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Low Yield Pharm One-Liners
LECOM
582
Health Care
Professional
02/11/2013

Additional Health Care Flashcards

 


 

Cards

Term
NSAID contraindicated in gout
Definition
Aspirin
Term
The selective agents loose their selectivity at
Definition
high doses
Term
Routes of administration of heparin
Definition
IV and subQ
Term
Scabicide organophosphate
Definition
Malathion
Term
Common side effect of hypnotic agents
Definition
Sedation
Term
Anti-seizure medication also used in the prevention of migraines
Definition
Valproic acid
Term
Another pneumonic for anticholinergic toxicity
Definition
"dry as a bone, red as a beet, mad as a hatter, hot as a hare, blind as a bat"
Term
Clinical response that may fluctuate in tx of Parkinson's dx
Definition
"On-off-phenomenon"
Term
Antidote used for carbon monoxide poisoning
Definition
100% O2 and hyperbaric O2
Term
Usual time needed for full effect of antidepressant therapy
Definition
2 to 3 weeks
Term
Period of time of therapy after which GC therapy will need to be tapered
Definition
5-7 days
Term
Pyrimidine analog that causes "Thiamine-less death" given with leucovorin rescue
Definition
5-flouracil (5-FU)
Term
Analog of hypoxanthine, needs HGPRTase for activation
Definition
6-mercaptopurine (6-MP)
Term
Block glycoprotein IIb/IIIa involved in platelet cross-linking
Definition
Abciximab, tirofiban and eptifibatide
Term
Lacrimation, rhinorrhea, yawning, sweating, weakness, gooseflesh, nausea, and vomiting, tremor, muscle jerks, and hyperpnea are signs of this syndrome
Definition
Abstinence syndrome
Term
Alpha-glucosidase inhibitor associated with elevation of LFT's
Definition
Acarbose
Term
Examples of alpha-glucosidase inhibitors (AGI)
Definition
Acarbose, miglitol
Term
These beta blockers are less lipid soluble
Definition
Acebutolol and atenolol
Term
This diuretic decreases aqueous secretion due to lack of HCO3- ion. Causes drowsiness and paresthesias, alkalinization of the urine may precipitate calcium salts, hypokalemia, acidosis
Definition
Acetazolamide
Term
Carbonic anhydrase inhibitor
Definition
Acetazolamide
Term
Clinical use for H2 blockers
Definition
Acid reflux disease, duodenal ulcer and peptic ulcer disease
Term
Drugs available in combination with metformin
Definition
Acroplus Met progutazone and metformin, Janumet and Janumet XR Sitagliptin and Metformin, Glyburide, glipizide, and rosiglitazone
Term
MOA of AGI's
Definition
Act on intestine, delay absorption of glucose
Term
Adenosine's MOA
Definition
Activates acetylcholine sensitive K+ channels in SA and AV node
Term
Barbiturates may precipitate this hematologic condition
Definition
Acute intermittent porphyria
Term
The most common type of drug interaction of sedative hypnotics with other depressant medications
Definition
Additive CNS depression
Term
Anti-arrhythmic with <10 second duration of action
Definition
Adenosine
Term
DOC for paroxysmal supraventricular tachycardia (PSVT)
Definition
Adenosine
Term
Neurotoxicity with isoniazid (INH) prevented by
Definition
Administration of Vit. B6 (pyridoxine)
Term
ABVD regimen used for HD, but appears less likely to cause sterility and secondary malignancies than MOPP
Definition
Adriamycin (doxorubicin) +bleomycin, vinblastine +dacarbazine
Term
MOA for Valproic acid at high doses
Definition
Affect calcium, potassium, and sodium channels
Term
Strength of interaction between drug and its receptor
Definition
Affinity
Term
Carbamazepine may cause
Definition
Agranulocytosis
Term
Short acting Beta 2 agonists that is drug of choice in treatment of acute asthma but not recommended for prophylaxis
Definition
Albuterol
Term
Agent that is teratogen and causes a fetal syndrome
Definition
Alcohol
Term
Rate limiting step of alcohol metabolism
Definition
Aldehyde dehydrogenase
Term
Agent that metabolize acetaldehyde to acetate
Definition
Aldehyde dehydrogenase
Term
Available bisphosphonates
Definition
Alendronate, etidronate, risedronate, pamidronate, tiludronate, and zoledronic acid
Term
Antidote for salicylate intoxication
Definition
Alkalinize urine, dialysis
Term
MOA of cisplatin
Definition
Alkylating agent
Term
Some cell cycle non-specific drugs
Definition
Alkylating agents (eg., mechlorethamine, cyclophosphamide), antibiotics (doxorubicin, daunorubicin), cisplatin, nitrosourea
Term
Drug used concurrently with toxic anticancer agents to reduce renal precipitation of urates
Definition
Allopurinol
Term
Benzodiazepines that are the most effective in the treatment of panic disorder
Definition
Alprazolam and Clonazepam
Term
MOA of gold salts
Definition
Alter activity of macrophages and suppress phagocytic activity of PMNs
Term
Enhances dopaminergic neurotransmission SE's include CNS excitation, acute toxic psychosis and livedo reticularis
Definition
Amantadine
Term
Antidote for thrombolytics
Definition
Aminocaproic acid
Term
Inhibits conversion of cholesterol to pregnenolone therefore inhibiting corticosteroid synthesis
Definition
Aminoglutethimide
Term
Antiarrhythmic effective in most types of arrhythmia
Definition
Amiodarone
Term
Class III antiarrhythmic that exhibits properties of all 4 classes
Definition
Amiodarone
Term
TCA used in chronic pain, a hypnotic, and has marked antimuscarinic effects
Definition
Amitriptyline
Term
Antidepressant associated with neuroleptic malignant syndrome
Definition
Amoxapine
Term
Phenylisopropylamines that are used legitimately and abused for narcolepsy, attention deficit disorder, and weight reduction
Definition
Amphetamines
Term
Tolerance is marked and abstinence syndrome occurs
Definition
Amphetamines
Term
Phosphodiesterase inhibitors that increase mortality and have been found to have NO beneficial effects
Definition
Amrinone and milrinone
Term
Neurologic SE of benzodiazepines
Definition
Anterograde amnesia
Term
Toxicity of anticholinergics
Definition
Anti-DUMBBELSS
Term
Four main actions of NSAIDS
Definition
Anti-inflammatory, analgesia, antipyretic and antiplatelet activity
Term
SE for Felbamate
Definition
Aplastic anemia and acute hepatic failure
Term
SE of penicillamine
Definition
Aplastic anemia and renal
Term
Selective alpha agonists that decreases aqueous secretion
Definition
Apraclonidine, brimonidine
Term
Primary endogenous substrate for Nitric Oxidase Synthase
Definition
Arginine
Term
Nitroprusside vasodilates
Definition
Arteries and veins
Term
Inhibit synaptic activity of primary afferents and spinal cord pain transmission neurons
Definition
Ascending pathways
Term
Agent used to treat MI and to reduce incidence of subsequent MI
Definition
Aspirin
Term
Cutaneous flush due to niacin can be reduced by pretreatment with
Definition
Aspirin
Term
Irreversible, nonselective COX inhibitor
Definition
Aspirin
Term
