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Exam 3 Cardio 2
Brand & Generic
86
Pharmacology
Graduate
03/16/2011

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Cards

Term
α-Methyldopa - Alpha-two receptor Agonists - leads to inactivation of of NE
Definition
(Aldomet) (false transmitter)
Term
Clonidine - Alpha-two receptor Agonists
stops release of NE when bind to A2
Definition
(Catapres)
Term
Tolterodine - Overactive Bladder
block M3 receptors
relax the detrussor muscle and constrict the trigone sphincter
Definition
(Detrol)
Term
Oxybutynin - Overactive Bladder
block M3 receptors
relax the detrussor muscle and constrict the trigone sphincter
Definition
(Ditropan)
Term
Darifenacin - Overactive Bladder
block M3 receptors
relax the detrussor muscle and constrict the trigone sphincter
Definition
(Enablex)
Term
Solifenacin - Overactive Bladder
block M3 receptors
relax the detrussor muscle and constrict the trigone sphincter
Definition
(Vesicare)
Term
Aliskiren - Direct Renin Inhibitor
treatment of hypertension - not CHF
TERATOGENIC, angioedema
Definition
Tekturna
Term
Hydralazine
vasodilation- NO SNS effects
LUPUS - like symptoms
Definition
Apresoline
Term
Sodium nitroprusside
potent vasodilation; given IV bc of short onset of duration
doesn't require endothelium to convert to NO
light breaks it down
Definition
Nipride
Term
Fenoldopam- DA 1 selective agonist
dilation of BV
SX: hypoTN, reflex tachy, HA, flushing & N
Definition
Corlopam
Term
Minoxidil
potent vasodilation
causes high h2o retention (pt will need to take BB + loop)
possible peri<3 effusion
Definition
Loniten
Term
Diazoxide
vasodilation - similar structure to thiazide
ON on BV
Definition
Hyperstat
Term
Epoprostenol - Prostaglandin Analogs
rapidly hydrolyzed at neutral pH in blood and is also subject to enzymatic degradation --> IV
Definition
Flolan
Term
Iloprost - Prostaglandin Analogs
6-9 QD
Inhalation
Definition
Ventavis
Term
Treprostinil - Prostaglandin Analogs
rapidly and completely absorbed during continuous subcutaneous infusion. It is metabolized by the liver
Definition
Remodulin
Term
Terbutaline
beta2 adrenergic agonist
Definition
(Brethine, Bricanyl) β2
Term
Albuterol
beta2 adrenergic agonist
Definition
(Ventolin, Proventil) β2
Term
Salmeterol
beta2 adrenergic agonist
Definition
(Serevent) β2
Term
Ritodrine
beta2 adrenergic agonist
Definition
(Yutopar) β2
Term
Phenylephrine
Definition
(Neosynephrine) α1
Term
Oxymetazoline
Definition
(Afrin) α1
Term
alpha-methytyrosine / metyrosine
adrenergic antagonist
for pheochromocytoma (not HTN)
interferes with synthesis of catecholamines
Definition
Demser
Term
α-Methyldopa

