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Drug Flash Cards I
Autonomic and Neuromuscular Drugs
124
Health Care
Professional
05/14/2009

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Term
The generic name for Tenormin is:
Definition
Atenolol
Term
Atenolol is in this therapeutic class(es):
Definition
SympathoLYTIC; antihypertensive
Term
Atenolol is in this pharmacologic class:
Definition
Beta-1 receptor antagonist (Beta-1 blocker)
Term
Atenolol MOA:
Definition
Competitively inhibits Beta-1 receptors
Term
Atenolol is used clinically to treat:
Definition
Angina, hypertension, post-MI cardioprotection
Term
Adverse effects of atenolol include:
Definition
Bronchoconstriction with higher doses because of Beta-2 receptor blockade
Term
Rx-Rx interactions with atenolol:
Definition
1. Additive hypotensive effect with nitrates and antihypertensive drugs

2. Additive bradycardia with digoxin

3. Decreases effects of dopamine and dobutamine
Term
The generic name for Atro-Pen is:
Definition
Atropine
Term
Atropine belongs to this therapeutic class:
Definition
Anticholinergic agent
Term
Atropine is in this pharmacologic class:
Definition
Muscarinic receptor antagonists
Term
Atropine MOA:
Definition
Competitively inhibits all muscarinic receptors
Term
Atropine is used clinically to treat:
Definition
Bradycardia and atrioventricular block; IBS; anticholinesterase poisoning; antisecretory agent
Term
Adverse effects of atropine include:
Definition
Tachycardia; mydriasis and cycloplegia; warm, dry, flushed skin; delirium; hallucinations
Term
Rx-Rx interactions with atropine:
Definition
1. Additive anticholinergic effects with antihistamines (e.g. diphenhydramine)

2. Additive anticholinergic effect with tricyclic antidepressants (e.g. amitriptyline)

3. Slows absorption of other drugs by delaying gastric emptying
Term
The generic name for Dobutrex is:
Definition
Dobutamine
Term
Dobutamine belongs to this therapeutic class:
Definition
SympathoMIMETIC; cardiac stimulant
Term
Dobutamine belongs to this pharmacologic class:
Definition
Beta-1 receptor agonist
Term
Dobutamine MOA:
Definition
Activates Beta 1 > Beta 2 >> Alpha 1 receptors; increases cardiac contractility and cardiac output > heart rate
Term
Dobutamine is clinically used to treat:
Definition
Acute heart failure and cardiogenic shock
Term
Adverse effects of dobutamine include:
Definition
Tachycardia and arrhythmia
Term
Rx-Rx interactions with dobutamine:
Definition
Synergistic effect on cardiac output with nitroprusside
Term
The generic name of Tensilon is:
Definition
Edrophonium
Term
Edrophonium belongs to this therapeutic class:
Definition
Diagnostic agent
Term
Edrophonium belongs to this pharmacologic class:
Definition
Cholinesterase inhibitor
Term
Edrophonium MOA:
Definition
Reversibly binds and inhibits cholinesterase
Term
Edrophonium is clinically used for:
Definition
Diagnosis of myasthenia gravis; differential diagnosis of myasthenic crisis and cholinergic crisis
Term
Adverse effects of edrophonium include:
Definition
Muscarinic effects (e.g. SLUDGE, miosis, etc)
Term
The generic name for Adrenalin is:
Definition
Epinephrine
Term
Epinephrine belongs to this therapeutic class:
Definition
SympathoMIMETIC; bronchodilator; vasopressor
Term
Epinephrine belongs to this pharmacologic class:
Definition
Nonselective adrenergic agonist
Term
Epinephrine MOA:
Definition
Activates Alpha (a) and Beta (B) receptors increasing IP3 and cAMP:

a1: Vasoconstriction and increased blood pressure

B1: Increased heart rate, conduction, and contractility

B2: Vasodilation and decreased diastolic blood pressure; bronchodilation
Term
Epinephrine is clinically used to treat:
Definition
Cardiac arrest; ventricular fibrillation; anaphylactic shock; asthma; COPD
Term
Epinephrine adverse effects include:
Definition
Hypertension; tachycardia; ischemia; hyperglycemia
Term
The generic name for Dibenzyline is:
Definition
Phenoxybenzamine
Term
Phenoxybenzamine belongs to this therapeutic class:
Definition
Vasodilator
Term
Phenoxybenzamine belongs to this pharmacologic class:
Definition
Irreversible Alpha receptor antagonist
Term
Phenoxybenzamine MOA:
Definition
Inhibits Alpha-1 > Alpha-2 receptors
Term
Phenoxybenzamine is used clinically for:
Definition
Presurgical treatment of hypertension caused by pheochromocytoma
Term
Phenoxybenzamine adverse effects includes:
Definition
Postural hypotension
Term
Rx-Rx interactions with phenoxybenzamine include:
Definition
Hypotensive effect increased by beta blockers (e.g. atenolol) and calcium channel blockers (e.g. amlodipine, diltiazem, verapamil)
Term
The generic name for Regitine is:
Definition
Phentolamine
Term
Phentolamine belongs to this therapeutic class:
Definition
Vasodilator
Term
Phentolamine belongs to this pharmacologic class:
Definition
Alpha-receptor antagonist
Term
Phentolamine MOA:
Definition
Competitively inhibit alpha-1 and alpha-2 receptors (Non-selective, competitive inhibition of alpha receptors)
Term
Phentolamine is used clinically:
Definition
To counteract vasoconstriction caused by accidental injection or extravasation of vasoconstrictors; control of blood pressure during surgical removal or a pheochromocytoma
Term
Adverse effects of phentolamine include:
Definition
Hypotension
Term
Rx-Rx interactions of phentolamine include:
Definition
1. Severe hypotension if given with epinephrine