Difference between aspirin and other NSAIDS
Definition
Aspirin irreversibly inhibits cyclooxygenase
Term
Drugs used in the management of angina
Definition
Aspirin, Nitrates, CCB, and Beta blockers
Term
Beta-blockers should be used cautiously in
Definition
Asthma (bronchospastic effects), diabetes (block signs of hypoglycemia) and peripheral vascular disease
Term
Agent undergoing Hofmann elimination (breaking down spontaneously)
Definition
Atracurium
Term
Digoxin is used in
Definition
Atrial fibrillation and CHF
Term
Treatment of muscarinic symptoms in organophosphate overdose
Definition
Atropine
Term
Endogenous substances commonly interpreted as histamine, serotonin, prostaglandins, and vasoactive peptides
Definition
Autocoids
Term
HIV med used to reduce transmission during birth
Definition
AZT (zidovudine)
Term
Lactam that can be used in PCN allergic patients
Definition
Aztreonam
Term
GABA agonist in the spinal cord
Definition
Baclofen
Term
Anti-arrhythmics that decrease mortality
Definition
B-blockers
Term
Class II antiarrhythmics are
Definition
B-blockers
Term
Site of action for zaleplon and zolpidem
Definition
Benzodiazepine receptor BZ1 (although are not considered benzodiazepines)
Term
MOA utilizes ligand gated ion channels
Definition
Benzodiazepines and calcium channel blockers
Term
Agent decreases the excitatory actions of cholinergic neurons. May improve tremor and rigidity but have LITTLE effect on bradykinesia. Atropine-like side effects
Definition
Benztropine
Term
Antidote for severe CV toxicity of theophylline
Definition
Beta blockers
Term
Clinical uses of these agents include treatment of HTN, angina, arrhythmias, and chronic CHF
Definition
Beta blockers
Term
Toxicity of these agents include bradycardia, AV blockade, exacerbation of acute CHF, signs of hypoglycemia may be masked (tachycardia, tremor, and anxiety)
Definition
Beta blockers
Term
B-blockers that are more cardioselective
Definition
Beta C2001-selective blockers
Term
These agents increase blood flow and may be beneficial in treatment of acute heart failure and some types of shock
Definition
Beta1 agonists
Term
Block cardiac adverse effects of thyrotoxicosis such as tachycardia, inhibits the conversion of T4 to T3
Definition
Beta-blockers such as propranolol
Term
Long acting GC's
Definition
Betamethasone, dexamethasone, and paramethasone
Term
Decrease intestinal absorption of cholesterol
Definition
Bile acid-binding resins
Term
Cholestyramine and colestipol are
Definition
Bile acid-binding resins
Term
MOA of nystatin
Definition
Bind ergosterol in fungal cell membrane
Term
The fraction of administered dose of a drug that reaches systemic circulation
Definition
Bioavailability (F)
Term
SE of both warfarin and heparin
Definition
Bleeding
Term
Some cell cycle specific anti-cancer drugs
Definition
Bleomycin, vinca alkaloids, antimetabolites (eg., 5-FU, 6-MP, methotrexate, etoposide)
Term
MOA of penicillin
Definition
Block cell wall synthesis by inhibiting peptidoglycan cross-linkage
Term
MOA of local anesthetics (LA's)
Definition
Block voltage-dependent sodium channels
Term
SE of demeclocycline
Definition
Bone marrow and teeth discoloration for children under 8 years of age
Term
Peptide causing increased capillary permeability and edema
Definition
Bradykinin and histamine
Term
Ergot alkaloid that is a partial agonist at D2 receptors in the brain, used for patients who are refractory or cannot tolerate levodopa, causes erythromelalgia
Definition
Bromocriptine
Term
Partial opioid agonist, considered a strong analgesic, has a long duration of action and is resistant to naloxone reversal
Definition
Buprenorphine
Term
Agent that is a partial agonist for the 5-HT1A receptor
Definition
Buspirone
Term
Drug of choice for generalized anxiety disorder, NOT effective in acute anxiety
Definition
Buspirone
Term
Withdrawal from this drug causes lethargy, irritability, and headache
Definition
Caffeine
Term
Used especially in postmenopausal women, dosage should be 1500 mg
Definition
Calcium
Term
Block L-type calcium channel
Definition
Calcium channel blockers
Term
MOA of class IV antiarrhythmics
Definition
Calcium channel blockers
Term
MOA for Ethosuximide
Definition
Calcium channels
Term
Used for prevention of postmenopausal osteoporosis in women
Definition
Calcium reguators Bisphosphonates: alendronate, risedronate, ibandronate, Estrogen (HRT-Hormone replacement therapy)
Term
Anti-seizure agent that induces formation of liver drug-metabolism enzymes, is teratogen and can cause craniofacial anomalies and spina bifida
Definition
Carbamazepine
Term
Anti-seizure drugs used also for Trigeminal neuralgia
Definition
Carbamazepine
Term
Anti-seizure drugs used as alternative drugs for mood stabilization
Definition
Carbamazepine, gabapentin, lamotrigine, and valproic acid
Term
PCN active against pseudomonas
Definition
Carbenicillin, piperacillin and ticarcillin
Term
This is combined with L-dopa, inhibits DOPA decarboxylase (active only peripherally) which allows lower effective doses of L-dopa and allows for fewer SE's (GI distress, postural hypotension, and dyskinesias)
Definition
Carbidopa
Term
Agent similar to cisplatin, less nephrotoxic, but greater myelosuppression
Definition
Carboplatin
Term
Lithium is associated with this congenital defect
Definition
Cardiac anomalies and is contraindicated in pregnancy or lactation
Term
Nitrosoureas with high lipophilicity, used for brain tumors
Definition
Carmustine (BCNU) and lomustine (CCNU)
Term
Reason fluoroquinolones are contraindicated in children and pregnancy
Definition
Cartilage damage
Term
Agent used in CHF that is a selective alpha and nonselective beta blocker
Definition
Carvedilol
Term
Cephalosporins able to cross the BBB
Definition
Cefixime (2nd) and 3rd generation
Term
Cephalosporin causes kernicterus in neonates
Definition
Ceftriaxone or cefuroxime
Term
Newer NSAIDs that selectively inhibit COX-2
Definition
Celecoxib and rofecoxib
Term
Drug that selectively inhibits COX 2
Definition
Celecoxib, valdecoxib, and rofecoxib
Term
Class of antibiotics that have 10% cross sensitivity with penicillins
Definition
Cephalosporins
Term
SE of tPA
Definition
Cerebral hemorrhage
Term
Major SE of bisphosphonates
Definition
Chemical esophagitis
Term
Drug that causes gray baby syndrome and aplastic anemia
Definition
Chloramphenicol
Term
Longer acting benzodiazepines used in the management of withdrawal states of alcohol and other drugs
Definition
Chlordiazepoxide and Diazepam
Term
1st generation antihistamine that is least sedating
Definition
Chlorpheniramine or cyclizine
Term
Sulfonylurea NOT recommended for elderly because of very long half life
Definition
Chlorpropamide
Term
First generation sulfonylurea
Definition
Chlorpropamide, tolbutamide, tolazamide, etc.