alpha1 adrenergic antagonist
for HTN
interferes with synthesis of catecholamines
Definition
(Aldomet) α2
Term
Guanabenz
Definition
(Wytensin) α2
Term
Guanfacine
Definition
(Tenex) α2
Term
Apraclonidine
Definition
(Iopidine) α2
Term
Brimonidine
Definition
(Alphagan P) α2
Term
Indirect-acting Agents
Definition
a. Amphetamine
b. Tyramine
c. Cocaine
d. MAOIs
Term
Ephedrine
Definition
α1, α2, β1, β2 plus some indirect
Term
Dopamine
adrenergic agonist
D1 > beta1 > alpha1
(vasodilation > +chronotropy, inotropy > vasoconstriction)
Definition
(Intropin) D1, β1, α1 plus some indirect
Term
Dorzolamide
Definition
(Trusopt)
Term
Brinzolamide
Definition
(Azopt)
Term
Latanaprost
Definition
(Xalatan)
Term
Travoprost
Definition
(Travatan)
Term
Bimatoprost
Definition
(Lumigan)
Term
Prazosin - Alpha Receptor Blocking Agents -- Selective -blood pressure
Dilate vessels, decrease venous return and cardiac output
Definition
Minipress α1B
Term
Terazosin - Alpha Receptor Blocking Agents -
Selective
Dilate vessels, decrease venous return and cardiac output
Definition
Hytrin α1 A & B (same)
Term
Doxazosin - Alpha Receptor Blocking Agents
Selective
Dilate vessels, decrease venous return and cardiac output
Definition
Cardura α1 A & B (same)
Term
Tamsulosin - Alpha Receptor Blocking Agents - - Selective BPH
Definition
Flomax α1A
Term
Alfuzosin - Alpha Receptor Blocking Agents
Selective
Alpha 1 A
Definition
Uroxatrol α1A
Term
Silodosin - Alpha Receptor Blocking Agents
Selective
Definition
Rapaflo α1A
Term
Sildenafil - PAH
improve exercise ability and delay clinical worsening
inhibitor of PDE5 - increases cGMP - dilation/ relaxation
don't take with nitrates
Definition
Revatio (Viagra)
Term
Tadalafil - PAH
improve exercise ability and delay clinical worsening
inhibitor of PDE5 - increases cGMP - dilation/ relaxation
don't take with nitrates or alpha blockers or nitrates or other HTN meds
Definition
Adcirca (Cialis)
Term
Quinidine - NaCB Ia
proarrhythmic- concerns with torsades, could double dig lvl & increase coumadin activities (dec K Factors)
Block nicotinc receptor in skeletal muscle – myasthenia-like symptoms
Definition
Quinora, Quinidex, Cardioquin
Term
Procainamide - NaCB Ia
not as much antivagal effects, some lupus like syndrome
Definition
Pronestyl, Procan SR
Term
Disopyramide - NaCB Ia
no alpha blocking (possible peri constriction/resistance)
most anti-vagal & neg inotrophic activity
anticholingeric effects!!!!sea
Definition
Norpace
Term
Lidocaine - NaCB Ib
extensive first pass- IV
minimal adverse effects, some CNS (DROWSINESS) , no heart
Definition
Xylocaine
Term
Mexilitine - NaCB Ib
oral
Definition
Mexitil
Term
Flecainide - NaCB Ic
sig neg inotropic effects - slow vent & AV conduction
inc 15% dig levels
Definition
Tambocor
Term
Propafenone - NaCB Ic
has BB & CCB effects
Definition
Rhythmol
Term
Quinine - NaCB
Definition
(not used for arrhythmias but compared to quinidine)
Term
Propranolol - BB II reduces mortality
NS, MSA
Definition
Inderal
Term
Acebutolol - BB II reduces mortality
B1, MSA, ISA
Definition
Sectral
Term
Esmolol - BB II reduces mortality
B1, ISA
t 1/2 9 mins- rapidly metabolized by RBC esterase- IV for PSVT
Definition
Brevibloc
Term
Amiodarone - Prolong APD III
lots of effects- blocks, K, Na, C, beta & alpha
t1/2- 30-60 days, no torsades, causes AIPT- pulm fibrosis
inc dig & coumadin levels
Definition
Cordarone
Term
Dronedarone - Prolong APD III
new non-iodinated compound
shorter t1/2, less soluble, thyroid effects & pulm fibrosis
Definition
Multaq
Term
Sotalol - Prolong APD III
oldest drug & BB
block K channels, prolong QT, NS BB abilities
Definition
Betapace
Term
Ibutilide - Prolong APD III - pure
open slow Na @ early phase 3- prolong QT
Definition
Corvert
Term
Dofetilide - Prolong APD III - pure
blocks I_kr (rapid outward rectifying K)
no effect on PR/QRS
proarrhythmic drug- dangerous
Definition
Tikosyn
Term
Verapamil - CCB IV
for SVA
Definition
Isoptin, Calan, Verelan
Term
Adenosine - antiarrhythmia agent
Effects on A1 (<3 tissue) & 2 (endothelium on BV)
effects similar to ACH, t1/2 1.5 sec, injected
Definition
Adenocard
Term
Atropine - antiarrhythmia agent
Definition
Other Antiarrhymic
Term
Guanfacine - Alpha-two receptor Agonists
Definition
Tenex, Intuniv
Term
Guanabenz - Alpha-two receptor Agonists
Definition
Wytensin
Term
Finasteride
BPH- 5-alpha reductase inhibitors
Definition
Proscar, Propecia
Term
Dutasteride
BPH- 5-alpha reductase inhibitors
Definition
Avodart
Term
Trospium - Overactive Bladder
Definition
Sanctura
Term
Fesoterodine - Overactive Bladder
Definition
Toviaz
Term
Flavoxate - Overactive Bladder
Definition
Urispas
Term
Trimethaphan camsylate
vasodilation
Definition
Afronad
Term
Nesiritide - Atrial natriuretic agonist
Definition
Natrecor
Term
Right ventricular failure, peripheral edema, ascites, hepatic congestion - PAH supporting
Definition
Loop diuretics, Metolazone (Zaroxolyn), Potassium-sparing Agent
Term
Inotropic agent to support heart failure - supporting PAH treatment
Definition
Digoxin
Term
Chronic pulmonary thromboembolism
- supporting PAH treatment
Definition
Coumadin
Term
Vascular-targeted treatment directed at reversing or decreasing vasoconstriction, vascular endothelial cell proliferation and smooth muscle cell proliferation
- supporting PAH treatment
Definition
Prostaglandin Analogs
Endothelin Receptor Antagonists
PDE-5 Inhibitors
Term
Bosentan - PAH
first oral endothelin receptor antagonist
Definition
Tracleer
Term
Ambrisentan - ETA receptor antagonist
High affinity
Definition
Letairis
Term
Tocainide - NaCB Ib
oral agent
Definition
Tonocard
Term
Diltiazem - CCB IV
Definition
Cardizem
Term
Digoxin - antiarrhythmia agent
Definition
Lanoxin
Term
Phentolamine - Non-selective alpha blocker
vasodilation
Definition
Vasomax , Regitine , Z-Max
Term
what are lupus like symptoms
Definition
arthralgia, pericarditis, pulmonary complications and hepatomegaly
Term
anticholinergic effects
Definition
glaucoma, constipation, dry mouth/eyes, urinary retention & blurred vision.
Term
Class 1a-
Definition
Moderate Na blockade
inc APD bc of K blockade - prolong QT
Term
Class 1b
Definition
Weak Na blockade
dec APD bc of inc K permeability
Term
Class 1c
Definition
Strong Na blockade - depresses phase 0
no effect on K blockade/permeability (normal APD)
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