2. Blocks effects of alpha-adrenergic agonists
Term
The generic name for Neo-Synephrine is:
Definition
Phenylephrine
Term
Phenylephrine belongs to this therapeutic class:
Definition
Vasoconstrictor; decongestant
Term
Phenylephrine belongs to this pharmacologic class:
Definition
Selective alpha-1 receptor agonist
Term
Phenylephrine MOA:
Definition
Activates alpha-1 receptors, increasing IP3 and causing contraction of vascular smooth muscle
Term
Phenylephrine is clinically used:
Definition
Nasal and ocular decongestant; treatment of drug-induced hypotension and spinal shock; dilation of pupil for ophthalmoscopy
Term
Adverse effects of phenylephrine include:
Definition
Rebound nasal congestion; hypertension
Term
Rx-Rx interactions for phenylephrine include:
Definition
1. Severe hypertension if given with MAOIs

2. Vasopressor effect increased by tricyclic antidepressants
Term
The generic name for Salagen is:
Definition
Pilocarpine
Term
Pilocarpine belongs to this therapeutic class:
Definition
Antiglaucoma agent; sialagogue
Term
Pilocarpine belongs to this pharmacologic class:
Definition
Muscarinic receptor agonist
Term
Pilocarpine MOA:
Definition
Activates muscarinic receptors in ciliary muscle, increase aqueous humor outflow; activates muscarinic receptors in salivary gland, increasing salivation
Term
Pilocarpine is used clinically:
Definition
To treat glaucoma and dry mouth (xerostomia)
Term
Adverse effects of pilocarpine include:
Definition
Miosis, blurred vision (accommodative spasm)
Term
Rx-Rx interactions of pilocarpine include:
Definition
1. Additive effects with other cholinergic drugs

2. Effects decreased by atropine and other anticholinergic drugs
Term
What is the generic name for Protopam?
Definition
Pralidoxime
Term
Pralidoxime belongs to this therapeutic class:
Definition
Organophosphate antidote
Term
Pralidoxime belongs to this pharmacologic class:
Definition
Cholinesterase reactivator
Term
Pralidoxime MOA:
Definition
Binds phosphorus of organophosphate and breaks organophosphate bond with cholinesterase
Term
Pralidoxime is clinically used:
Definition
Treatment of organophosphate toxicity (reverses muscle weakness)
Term
Adverse effects of pralidoxime include:
Definition
When treating organophosphate poisoning it is difficult to differentiate the toxic effects of pralidoxime from those produced by atropine or organophosphate compounds
Term
Rx-Rx interactions for pralidoxime include:
Definition
When used with atropine, signs of atropinization occur earlier than when atropine is used alone
Term
The generic name for Inderal is:
Definition
Propranolol
Term
Propranolol belongs to this therapeutic class:
Definition
Sympatholytic; antihypertensive
Term
Propranolol belongs to this pharmacologic class:
Definition
Nonselective beta-receptor antagonist
Term
Propranolol MOA:
Definition
Competitively inhibits beta-1 and beta-2 receptors
Term
Propranolol is used clinically to treat:
Definition
Angina; hypertension; post-MI; cardiomyopathy; benign tremor; migraine prophylaxix; thyrotoxicosis
Term
Adverse effects of propranolol include:
Definition
Bronchoconstriction; inhibits glycogenolysis; nightmares and mood depression
Term
Rx-Rx interactions for propranolol include:
Definition
1. Additive hypotensive effect with nitrates and antihypertensive drugs