Term
During Phase I these agents worsen the paralysis by succinylcholine, but during phase II they reverse the blockade produced by succinylcholine
Definition
Cholinesterase inhibitors
Term
Reversal of blockade by neuromuscular blockers
Definition
Cholinesterase inhibitors
Term
Chemical antagonists that bind to the inhibitor of ACh Estrace and displace the enzyme (if aging has not occurred)
Definition
Cholinesterase Regenerators
Term
Toxicities include nephrotoxicity and ototoxicity, leading to a severe interaction with aminoglycosides
Definition
Cisplatin
Term
Except for these agents all SSRI have significant inhibition of CytP450 enzymes
Definition
Citalopram and its metabolite escitalopram
Term
Class of anti-arrhythmics that has a pro-arrhythmic effect (CAST trial), therefore are used as last line agents
Definition
Class IC (flecainide, propafenone, moricizine)
Term
Beta blockers are used for which type of anginal attack
Definition
Classic
Term
The ratio of the rate of elimination of a drug to its plasma concentration
Definition
Clearance (CL)
Term
Drug notorious for causing pseudomembranous colitis
Definition
Clindamycin
Term
Antiestrogen drugs used for fertility and breast cancer respectively
Definition
Clomiphene and tamoxifen
Term
TCA used in obsessive compulsive disorder (OCD), most significant of TCA's for risk of seizure, weight gain, and neuropsychiatric signs and symptoms
Definition
Clomipramine
Term
Example of three antidepressants that are indicated for obsessive compulsive disorder
Definition
Clomipramine, fluoxetine and fluvoxamine
Term
Benzodiazepine that has efficacy against absence seizures and in anxiety states, such as agoraphobia
Definition
Clonazepam
Term
Presynaptic Alpha 2 agonist used in HTN
Definition
Clonidine, and methyldopa
Term
Effective in preventing TIA's
Definition
Clopidogrel and ticlopidine
Term
Regimen used for breast cancer
Definition
CMF (cyclophosphamide, methotrexate, and fluorouracil) and tamoxifen if ER+
Term
Additive effects when Sedative-Hypnotics used in combination with these agents
Definition
CNS depressants
Term
Most important toxic effects of most local anesthetics
Definition
CNS toxicity
Term
Local anesthetic with vasoconstrictive property, favored for head, neck, and pharyngeal surgery
Definition
Cocaine
Term
Commonly abused LA which has cardiovascular toxicity including severe hypertension with cerebral hemorrhage, cardiac arrhythmias, and myocardial infarction
Definition
Cocaine
Term
Overdoses of this agent with powerful vasoconstrictive action may result in fatalities from arrhythmias, seizures, respiratory depression, or severe HTN (MI and stroke)
Definition
Cocaine "super-speed"
Term
These LA's have surface activity
Definition
Cocaine and benzocaine
Term
Three C's associated with TCA toxicity
Definition
Coma, Convulsions, Cardiac problems (arrhythmias and wide QRS)
Term
Constant low dose of estrogen and increasing dose of progestin for 21 days (last 5 days are sugar pills or iron prep)
Definition
Combination oral contraceptives (OC)
Term
Ability to bind reversibly to the same site as the drug and without activating the effector system
Definition
Competitive antagonist
Term
Regimen used for non-Hodgkin's lymphoma
Definition
COP (cyclophosphamide, oncovin(vincristine), and prednisone)
Term
Drugs that can be used for infantile spasms
Definition
Corticosteroids
Term
Short acting GC's
Definition
Cortisone and hydrocortisone (equivalent to cortisol)
Term
Difference between COX 1 and COX 2
Definition
COX 1 is found throughout
the body and COX 2 is only
in inflammatory tissue
Term
Plasma concentration of a drug at a given time
Definition
Cp
Term
Toxicity caused by nitroprusside and treatment
Definition
Cyanide toxicity treated with sodium thiosulfate
Term
Agent used for acute muscle spasm
Definition
Cyclobenzaprine
Term
Anticancer drug also used in RA, produces acrolein in urine that leads to hemorrhagic cystitis
Definition
Cyclophosphamide
Term
H1 blocker that is also a serotonin antagonist
Definition
Cyproheptadine
Term
Anti-androgen used for hirsutism in females
Definition
Cyproterone acetate
Term
T3 compound less widely used
Definition
Cytomel
Term
Drug of choice for leprosy
Definition
Dapsone
Term
Most inhaled anesthetics SE
Definition
Decrease arterial blood pressure
Term
MOA of metformin
Definition
Decreases hepatic glucose production and intestinal glucose absorption; increase insulin sensitivity
Term
MOA of tetracycline
Definition
Decreases protein synthesis by inhibiting 30S ribosome
Term
Antidote used for iron salt toxicity
Definition
Deferoxamine
Term
Chelating agent used in acute iron toxicity
Definition
Deferoxamine
Term
Antivirals that are teratogens
Definition
Delavirdine, efavirenz, and ribavirin
Term
Used for SIADH
Definition
Demeclocycline
Term
Common mechanism by which overdose result in death
Definition
Depression of medullary and cardiovascular centers
Term
SE of gold salts
Definition
Dermatitis of the mouth aplastic anemia and agranulocytosis
Term
Pungent inhaled anesthetic which leads to high incidence of coughing and vasospasm
Definition
Desflurane
Term
Amphetamine agents
Definition
Dextroamphetamines and methamphetamine
Term
These agents are used as antitussive
Definition
Dextromethorphan, Codeine
Term
Benzodiazepine with useful relaxant effects in skeletal muscle spasticity of central origin
Definition
Diazepam
Term
DOC for status epilepticus
Definition
Diazepam
Term
Facilitates GABA presynaptic inhibition
Definition
Diazepam
Term
Agents having active metabolites, long half lives, and a high incidence of adverse effects
Definition
Diazepam, Flurazepam, chlordiazepoxide, and clorazepate
Term
NSAID also available as an ophthalmic preparation
Definition
Diclofenac
Term
Reduce transient hyper GI motility
Definition
Dicyclomine, methscopolamine
Term
Anti-viral with a dose limiting toxicity of pancreatitis
Definition
Didanosine
Term
Antidote for digoxin toxicity
Definition
Digibind
Term
Antidote used for digitalis toxicity
Definition
Digibind (also need to d/c digoxin, normalize K+, and lidocaine if pt. Is arrhythmic)
Term
Drug used supraventricular arrhythmias
Definition
Digoxin
Term
H1 antagonist used in motion sickness
Definition
Dimenhydrinate, meclizine, and other 1st generation
Term
Antidote for arsenic, mercury, and gold poisoning
Definition
Dimercaprol
Term
Antidote for severe lead poisoning
Definition
Dimercaprol + CaEDTA (edetate calcium disodium)
Term
Antidote used for lead poisoning
Definition
Dimercaprol, EDTA
Term
These agents are used as antidiarrheal
Definition
Diphenoxylate, Loperamide
Term
Prevents thrombosis in patients with artificial heart valve
Definition
Dipyridamole
Term
Agent used in the treatment of alcoholism, if alcohol is consumed concurrently, acetaldehyde builds up and results in nausea, headache, flushing, and hypotension
Definition
Disulfiram
Term
Agents that inhibit aldehyde dehydrogenase
Definition
Disulfiram, metronidazole, certain sulfonylureas and cephalosporins
Term
Metronidazole SE if given with alcohol
Definition
Disulfiram-like reaction
Term
Beta 1 agonists used in acute CHF
Definition
Dobutamine and dopamine
Term
5ht-3 antagonist that has been MOST associated with QRS and QTc prolongation and should not be used in patients with heart disease
Definition
Dolasetron
Term
These agents are congeners of Amphetamine
Definition
DOM, STP, MDA, and MDMA "ecstasy"
Term
TCA with greatest sedation of this group, and marked antimuscarinic effects, used for sleep
Definition
Doxepin
Term
Antiglaucoma organophosphate
Definition
Echothiophate
Term
Median effective dose required for an effect in 50% of the population
Definition
ED50
Term
SE of Thiazolindinediones
Definition
Edema, mild anemia; interaction with drugs that undergo CytP450 3A4 metabolism; if used over one year, bladder Cancer; with CHF, may cause new or worsening CHF
