
Ceftriaxone Sodium
Definition
3rd gen ceph; Rocephin injection, powder for soln
Term
Cefuroxime Axetil
Definition
2nd gen ceph; Ceftin tab, oral susp
Zinacef injection, powder for injection
Term
Cephalexin
Definition
1st gen ceph; Keflex tab, cap, powder for oral susp
Term
Ciprofloxacin
Definition
fluroquinolone; Cipro, Cipro XR, Proquin XR tab, tax extended release, microcap for oral susp; Cipro I.V. inj sol. BBW: tendinitis & tendon rupture
Term
Gemifloxacin
Definition
fluroquinolone; Factive tab
Term
Levofloxacin
Definition
fluorquinolone; Levaquin tab, soln, inj soln
2nd line TB drug
Term
Moxifloxacin
Definition
fluoroquinolone; Avelox tab, Avelox I.V.
2nd line TB drug
Term
Norfloxacin
Definition
fluroquinolone; Noroxin tab
Term
Ofloxacin
Definition
fluoroquinolone; Floxin tab
Term
Gatifloxacin
Definition
fluoroquinolone; Tequin tab, inj soln
2nd line TB drug
Term
Carvedilol
Definition
alpha beta blocker; Coreg tab
Coreg CR cap, extended release
Term
Labetalol
Definition
alpha beta blocker; Trandate tab, inj
Term
Clonidine
Definition
antiadrenergic-centrally acting. stimulates alpha-adrenoreceptors in brain;
Catapres tab
Term
Guanabenz acetate
Definition
antiadrenergic-centrally acting;
Wytensin tab
Term
Guanfacine
Definition
antiadrenergic-centrally acting;
Tenex tab, tab XR
Term
Methyldopa & Methyldopa HCl
Definition
antiadrenergic-centrally acting; stimulates alpah-adrenoreceptors in brain;
generic only; tab, inj
Term
Reserpine
Definition
antiadrenergic-peripherally acting;
generic only; tab
Term
Doxazosin Mesylate
Definition
antiadrenergic-peripherally acting; alpha-1 blockers;
Cardura tab; Cardura XL tab XR
Term
Prazosin
Definition
alpha-1 blocker
Minipress cap
Term
Terazosin
Definition
alpha-1 blocker; Hytrin tab, cap
Term
Acebutolol
Definition
cardioselective beta-blocker
Sectral cap
Term
Atenolol
Definition
beta-1 selective (cardioselective) blocker;
Tenormin tab
BBW: do not D/C abruptly, or may cause angina and MI.
Term
Betaxolol HCl
Definition
cardioselective; Kerlone tab
Term
Bisoprolol Fumarate
Definition
beta-1 selective; Zebeta tab
Term
Carteolol
Definition
ISA, long-acting, non-selective;
Cartrol tab
No favorable effect on arrhythmias
Term
Esmolol HCl
Definition
beta-1 selective with rapid onset, very short duration of action;
Brevibloc injection
Term
Metoprolol Tartrate
Definition
beta-1 preferential; Lopressor tab, injection. BBW: gradually reduce dose. Bronchospastic dz pts should not receive beta-blockers. Major surgery, Diabetes, Pheochromocytoma: if beta-blocker req'd, give w alpha blocker & only after alpha blocker initiated. Thyrotoxicosis: masks tachy
Term
Metoprolol Succinate
Definition
beta-1 prefer; Toprol XL tablet extended release
Term
Nadolol
Definition
nonselective beta-blocker;
Corgard tab
BBW: exacerbation of ischemic heart disease after abrupt withdrawal
Term
Nebivolol
Definition
beta-1 selective, but in poor metabolizers & high doses, beta-2 also.
Bystolic tab
Term
Penbutolol
Definition
nonselective;
Levatol tab
Term
Pindolol
Definition
ISA, non-selective beta blocker
Visken tab
Term
Propranolol HCl
Definition
nonselective beta-blocker;
tab, soln, inj; Inderal LA, InnoPran XL--cap ext rele; Propranolol Intensol--concentrated soln; Inderal injection
Term
Sotalol
Definition
nonselective beta-blocker & cardiac action potential duration prolongation (Vaughan Williams Class III) antiarrhythmic properties.
BBW: 3 days in facility for ECG, cardiac resuscitation, CrCl.
