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Pharm I - Test # 3 - Ergot Alkaloids & Eicosanoids
Fall Semester - 2010 - Pharm Test #3
38
Medical
Graduate
12/14/2010

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Term
Which ergot alkaloids are used to decrease lactation
Definition
Bromocriptine & Methylergonovine
Term
Which ergot alkaloids are used to treat post-partum hemorrhage?
Definition
Ergonovine & Methylergonovine
Term
Which 3 ergot alkaloids are used to treat migraine headaches?
Definition
Dihydroergotamine
Ergotamine Mixture (Cafergot)
Ergotamine tartrate
Term
What are some SE of ergot alkaloids?
Definition
GI irritation - N/V/D
Vasospasm
Drowsiness
Uterine stimulation (especially potent during pregnancy)
Hallucinations and Dementia
Term
With what disease are ergot alkaloids contraindicated?
Definition
Obstructive vascular disease & Collagen Disease
Term
Which prostaglandins inhibits aggregation of platelets?
Definition
PGD and high concentration of PGE
Term
What effect does the prostaglandin PGE have on vessels?
Definition
Promotes vasodilation
Term
What effect does the prostaglandin PGF have on vessels?
Definition
Promotes Vasoconstriction
Term
What effects do the prostaglandins have on Respiratory Smooth muscle?
Definition
PGD - Contracts
PGE - Relaxes
PGF - Contracts
Term
What effect does the prostaglandin PGE have on the uterus?
Definition
High [ ] of PGE = promoting relaxation
Low [ ] of PGE = contraction of uterus
Term
What effect does the prostaglandin PGF have on the uterus?
Definition
Contracts the uterus
Term
What effects do the prostaglandins have on the gastrointestinal tract?
Definition
All Activate the GI tract
Term
Which prostaglandins have an effect on the IOP, and what effect do they have?
Definition
PGE and PGF lower IOP
Term
Which prostaglandin has an effect on the kidney, and what is its effect?
Definition
PGE - decreases renin, which leads to an excretion of H20 and Na which causes a reduction in BP
Term
Which prostaglandin stimulates aggregation of platelets?
Definition
Low [ ] of PGE causes aggregation
Term
Which prostaglandin enhances penile erection?
Definition
PGE
Term
Which prostaglandin increases bone turnover?
Definition
PGE
Term
Which prostaglandins induce fever?
Definition
ALL induce fever
Term
What effect does thromboxane have on the vessels?
Definition
Vasoconstriction
Term
What effect does thromboxane have on platelets?
Definition
Platelet aggregation
Term
What effect does thromboxane have on respiratory smooth muscle?
Definition
Bronchoconstrictor
Term
What effect does thromboxane have on the uterus?
Definition
Contraction of the uterus
Term
What effect does thromboxane have on on the GI system?
Definition
Activates GI
Term
What effect does thromboxane have on the kidneys?
Definition
Increases renin production, leading to H2O and Na retention which causes a rise in BP
Term
What effect does prostacyclin (PGI) have on the vessels?
Definition
vasodilation
Term
What effect does prostacyclin (PGI) have on the platelets?
Definition
Inhibits aggregation
Term
What effect does prostacyclin (PGI) have on the respiratory smooth muscles?
Definition
Promotes Bronchodilation
Term
What effect does prostacyclin (PGI) have on the uterus?
Definition
Promotes uterine relaxation
Term
What effect does prostacyclin (PGI) have on the GI tract?
Definition
Activates the GI tract
Term
What effect does prostacyclin (PGI) have on the kidneys?
Definition
Increases renin production, leading to H2O and Na retention which causes a rise in BP
Term
What effect do leukotrienes have on the respiratory smooth muscle?
Definition
Bronchoconstriction and mucous production
Term
What enzyme do NSAIDs inhibit? What effect does this have?
Definition
Inhibits COX-1 and COX-2, which causes a decrease in inflammation
Term
Which 2 meds are inhibitors of COX-2 enzyme? Which is the most potent?
Definition
Celecoxib (Celebrex) - most potent
Diclofenac (Voltaren)
Term
Which two meds are COX-1 inhibitors?
Definition
Indomethacin and Sulindac
Term
What effects do the leukotrienes (LTC, LTD and LTE) have on the body?
Definition
Inflammation
Mucous Production
Bronchoconstriction
Cardiac Depression
Term
What effects does DHET have on the body?
Definition
Inflammation and Vasodilation
Term
Which med irreversibly blocks COX-1 and COX-2?
Definition
ASA
Term
What is Bartter's Syndrome caused by?
What are it's results?
How is it treated?
Definition
Increased synthesis of Prostaglandins
Results in low to normal BP, decreased sensitivity to angiotensin, hyperreninemia, hyperaldosteronism, excessive K excretion, excessive secretion of prostaglandins in the urine
Treated by giving COX inhibitors
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