Term
Indirect-Acting ACh Agonist, alcohol, short DOA and used in diagnosis of myasthenia gravis
Definition
Edrophonium
Term
Population group especially sensitive to side effects of antidepressants
Definition
Elderly patients
Term
Inhaled anesthetics are myocardial depressants
Definition
Enflurane and halothane
Term
Inhibitors of catechol-O-methyltransferase (COMT), used as adjuncts in Parkinson's dx and cause acute hepatic failure (monitor LFT's)
Definition
Entacapone and Tolcapone
Term
Long acting sympathomimetic, sometimes used to improve urinary continence in children and elderly with enuresis
Definition
Ephedrine
Term
Nonselective alpha agonists that increases outflow, probably via the uveoscleral veins
Definition
Epinephrine, dipivefrin
Term
DOC for Legionnaires' disease
Definition
Erythromycin
Term
Antidote used for beta agonist toxicity (eg. Metaproterenol)
Definition
Esmolol
Term
This parenteral beta blocker is a short acting
Definition
Esmolol
Term
Used intravenously for acute arrhythmias during surgery
Definition
Esmolol
Term
Slightly increased risk of breast cancer, endometrial cancer, heart disease (questionable), has beneficial effects on bone loss
Definition
Estrogen
Term
Agent that competes for alcohol dehydrogenase in the case of methanol overdose
Definition
Ethanol
Term
Agent with zero-order kinetics
Definition
Ethanol
Term
Antidote used for methanol and ethylene glycol
Definition
Ethanol
Term
Estrogen mostly used in oral contraceptives (OC)
Definition
Ethinyl estradiol and mestranol
Term
Bisphosphonates that cannot be used on continuous basis because it caused osteomalacia
Definition
Etidronate
Term
The most important sign of withdrawal syndrome
Definition
Excessive CNS stimulation (seizures)
Term
Class of drugs that works by inhibiting absorption of intestinal cholesterol and can be given concurrently with the Statins
Definition
Ezetimibe (Zetia)
Term
Agent to treat hypochromic microcytic anemias
Definition
Ferrous sulfate
Term
5 alpha-reductase inhibitor used for benign prostatic hyperplasia (BPH) and male pattern baldness
Definition
Finasteride (Proscar and Propecia respectively)
Term
Generation of antihistamine that has the most CNS effects
Definition
First generation due to being more lipid-soluble
Term
Constant percentage of substrate metabolized per unit time
Definition
First order kinetics
Term
The elimination of drug that occurs before it reaches the systemic circulation
Definition
First pass effect
Term
SE of AGI's
Definition
Flatulence (do not use beano to tx), diarrhea, abdominal cramps
Term
Mineralocorticoids
Definition
Fludrocortisone and deoxycorticosterone
Term
Toxic to the liver, kidney, lungs, bone marrow, peripheral nerves, and cause brain damage in animals, sudden death has occurred following inhalation
Definition
Fluorocarbons and Industrial solvents
Term
SSRI with long T1/2 and can be administered once weekly for maintenance, not acute tx
Definition
Fluoxetine
Term
SSRI's less likely to cause a withdrawal syndrome
Definition
Fluoxetine
Term
SSRI indicated for premenstrual dysphoric disorder
Definition
Fluoxetine (Sarafem)
Term
Anti-psychotics available in depot preparation
Definition
Fluphenazine and haloperidol
Term
Anti-androgen used for prostate cancer
Definition
Flutamide (Eulexin)
Term
Drug that inhibits alcohol dehydrogenase and is used in ethylene glycol exposure
Definition
Fomepizole
Term
Ability of a drug to produce 100% of the maximum response regardless of the potency
Definition
Full agonist
Term
MOA for benzodiazepines and barbiturates
Definition
GABA-related targets
Term
DOC for CMV retinitis
Definition
Ganciclovir
Term
Antivirals associated with neutropenia
Definition
Ganciclovir, zidovudine, saquinavir, and interferon
Term
GnRH antagonist with more immediate effects, used for infertility
Definition
Ganirelix
Term
COX 2 inhibitors may have reduced risk of
Definition
Gastric ulcers and GI Bleeding
Term
Agent used neutropenia especially after chemotherapy
Definition
G-CSF (filgrastim) and GM-CSF (sargramostim)
Term
Pneumonic for 3 zones of adrenal cortex
Definition
GFR
Term
SE of phenytoin
Definition
Gingival hyperplasia
Term
Ultra long acting insulin, has over a day duration of action
Definition
Glargine (Lantus)
Term
Epinephrine and dipivefrin are used for
Definition
Glaucoma
Term
3 zones of adrenal cortex and their products
Definition
Glomerulosa (mineralocorticoids), fasciculata (glucocorticoid=GC), and reticularis (adrenal androgens)
Term
Antidote for beta-blockers and hypoglycemia
Definition
Glucagon
Term
Hyperglycemic agent that increases cAMP and results in glycogenolysis, gluconeogenesis, reverses hypoglycemia, also used to reverse severe beta-blocker overdose and smooth muscle relaxation
Definition
Glucagon
Term
Used for Addison's disease, Congenital Adrenal Hyperplasia (CAH), inflammation, allergies, and asthma (as a local inhalation)
Definition
Glucocorticoids
Term
Products of Phase II conjugation
Definition
Glucuronate, acetic acid, and glutathione sulfate
Term
Important in synthesis of glucose to glycogen in the liver
Definition
GLUT 2
Term
Important in muscle and adipose tissue for glucose transport across muscles and TG storage by lipoprotein lipase activation
Definition
GLUT 4
Term
Second generation sulfonylurea
Definition
Glyburide, glipizide, glimepiride, etc.
Term
SE seen only in men with administration of ketoconazole
Definition
Gynecomastia
Term
SE of ergot alkaloids
Definition
Hallucinations resembling psychosis
Term
Agent more frequently associated with extrapyramidal side effects that can be treated with benzodiazepine, diphenhydramine or muscarinic blocker
Definition
Haloperidol
Term
Antipsychotic having the weakest autonomic effects
Definition
Haloperidol
Term
Agents used in Tourette's dx
Definition
Haloperidol or pimozide
Term
Inhaled anesthetic that may sensitize the myocardium to arrhythmogenic effects of catecholamines and has produced hepatitis
Definition
Halothane
Term
Inhaled anesthetics metabolized by liver enzymes which has a major role in the toxicity of these agents
Definition
Halothane and methoxyflurane
Term
Anticoagulant of choice in pregnancy
Definition
Heparin
Term
SE of heparin
Definition
Heparin induced thrombocytopenia (HIT)
Term
Main route of metabolism for benzodiazepines
Definition
Hepatic
Term
Most frequent route of metabolism
Definition
Hepatic enzymes
Term
Reason troglitazone was withdrawn from market
Definition
Hepatic toxicity
Term
SE of acetaminophen
Definition
Hepatotoxicity
Term
Most commonly abused in health care professionals
Definition
Heroin, morphine, oxycodone, meperidine and fentanyl
Term
Prototype ganglion blocker
Definition
Hexamethonium
Term
Drug with a high margin of safety
Definition
High therapeutic index
Term
Common SE of tamoxifen and raloxifene
Definition
Hot flashes
Term
Direct vasodilator of arteriolar smooth muscle
Definition
Hydralazine
Term
Prevention of cyclophosphamide induced hemorrhagic cystitis
Definition
Hydration and mercaptoethanesulfonate (MESNA)
Term
Interferes with activity of T-lymphocytes
Definition
Hydroxychloroquine
Term
Anti-malarial drug used in rheumatoid arthritis (RA)
Definition
Hydroxychloroquine
Term
Antihistamine that can be used for anxiety and insomnia and is not addictive
Definition
hydroxyzine (Atarax)
Term
This may antagonize activity of local anesthetics
Definition
Hypercalcemia
Term
This may enhance activity of local anesthetics
Definition
Hyperkalemia
Term
Condition will result from in combination of MAOI with tyramine containing foods (ex. wine, cheese, and pickled meats)
Definition
Hypertensive crisis
Term
SE of minoxidil
Definition
Hypertrichosis
Term
Common SE of sulfonylureas, repaglinide, and nateglinide
Definition
Hypoglycemia
Term
Major SE of insulin