2. Additive bradycardia with digoxin

3. Decreases effects of dopamine and dobutamine

4. Unopposed alpha-adrenergic receptor stimulation with epinephrine and related drugs
Term
The generic name for Sudafed is:
Definition
Pseudoephedrine
Term
Pseudoephedrine belongs to this therapeutic class:
Definition
Decongestant
Term
Pseudoephedrine belongs to this pharmacologic class:
Definition
Indirect- and direct-acting adrenergic receptor agonist
Term
Pseudoephedrine MOA:
Definition
Increases release of norepinephrine and directly activates adrenergic receptors, causing vasoconstriction and cardiac stimulation
Term
Pseudoephedrine is used clinically:
Definition
Nasal decongestant for allergic and viral rhinitis
Term
Adverse effects of pseudoephedrine include:
Definition
Tachycardia; increased blood pressure; CNS stimulation
Term
Rx-Rx interactions for pseudoephedrine include:
Definition
Concurrent use with MAOIs may cause severe hypertension
Term
The generic name for Mestinon is:
Definition
Pyridostigmine
Term
Pyridostigmine belongs to this therapeutic class:
Definition
Antimyasthenic
Term
Pyridostigmine belongs to this pharmacologic class:
Definition
Cholinesterase inhibitor; cholinergic agonist
Term
Pyridostigmine MOA:
Definition
Reversibly inhibits cholinesterase
Term
Pyridostigmine is used clinically:
Definition
Treatment of myasthemia gravis; reversal of nondepolarizing neuromuscular blockers (curaiform drugs)
Term
Adverse effects of pyridostigmine include:
Definition
Muscarinic effects (e.g., miosis, salivation, etc.)
Term
Rx-Rx interactions for pyridostigmine include:
Definition
1. Prolongs effects of succinylcholine

2. Effects reduced by atropine, antidepressants, phenothiazine drugs, quinidine, and other drugs with anticholinergic effects
Term
The generic name for Zemuron is:
Definition
Rocuronium
Term
Rocuronium belongs to this therapeutic class:
Definition
Paralytic agent
Term
Rocuronium belongs to this pharmacologic class:
Definition
Nondepolarizing neuromuscular blocking agent
Term
Rocuronium MOA:
Definition
Competitively inhibits nicotinic receptors in skeletal muscle
Term
Rocuronium is used clinically:
Definition
Skeletal muscle relaxation for intubation, surgery, and electroconvulsive therapy
Term
Adverse effects of rocuronium include:
Definition
Respiratory muscle paralysis and apnea
Term
Rx-Rx interactions for rocuronium include:
Definition
Effects potentiated by anesthetics, calcium channel blockers, tetracycline, and aminoglycoside antibiotics
Term
The generic name for Viagra is:
Definition
Sildenafil
Term
Sildenafil belongs to this therapeutic class:
Definition
Vasodilator
Term
Sildenafil belongs to this pharmacologic class:
Definition
Phosphodiesterase inhibitor (PDEI)
Term
Sildenafil MOA:
Definition
Inhibits type 5 phosphodiesterase and degradation of cGMP, thereby increasing vasodilation in corpus cavernosum evoked by ACh released from sacral parasympathetic neurons
Term
Sildenafil is used clinically:
Definition
Treatment of erectile dysfunction
Term
Adverse effects of sildenafil include:
Definition
Headache; nasal congestion; back pain; visual disturbances
Term
Rx-Rx interactions for sildenafil include:
Definition
1. Potentiates vasodilation produced by organic nitrates

2. Concurrent use with organic nitrates can cause reflex tachycardia, angina, and death from myocardial ischemia

3. Serum levels increased by CYP 3A4 inhibitos
Term
The generic name for Anectine is:
Definition
Succinylcholine
Term
Succinylcholine belongs to this therapeutic class:
Definition
Paralytic agent
Term
Succinylcholine belongs to this pharmacologic class:
Definition
Depolarizing neuromuscular block
Term
Succinylcholine MOA:
Definition
Binds to nicotinic receptors, causing prolonged depolarization of skeletal muscle and paralysis
Term
Succinylcholine is used clinically:
Definition
Short-term skeletal muscle relaxation for intubation and surgery
Term
Adverse effects of succinylcholine include:
Definition
Respiratory muscle paralysis and apnea, especially in persons with rare atypical cholinesterase
Term
Rx-Rx interactions for succinylcholine include:
Definition
Neuromuscular blockade enhanced by aminoglycoside antibiotics, clindamycin, amphotericin B, quinidine, and cholinesterase inhibitors
Term
The generic name for Flomax is:
Definition
Tamsulosin
Term
Tamsulosin belongs to this therapeutic class:
Definition
Urological agent
Term
Tamsulosin belongs to this pharmacologic class:
Definition
Uroselective adrenergic alpha-1 antagonist
Term
Tamsulosin MOA:
Definition
Competitively blocks alpha-1a receptors in prostate
Term
Tamsulosin is used clinically:
Definition
Treatment of urinary outflow obstruction in men with benign prostatic hyperplasia
Term
Adverse effects of tamsulosin include:
Definition
Dizziness; headache; postural hypotension
Term
Rx-Rx interactions for tamsulosin include:
Definition
Cimetidine may increase blood levels and effects
Term
The generic name for Hytrin is:
Definition
Terazosin
Term
Terazosin belongs to this therapeutic class:
Definition
Antihypertensive agent; urologic agent
Term
Terazosin belongs to this pharmacologic class:
Definition
Selective alpha-1 antagonist
Term
Terazosin MOA:
Definition
Competitively blocks alpha-1 receptors
Term
Terazosin is used clinically:
Definition
Treatment of hypertension; treatment of outflow obstruction in men with benign prostatic hyperplasia
Term
Adverse effects of terazosin include:
Definition
Hypotension; "first-dose" syncope
Term
Rx-Rx interactions for terazosin include:
Definition
Additive hypotensive effect with diuretics and other antihypertensive drugs
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