tab, inj; Betapace, Betapace AF tab, inj
Term
Timolol
Definition
nonselective beta-blocker;
BBW: do not abruptly DC
Blocadren tab
Term
Amlodipine Besylate/Benazepril HCl
Definition
Lotrel cap 2.5, 5, 10 mg amlodipine/10,20, 40 mg benazepril
Term
Amlodipine/Valsartan
Definition
Exforge Tab
Term
Atenolol/Chlorthalidone
Definition
Tenoretic 50 Tab, Tenoretic 100 Tab (50, 100 mg atenolol/25 mg chlorthalidone)
Term
Benazepril HCl & HCTZ
Definition
Lotensin HCT Tab
Term
Bisoprolol Fumarate & HCTZ
Definition
Ziac tab
Term
Candesartan Cilexetil & HCTZ
Definition
Atacand HCT
Term
Captopril & HCTZ
Definition
Capozide 25/15, Capozide 50/15, 25/25, 50/25
Term
Clonidine & Chlorthalidone
Definition
Clopres Tab
Term
Enalapril Maleate & Felodipine
Definition
Lexxel Extended-Release Tab
Term
Enalapril Maletate & HCTZ
Definition
Vaseretic Tab
Term
Lisinopril/HCTZ
Definition
Prinzide, Zestoretic tab
Term
Losartan Potassium/HCTZ
Definition
Hyzaar tab
Term
Propranolol HCl/HCTZ
Definition
generic only
Term
Quinapril & HCTZ
Definition
Accuretic, Quinaretic tab
Term
Telmisartan & HCTZ
Definition
Micardis HCT tab
Term
Trandolapril & Verapamil
Definition
Tarka
Term
Valsartan/HCTZ
Definition
Diovan HCT
Term
Amlodipine
Definition
dihydropyridine
Norvasc
Term
Clevidipine
Definition
dihydropyridine
Cleviprex injection
Term
Diltiazem HCl
Definition
Cardizem tab, inj, powder for inj; Cardizem LA tab, extended release; Cardizem CD, Cartia XT, Dilacor XR, Dilt-CD, Dilt-XR, Diltia XT, Diltzac, Taztia XT, Tiazac capsules, extended-release;
Term
Felodipine
Definition
dihydropyridine
generic only
Term
Isradipine
Definition
dihydropyridine
DynaCirc CR, DynaCirc tab, cap
Term
Nicardipine
Definition
Cardene cap, cap (sust-release), inj
Term
Nifedipine
Definition
Adalat CC, Afeditab CR, Nifediac CC, Nifedical XL, Procardia XL tab (ext release); Procardia cap
Term
Nimodipine
Definition
CCB; generic cap (liquid filled) only
Term
Nisoldipine
Definition
Sular tab (ext release)
Term
Verapamil
Definition
tab, inj; Calan tab; Calan SR, Calan-HS, Isoptin SR tablet (ext release); Verelan, Verelan PM capsule (ext release);
Term
Candesartan Cilexetil
Definition
ARB
Atacand
Term
Eprosartan
Definition
Teveten tab
Term
Irbesartan
Definition
Avapro tab
Term
Losartan
Definition
Cozaar Tab
Term
Olmesartan
Definition
Benicar tab
Term
Telmisartan
Definition
Micardis tab
Term
Valsartan
Definition
Diovan tab
Term
Benazepril
Definition
Lotensin tab
Term
Captopril
Definition
Capoten tab
Term
Enalapril
Definition
Vasotec
Term
Fosinopril
Definition
Monopril
Term
Lisinopril
Definition
Zestril, Prinivil tab
Term
Moexipril
Definition
Univasc tab
Term
Perindopril
Definition
Aceon
Term
Quinapril
Definition
Accupril tab
Term
Ramipril
Definition
Altace tab, cap
Term
Trandolapril
Definition
Mavik tab
Term
Aliskiren
Definition
direct renin inhibitor--decreases plasma renin activity
Tekturna
Term
Eplerenone
Definition
selective aldosterone receptor antagonist
Inspra tab
Term
Hydralazine
Definition
peripheral vasodilator
Apresoline tab, injection
Term
Minoxidil
Definition
peripheral vasodilator
generic tab only
Term
Alprazolam
Definition
1,4 benzodiazepine; antianxiety agent
Xanax, Xanax XR tab, Alprazolam Intensol sol.
Term
Chlordiazepoxide
Definition
Librium
Term
Clonazepam
Definition
Klonopin
Term
Clorazepate Dipotassium
Definition
Tranxene T-tab
Term
Diazepam
Definition
Valium tab; Diastat gel (rectal)
Term
Lorazepam
Definition
tab; Ativan injection
Term
Oxazepam
Definition
generic only
Term
Azithromycin
Definition
macrolide; binds 50S ribosomal subunit; does not affect nucleic acid synthesis
Zithromax tab, powder for oral susp, inj; Zmax powder for ext release oral susp;
Term
Clarithrymycin
Definition
macrolide; binds 50S ribosomal subunit & inhibits protein synthesis
Biaxin tab, granules for oral susp; Biaxin XL ext release tab;
Term
Erythromycin
Definition
macrolide; inhibits protein synthesis by binding 50 S ribosomal subunit. Does not affect nucleic acid synthesis.
Erythrocin Stearate tab;
Term
Erythromycin base
Definition
cap (delayed release); Ery-Tab, PCE Dispertab tab (delayed release); Erythromycin Filmtab tab (film-coated);
Term
Erythromycin ethylsuccinate
Definition
E.E.X. 400 Filmtab tablets; E.E.S. 400 Liquid susp, oral; EryPed Drops powder for susp; EryPed 200 powder for susp; E.E.S. Granules for oral susp; EryPed 400 powder for oral susp.
Term
Telithromycin
Definition
Ketolide; structurally related to macrolides; blocks protein synthesis by binding 23S RNA of 50S ribosomal subunit.
Ketek tab; oral
Term
Clindamycin
Definition
Lincosamide; binds exclusively to 50S ribosomal subunit & suppresses protein synthesis. Indicated for: anaerobes, pneumococci, serious infections caused by strep, pneumococci, staph. Reserve for pen allergic. Serious resp tract inf & serious SSTI caused by strep/staph.
Term
Vancomycin
Definition
inhibits cell wall synthesis;
Vancocin pulvules, powder for inj; Vancoled powder for inj;
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