Definition
Hypoglycemia
Term
Digoxin toxicity can be precipitated by
Definition
Hypokalemia
Term
Major nutritional side effect of bile acid-binding resins
Definition
Impair absorption of fat soluble vitamin absorption (A,D,E,K)
Term
Barbiturates MOA
Definition
Increase the DURATION of GABA-mediated chloride ion channels
Term
MOA for benzodiazepines
Definition
increase the FREQUENCY of GABA-mediated chloride ion channel opening
Term
Major drug interaction with Quinidine
Definition
Increases concentration of Digoxin
Term
Shock due to septicemia or myocardial infarction is made worse by
Definition
Increasing afterload and tissue perfusion declines
Term
MOA of Cardiac glycosides (eg. digoxin)
Definition
Indirectly increase intracellular calcium and cardiac contractility by inhibit Na+/K+ ATPase
Term
Atropine fever is the most dangerous effect and can be lethal in this population group
Definition
Infants
Term
Contraindications to use of atropine
Definition
Infants, closed angle glaucoma, prostatic hypertrophy
Term
Proteins that prevent action of tumor necrosis factor alpha (TNF-alpha)
Definition
Infliximab and etanercept
Term
These drugs strongly potentiate and prolong effect of neuromuscular blockade (NMB)
Definition
Inhaled anesthetics, especially isoflurane, aminoglycosides, and antiarrhythmic
Term
MOA of thiazide diuretics
Definition
Inhibit Na+/Cl- cotransport
Term
MOA of corticosteroids
Definition
inhibit phospholipase A2
Term
MOA of NSAIDS
Definition
inhibit prostaglandin synthesis by inhibiting cyclo-oxygenase (cox)
Term
MOA of Leflunomide (newer agent)
Definition
Inhibiting Dihydroorotate Dehydrogenase which leads to decreased pyrimidine synthesis
Term
MOA of erythromycin
Definition
Inhibition of protein synthesis at the 50s subunit of ribosome
Term
MOA of loop diuretics
Definition
inhibits Na+/K+/2Cl- cotransport
Term
MOA of Bisphosphonates
Definition
Inhibits osteoclast bone resorption
Term
MOA of both generations
Definition
Insulin release from pancreas by modifying K+ channels
Term
MOA of repaglinide
Definition
Insulin release from pancreas; faster and shorter acting than sulfonylurea
Term
Used for hairy cell leukemia; it stimulates NK cells
Definition
Interferon alpha
Term
Treatment of patients with prior episodes of thrombocytopenia after a cycle of cancer chemotherapy
Definition
Interleukin 11 (oprelvekin)
Term
Can be effective for short term therapy of thyroid storm, but after several weeks of therapy causes an exacerbation of hyperthyroidism
Definition
Iodide salts
Term
Radio contrast media that inhibits the conversion of T4 to T3
Definition
Ipodate
Term
MOA of aspirin
Definition
Irreversibly blocking cyclooxygenase
Term
Beta cells are found
Definition
Islets of Langerhans
Term
Inhaled anesthetic causes peripheral vasodilation
Definition
Isoflurane
Term
This route is associated with rapid tolerance and psychologic dependence
Definition
IV administration
Term
Drugs of choice for status epilepticus
Definition
IV diazepam (or lorazapam) followed by phenytoin
Term
This produces "dissociative anesthesia", is a cardiovascular stimulant which may increases intracranial pressure, and hallucinations occur during recovery
Definition
Ketamine
Term
5HT2 antagonist mediate synaptic excitation in the CNS and smooth muscle contraction
Definition
Ketanserin, cyproheptadine, and ergot alkaloids (partial agonist of alpha and serotonin receptors)
Term
Antifungal agent used for inhibition of all gonadal and adrenal steroids
Definition
Ketoconazole
Term
NSAID available orally, IM and ophthalmically
Definition
Ketoralac
Term
NSAID that is used for acute condition, such as pre-op anesthesia and has limited duration (<5 days) of use due to nephrotoxicity
Definition
Ketoralac
Term
SE of colchicine
Definition
Kidney and liver toxicity
Term
Combined alpha and beta blocking agents that may have application in treatment of CHF
Definition
Labetalol and carvedilol
Term
Most important potential SE of metformin
Definition
Lactic acidosis
Term
Converts asparagine to aspartate and ammonia, denies cancer cells of essential AA (asparagine)
Definition
L-asparaginase
Term
Dose which is lethal to 50% of the population
Definition
LD50
Term
Agent used in drug therapy of Parkinson's instead of Dopamine which has low bioavailability and does not cross the BBB
Definition
L-dopa
Term
Alternative anticoagulant used if HIT develops
Definition
Lepirudin
Term
Antidote for methotrexate toxicity
Definition
Leucovorin
Term
GnRH agonist used for infertility or different types of CA depending on pulsatile or steady usage respectively
Definition
Leuprolide
Term
Anti-Parkinson's drug which increases intraocular pressure and is contraindicated in closed angle glaucoma
Definition
Levodopa
Term
Very rapid acting insulin, having fastest onset and shortest duration of action
Definition
Lispro (Humalog)/Apidra (glulisine)
Term
Barbiturates decrease the effectiveness of many other drugs via this pharmacokinetics property
Definition
Liver enzyme INDUCTION
Term
Major SE of zileuton
Definition
Liver toxicity
Term
SE of mirtazapine
Definition
Liver toxicity, increased serum cholesterol
Term
Target plasma concentration times (volume of distribution divided by bioavailability)
Definition
Loading dose (Cp*(Vd/F))
Term
Constant proportion of cell population killed rather than a constant number
Definition
Log-kill hypothesis
Term
Associated with an increased incidence of cataracts in patients treated for glaucoma
Definition
Long acting cholinesterase inhibitors
Term
Treatment of withdrawal syndrome involves
Definition
Long-acting sedative-hypnotic or a gradual reduction of dose, clonidine or propranolol
Term
Benzodiazepine that undergo extrahepatic conjugation (which are useful in older or hepatically impaired)
Definition
Lorazepam, oxazepam, and temazepam
Term
Orthostatic hypotension and QT prolongation
Definition
Low potency and risperidone
Term
Drug with a narrow margin of safety
Definition
Low therapeutic index
Term
Reduced seizure threshold
Definition
Low-potency typical antipsychotics and clozapine
Term
Agent to treat torsades de pointes
Definition
Magnesium sulfate
Term
Antidote useful for some drug induced Torsade de pointes
Definition
Magnesium sulfate
Term
Concentration in the plasma times (clearance divided by bioavailability)
Definition
Maintenance dose (Cp*(CL/F))
Term
Antidepressant associated with seizures and cardiotoxicity
Definition
Maprotiline
Term
Important drug interaction with chloral hydrate
Definition
May displace coumadin from plasma proteins
Term
Alkylating agent, vesicant that causes tissue damage with extravasation
Definition
Mechlorethamine
Term
MOPP regimen used in Hodgkin's disease (HD)
Definition
Mechlorethamine+ oncovorin (vincristine)+ procarbazine, and prednisone
Term
All opioids except this agent (which has a muscarinic blocking action) cause pupillary constriction
Definition
Meperidine
Term
Use of this opioid with MAOI can lead to hyperpyrexic coma, and with SSRI's can lead to serotonin syndrome
Definition
Meperidine
Term
Biguanide
Definition
Metformin
Term
Treatment for opioid addiction
Definition
Methadone, followed by slow dose reduction
Term
Penicillins active against penicillinase secreting bacteria
Definition
Methicillin, nafcillin, and dicloxacillin
Term
Thioamide agents used in hyperthyroidism
Definition
Methimazole and propylthiouracil (PTU)
Term
Causes bone marrow suppression
Definition
Methotrexate
Term
Fluoride released by metabolism of this inhaled anesthetic may cause renal insufficiency
Definition
Methoxyflurane
Term
Organophosphate anthelmintic agent with long DOA
Definition
Metrifonate
Term
Used for Cushing's syndrome (increased corticosteroid) and sometimes for adrenal function test
Definition
Metyrapone
Term
Benzodiazepine that is used for anesthesia
Definition
Midazolam
Term
Benzodiazepine used adjunctively in anesthesia
Definition
Midazolam
Term
Chronic orthostatic hypotension can be treated with
Definition
Midodrine
Term
Antiprogestin used as potent antagonist of GC receptor
Definition
Mifepristone
Term
Anti-progesterone used as abortifacient
Definition
Mifepristone (RU-486)
Term
Inversely related to potency of anesthetics
Definition
Minimum alveolar anesthetic concentration (MAC)
Term
Oral antibiotic of choice for moderate inflammatory acne
Definition
Minocycline
Term
Arterial vasodilator that works by opening K+ channels
Definition
Minoxidil
Term
Antidepressant with MOA as alpha 2 antagonist, has effects on both 5-HT and NE, blocks histamine receptors, and is sedating
Definition
Mirtazapine
Term
Non-depolarizing antagonist has short duration
Definition
Mivacurium
Term
Most useful in patients with significant anxiety, phobic features, hypochondriasis, and resistant depression
Definition
Monamine oxidase inhibitors
Term
Opioids used in anesthesia
Definition
Morphine and fentanyl
Term
Strong opioid agonists
Definition
Morphine, methadone, meperidine, and fentanyl
Term
Receptors for serotonin (5HT-1) are located
Definition
Mostly in the brain, and they mediate synaptic inhibition via increased K+ conductance
Term
Agents may exacerbate tardive dyskinesias (may be irreversible and there is no treatment)
Definition
Muscarinic blockers
Term
SE for ganciclovir
Definition
Myelosuppression
Term
This beta blocker is the longest acting
Definition
Nadolol
Term
Anabolic steroid that has potential for abuse
Definition
Nandrolone and stanozolol
Term
Most common SE of fibrates
Definition
Nausea
Term
Antidepressant which is inhibitor of CYP450 enzymes and may be associated with hepatic failure
Definition
Nefazodone
Term
Carbamate with intermediate action postoperative and neurogenic ileus and urinary retention
Definition
Neostigmine
Term
Common toxicities of cisplatin
Definition
Nephro and ototoxicity
Term
Two toxicities of aminoglycosides
Definition
nephro and ototoxicity
Term
Toxicity of amphotericin
Definition
Nephrotoxicity
Term
Agent used in acutely decompensated CHF resembling natriuretic peptide
Definition
Nesiritide (Natrecor)
Term
State of analgesia and amnesia produced when fentanyl is used with droperidol and nitrous oxide
Definition
Neuroleptanesthesia
Term
Structurally related to acetylcholine, used to produce muscle paralysis in order to facilitate surgery or artifical ventilation. Full doses lead to respiratory paralysis and require ventilation
Definition
Neuromuscular blocking drugs
Term
SE for ticlopidine
Definition
Neutropenia and agranulocytosis
Term
Anti-viral agents associated with Stephen Johnson syndrome
Definition
Nevirapine, amprenavir
Term
W/D from this drug causes anxiety and mental discomfort
Definition
Nicotine
Term
CCB with predominate effect on arteriole dilation
Definition
Nifedipine
Term
Drug used in Chagas disease
Definition
Nifurtimox
Term
Antidote used for cyanide poisoning
Definition
Nitrites
Term
Nitrate used for acute anginal attacks
Definition
Nitroglycerin sublingual tablets
Term
IV Drug used Hypertensive Crisis
Definition
Nitroprusside
Term
Drug used in ergot alkaloids overdose, ischemia and gangrene
Definition
Nitroprusside
Term
Prolonged exposure to this inhaled anesthetic may lead to megaloblastic anemia
Definition
Nitrous oxide
Term
Inhaled anesthetic with a low blood/gas partition coefficient
Definition
Nitrous oxide
Term
Inhaled anesthetics, less likely to lower blood pressure than other agents, and has the smallest effect on respiration
Definition
Nitrous oxide
Term
Inhalant anesthetics
Definition
NO, chloroform, and diethyl ether
Term
Ability to bind to either the same or different site as the drug
Definition
Noncompetitive antagonist
Term
Tubocurarine is the prototype, pancuronium, atracurium, vecuronium are newer short acting agent, produce competitive block at end plate nicotinic receptor, causing flaccid paralysis
Definition
Nondepolarizing Neuromuscular Blockers
Term
These prevent the action of Ach at the skeletal muscle endplate to produce a "surmountable blockade," effect is reversed by cholinesterase inhibitors (ex. neostigmine or pyridostigmine)
Definition
Nondepolarizing type antagonists
Term
Prototypical drug is atropine
Definition
Nonselective Muscarinic Antagonists
Term
Neurotransmitters affected by the action of antidepressants
Definition
Norepinephrine and serotonin
Term
Endogenous insulin
Definition
Normal C-peptide
Term
Secondary amines that have less sedation and more excitation effect
Definition
Nortriptyline, Desipramine
Term
Class of drugs that reversibly inhibit COX
Definition
NSAIDS
Term
Somatostatin (SRIF) analog used for acromegaly, carcinoid, glucagonoma and other GH producing pituitary tumors
Definition
Octreotide
Term
Newer atypical antipsychotic used for bipolar disorder, known to cause weight gain, and adversely affect diabetes
Definition
Olanzapine
Term
Newer atypical antipsychotics that also improve some of the negative symptoms and help acute agitation
Definition
Olanzapine and aripiprazole
Term
Extrapyramidal dysfunction is more common with these agents, which block this subtype of dopamine receptor
Definition
Older antipsychotic agents, D2 receptors
Term
Antipsychotics that reduce positive symptoms only
Definition
Older antipsychotics
Term
SE of these drugs include dependence, withdrawal syndrome, sedation, euphoria, respiratory depression nausea and vomiting, constipation, biliary spasm, increased ureteral and bladder tone, and reduction in uterine tone
Definition
Opioid Analgesics
Term
Route of administration of warfarin
Definition
Oral
Term
Nitrate used to prevent further attacks
Definition
Oral and transdermal forms of nitroglycerin
Term
Treatment of resistant pseudomembranous colitis
Definition
ORAL vancomycin
Term
Cause dizziness, tachycardia, hypotension, and flushing
Definition
Organic nitrites
Term
Oral contraceptive available in a transdermal patch
Definition
Ortho-Evra
Term
Uses of bisphosphonates
Definition
Osteoporosis, Paget's disease, and osteolytic bone lesions, and hypercalcemia from malignancy
Term
Aminoglycosides used with loop diuretics potentiate adverse effect
Definition
Ototoxicity
Term
Different steps of Phase I
Definition
Oxidation, reduction, hydrolysis
Term
Cystitis, postoperative bladder spasms, or incontinence
Definition
Oxybutynin, dicyclomine
Term
Agent can blocking muscarinic receptors
Definition
Pancuronium
Term
Some of SSRIs' therapeutic effects beside depression
Definition
Panic attacks, social phobias, bulimia nervosa, and PMDD premenstrual dysphoric disorder), OCD
Term
The most toxic organophosphate
Definition
Parathion
Term
Ability to produce less than 100% of the response
Definition
Partial agonist
Term
Most dangerous of the currently popular hallucinogenic drugs, OD leads to nystagmus, marked hypertension, and seizures, presence of both horizontal and vertical nystagmus is pathognomonic
Definition
PCP
Term
Antidote used in Wilson's disease (copper poisoning)
Definition
Penicillamine
Term
Chelating agent used in Wilson's disease
Definition
Penicillamine
Term
Methylxanthine derivative used as a remedy for intermittent claudication
Definition
Pentoxifylline
Term
SE of INH
Definition
Peripheral neuritis and hepatitis
Term
Approved for use in severe pulmonary HTN
Definition
PGI2 (epoprostenol)
Term
DOC for febrile seizures
Definition
Phenobarbital
Term
Non-selective Alpha1blockers use to treat pheochromocytoma
Definition
Phenoxybenzamine
Term
Nonselective alpha-blocking drug, long acting and irreversible, and used to treat pheochromocytoma. Blocks 5-HT, so occasionaly used for carcinoid tumor. Blocks H1 and used in mastocytosis
Definition
Phenoxybenzamine
Term
For rebound HTN from rapid clonidine withdrawal
Definition
Phentolamine
Term
Nonselective alpha-blocking drug, short acting and reversible, used for rebound HTN from rapid clonidine withdrawal, and Raynaud's phenomena
Definition
Phentolamine
Term
Alpha agonist used to produce mydriasis and reduce conjunctival itching and congestion caused by irritation or allergy, it does not cause cycloplegia
Definition
Phenylephrine
Term
DOC for digoxin induced arrhythmias
Definition
Phenytoin
Term
Anti-seizure agent that exhibits non-linear metabolism, highly protein bound, causes fetal hydantoin syndrome, and stimulates hepatic metabolism
Definition
Phenytoin
Term
Enzyme which theophylline inhibits
Definition
Phosphodiesterase
Term
Antidote used for anticholinergic poisoning
Definition
Physostigmine
Term
Treatment of atropine overdose and glaucoma (because lipid soluable). Enters the CNS rapidly and has a stimulant effect, which may lead to convulsions
Definition
Physostigmine
Term
Only direct acting agent that is very lipid soluble and used in glaucoma
Definition
Pilocarpine
Term
These agents are used to treat dry mouth in Sjögren's syndrome
Definition
Pilocarpine or Cevimeline
Term
Cholinomimetics that increase outflow, open trabecular meshwork, and cause ciliary muscle contraction
Definition
Pilocarpine, carbachol, physostigmine
Term
Beta blockers partial agonist activity (intrinsic sympathomimetic activity) cause some bronchodilation and may have an advantage in treating patients with asthma
Definition
Pindolol and acebutolol
Term
Thiazolidinediones
Definition
Pioglitazone, Rosiglitazone, Troglitazone (withdrawn/d from market)
Term
Aspirin reduces mortality in unstable angina by
Definition
Platelet aggregation inhibition
Term
Type of resistance found with vancomycin
Definition
Point mutation
Term
SE of methyldopa
Definition
Positive Comb's test, depression
Term
Activation of these receptors open K+ ion channels to cause membrane hyperpolarization
Definition
Postsynaptic Mu receptors
Term
SE of nitrates
Definition
Postural hypotension, reflex tachycardia, hot flashes, and throbbing headache due to meningeal artery dilation
Term
MOA of class III antiarrhythmics
Definition
Potassium channel blockers
Term
Amount of drug necessary to elicit a biologic effect
Definition
Potency
Term
Aspirin is contraindicated in children with viral infection
Definition
Potential for development of Reye's syndrome
Term
This agent regenerates active cholinesterase and is a chemical antagonist used to treat organophosphate exposure
Definition
Pralidoxime
Term
Used to treat patients exposed to insecticides such as parathion
Definition
Pralidoxime
Term
Non ergot agents used as first-line therapy in the initial management of Parkinson's
Definition
Pramipexole and ropinirole
Term
Drug used in cancer therapy causes Cushing-like symptoms
Definition
Prednisone
Term
Intermediate acting GC's
Definition
Prednisone, methylprednisolone, prednisolone, and triamcinolone
Term
COX 2 inhibitors should be used cautiously in pts with
Definition
Pre-existing cardiac or renal disease
Term
Fibrates are contraindicated in
Definition
Pregnancy
Term
HMG CoA reductase inhibitors are contraindicated in
Definition
Pregnancy
Term
Warfarin is contraindicated in
Definition
Pregnancy
Term
LA causing methemoglobinemia
Definition
Prilocaine
Term
Drug used in exoerythrocytic cycle of malaria
Definition
Primaquine
Term
CCB are DOC for
Definition
Prinzmetal's angina
Term
Agent used to treat chronic gout by increasing uric acid excretion
Definition
Probenecid causes urinary excretion of uric acid and lowers serum urate concentrations
Term
Alkylating agent that produces disulfiram-like reaction with ethanol
Definition
Procarbazine
Term
Alpha cells in the pancreas
Definition
Produce glucagon
Term
Beta cells in the pancreas
Definition
Produce insulin
Term
Delta cells in the pancreas
Definition
Produce Somatostatin
Term
Specific pharmacokinetic characteristic of amiodarone
Definition
Prolonged half-life, up to six weeks
Term
Side effect of sotalol
Definition
prolongs QT and PR interval
Term
Produces both rapid anesthesia and recovery, has antiemetic activity and commonly used for outpatient surgery, may cause marked hypotension
Definition
Propofol
Term
Weak opioid agonist, poor analgesic, its overdose can cause severe toxicity including respiratory depression, circulatory collapse, pulmonary edema, and seizures
Definition
Propoxyphene
Term
Non-selective Beta-blocker also used for migraine prophylaxis
Definition
Propranolol
Term
This beta blocker is highly lipid soluble and may account for side effects such as nightmares
Definition
Propranolol
Term
Agent effective in physiologic and essential tremor
Definition
Propranolol
Term
This agent cause increased aqueous outflow
Definition
Prostaglandin PGF2a
Term
Chronic high dose abuse of nicotine leads to
Definition
Psychotic state, overdose causes agitation, restlessness, tachycardia, hyperthermia, hyperreflexia, and seizures
Term
Treatment with cancer chemotherapy at high doses every 3-4 weeks, too toxic to be used continuously
Definition
Pulse therapy
Term
Treatment of myasthenia gravis
Definition
Pyridostigmine
Term
Increased risk of developing cataracts
Definition
Quetiapine
Term
Permanently cures thyrotoxicosis, patients will need thyroid replacement therapy thereafter. Contraindicated in pregnancy
Definition
Radioactive iodine
Term
SE of clonidine
Definition
Rebound HTN, sedation, dry mouth
Term
Newer alpha 2 agonist (apraclonidine and brimonidine) treat glaucoma
Definition
Reduce aqueous synthesis
Term
Sedative-Hypnotics action
Definition
Reduce inhibition, suppress anxiety, and produce relaxation
Term
Often mixed with local anesthetic to
Definition
Reduce the loss from area of injection
Term
Diuretics work in CHF by
Definition
Reducing preload
Term
Beta blockers work in CHF by
Definition
Reducing progression of heart failure (never use in acute heart failure)
Term
Rapid acting, crystalline zinc insulin used to reverse acute hyperglycemia
Definition
Regular (Humulin R)
Term
Meglitinide
Definition
Repaglinide
Term
Toxic effect of anticancer drug can be lessened by rescue agents
Definition
Rescue therapy
Term
The most important cause of acute deaths in cholinesterase inhibitor toxicity
Definition
Respiratory failure
Term
SE of hydroxychloroquine
Definition
Retinal destruction and dermatitis
Term
Concurrent use of fibrates and statins increases risk of
Definition
Rhabdomyolysis
Term
SE of HMG COA reductase inhibitors
Definition
Rhabdomyolysis and Hepatotoxicity
Term
Long acting beta 2 agonist used in asthma
Definition
Salmeterol
Term
Longer acting Beta 2 agonists is recommended for prophylaxis of asthma
Definition
Salmeterol
Term
Most common side effect of 1st generation antihistamines
Definition
Sedation
Term
SE of imipenem
Definition
Seizures
Term
MOA of Colchicine (used in acute gout)
Definition
Selective inhibitor of microtubule assembly
Term
Inhibitor of MAO type B which metabolizes dopamine, used adjunct to levodopa or as sole agent in newly diagnosed pt's
Definition
Selegiline
Term
GHRH analog used as diagnostic agent
Definition
Sermorelin
Term
MAOI should not be administered with SSRI's or potent TCA's due to development of this condition
Definition
Serotonin syndrome
Term
Laboratory value required to be monitored for patients on valproic acid
Definition
Serum ammonia and LFT's
Term
Limiting adverse effect of ganglion blockade that patients usually are unable to tolerate
Definition
Severe hypertension
Term
Side effect of Mitomycin
Definition
SEVERE myelosuppression
Term
All antidepressants have roughly the same efficacy in treating depression, agents are chosen based on these criterion
Definition
Side-effect profile and prior pt response
Term
Beta 1 agonist toxicity
Definition
Sinus tachycardia and serious arrhythmias
Term
Beta 2 agonist toxicity
Definition
Skeletal muscle tremor
Term
Antidote used for tricyclic antidepressants (TCA)
Definition
Sodium bicarbonate
Term
Mechanisms of action for Phenytoin, Carbamazepine, Lamotrigine
Definition
Sodium blockade
Term
Antidote for hyperkalemia
Definition
sodium polystyrene sulfonate (Kayexalate)
Term
Somatotropin (GH) analog used in GH deficiency (dwarfism)
Definition
Somatrem
Term
Antiarrhythmic that exhibits Class II and III properties
Definition
Sotalol
Term
Agents acting in the CNS or in the skeletal muscle, used to reduce abnormally elevated tone caused by neurologic or muscle end plate disease
Definition
Spasmolytic drugs
Term
Selectivity of a drug for its receptor
Definition
Specificity
Term
Well-tolerated and are first-line antidepressants
Definition
SSRI's, bupropion, and venlafaxine
Term
Disease caused by excess ergot alkaloids
Definition
St. Anthony's Fire
Term
When the rate of drug input equals the rate of drug elimination
Definition
Steady state
Term
Causes acne, premature closure of epiphyses, masculinization in females, hepatic dysfunction, MI, and increases in libido and aggression
Definition
Steroids
Term
SE for Lamotrigine
Definition
Stevens-Johnson syndrome
Term
MOA of thiazolindinediones
Definition
Stimulate PPAR-gamma receptor to regulate CHO and lipid metabolism
Term
MOA of nateglinide
Definition
Stimulates rapid and transient release of of insulin through closure of the ATP-sensitive K+ channel
Term
Thrombolytic that can cause allergic reaction
Definition
Streptokinase
Term
Aminoglycoside that is least ototoxic
Definition
Streptomycin
Term
Only member of depolarizing neuromuscular blocker, causes fasciculation during induction and muscle pain after use
Definition
Succinylcholine
Term
One depolarizing blocker that causes continuous depolarization and results in muscle relaxation and paralysis, causes muscle pain postoperatively and myoglobinuria may occur
Definition
Succinylcholine
Term
Anti-rheumatic agent also used for ulcerative colitis
Definition
Sulfasalazine
Term
Class of drugs that may cause cross-sensitivity with thiazide diuretics
Definition
Sulfonamides
Term
Triptan available in parenteral and nasal formulation
Definition
Sumatriptan
Term
Drug used for African sleeping sickness
Definition
Suramin
Term
Median toxic dose required for a toxic effect in 50% of the population
Definition
TD50
Term
Beta 2 agonist used to suppress premature labor, but cardiac stimulatory effects may be hazardous to mother and fetus
Definition
Terbutaline
Term
Lethal arrhythmias resulting from concurrent therapy with azole fungals (metabolized by CYP 3A4) and these antihistamines which inhibit the 3A4 iso-enzyme.
Definition
Terfenadine and astemizole (have been removed from the market)
Term
Agents having higher sedation and antimuscarinic effects than other TCA's
Definition
Tertiary amines
Term
Bleomycin+vinblastine+etoposide+cisplatin produce almost a 100% response when all agents are used for this neoplasm
Definition
Testicular cancer
Term
Agents used in Huntington's Disease
Definition
Tetrabenazine (amine depleting drug), Haloperidol (antipsychotic)
Term
Longer acting local anesthetics which are less dependent on vasoconstrictors
Definition
Tetracaine and bupivacaine
Term
Drug causes teeth discoloration
Definition
Tetracycline
Term
Drug increases the renal clearance hence decreases levels of lithium
Definition
Theophylline
Term
Window between therapeutic effect and toxic effect
Definition
Therapeutic index
Term
Anti-thyroid drugs
Definition
Thioamides, iodides, radioactive iodine, and ipodate
Term
Barbiturate used for the induction of anesthesia
Definition
Thiopental
Term
IV barbiturate used as a pre-op anesthetic
Definition
Thiopental
Term
Only phenothiazine not exerting antiemetic effects, can cause visual impairment due to retinal deposits, and high doses have been associated with ventricular arrhythmias
Definition
Thioridazine
Term
SE of amrinone
Definition
Thrombocytopenia
Term
Other side effects of Quinidine
Definition
Thrombocytopenic purpura, and CINCHONISM
Term
SE of Amiodarone
Definition
Thyroid dysfunction, photosensitivity, skin (blue smurf syndrome), corneal deposits, liver damage and pulmonary fibrosis
Term
Antiplatelet drug reserved for patients allergic to aspirin
Definition
Ticlopidine
Term
SE of salicylates
Definition
Tinnitus, GI bleeding
Term
Thrombolytic used for acute MI and ischemic (non hemorrhagic) CVA
Definition
Tissue plasmin activator
Term
Similar to clonidine and may cause hypotension
Definition
Tizanidine
Term
Nitrate free intervals are needed due to
Definition
Tolerance
Term
Occurs when sedative hypnotics are used chronically or at high doses
Definition
Tolerance
Term
Topical DOC in impetigo
Definition
Topical mupirocin (Bactroban)
Term
Newer estrogen receptor antagonist used in advanced breast cancer
Definition
Toremifene (Fareston)
Term
Antidepressant also used for sleep that causes priapism
Definition
Trazodone
Term
Sedation is a common side effect of these drugs, they lower seizure threshold, uses include BAD, acute panic attacks, phobias, enuresis, and chronic pain and their overdose can be deadly
Definition
Tricyclic antidepressants (TCA)
Term
Ganglionic blockers formerly used in HTN
Definition
Trimethaphan, and hexamethonium
Term
Agent with long duration of action and is sost likely to cause histamine release
Definition
Tubocurarine
Term
MOA of general anesthetics
Definition
Unclear, thought to increase the threshold for firing of CNS neurons
Term
Removal of PCP may be aided
Definition
Urinary acidification and activated charcoal or continual nasogastric suction
Term
Major indication for H1 receptor antagonist
Definition
Use in IgE mediated allergic reaction
Term
Reason ergot alkaloids are contraindicated in pregnancy
Definition
Uterine contractions
Term
Agent that inhibits hepatic metabolism, is hepatotoxic and teratogen that can cause neural tube defects and gastrointestinal distress
Definition
Valproic acid
Term
Anti-seizure drugs used also for bipolar affective disorder (BAD)
Definition
Valproic acid, carbamazepine, phenytoin and gabapentin
Term
Antibiotic causing red-man syndrome, and prevention
Definition
Vancomycin, infusion
at a slow rate and antihistamines
Term
Almost all local anesthetics have this property and sometimes require the administration of vasoconstrictors (ex. Epinephrine) to prolong activity
Definition
Vasodilation
Term
Antidepressant having stimulant effects similar to SSRI's and can increase blood pressure
Definition
Venlafaxine
Term
Antidepressant inhibiting norepinephrine, serotonin, and dopamine reuptake
Definition
Venlafaxine
Term
Microtubule inhibitor that causes peripheral neuropathy, foot drop (eg. ataxia), and "pins and needles" sensation
Definition
Vincristine
Term
Agent used for neurological deficits in megaloblastic anemia
Definition
Vitamin B12
Term
Vitamin given with calcium to ensure proper absorption
Definition
Vitamin D
Term
Antidote to reverse actions of warfarin
Definition
Vitamin K or fresh frozen plasma
Term
Relates the amount of drug in the body to the plasma concentration
Definition
Volume of distribution (VD)
Term
Selective Alpha 2 blocker used for impotence (controversial effectiveness)
Definition
Yohimbine
Term
Inhibitor of leukotrienes (LTD4) receptors and used in asthma
Definition
Zafirlukast and montelukast
Term
Drug elimination with a constant amount metabolized regardless of drug concentration
Definition
Zero order kinetics
Term
Syndrome of hypersecretion of gastric acid and pepsin usually caused by gastrinoma; it is associated with severe peptic ulceration and diarrhea
Definition
Zollinger-Ellison Syndrome
Term
Good hypnotic activity with less CNS SE than most benzodiazepines
Definition
Zolpidem, zaleplon
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