Shared Flashcard Set

Details

Pharmacology
Drug List UNECOM
44
Medical
Graduate
04/05/2009

Additional Medical Flashcards

 


 

Cards

Term
Acetaminophen
Definition
Mechanism: Unknown: May inhibit nitric oxide pathway
Uses:pain, fever
Term
Acetylcholine
Definition
Mechanism:Nicotinic and Musc agonist
Term
Albuterol
Definition
Mech:b-2 agonist
Uses:Bronchodilation: Asthma/COPD
Side effects come from ↑ sympathetic response
Term
Alcohol
Definition
Mech: competitivley inhibits for binding to alcohol dehydrogenase
↑ alcohol use causes ↑ liver enzymes, may take ↑ dose of drug to see effect.

Uses:used in treatment of ethylene glycol poisoning, fun too
Term
Amphetamine
Definition
Mech: blocks the reuptake of norepinephrine and dopamine. It keeps dopamine in the synaptic cleft by1) inducing its release from the nerve terminal 2)binding to monoamine oxidase to prevent the degradation and 3) by binding to the reuptake transporter to reverse its action.

Uses:ADHD, narcolepsy
Term
Aspirin
Definition
Mech: Inhibits the production of prostaglandins
Reduces inflammation, prevents clotting, reduce fever

Uses:pain, fever
Preventative for MI,
Side effects: GI problems (ulcer), and reyes syndrome.
Term
Atropine
Definition
Mech: ACH receptor antagonist
Competitive muscarinic antagonist

Uses:Bradycardia, Nerve agent antidote, Pediatric aneasthesia (dry secretions), Asthma/COPD
Term
Bethanecol
Definition
Mech:Cholinergic agonist
Stimulates Muscarinic receptors, M3 specifically

Uses:Urinary retention and chronic GERD
Causes stomach to empty faster. Affects smooth muscle, ↑ secretions.
Term
Carbidopa
Definition
Mech: arkinson's is related to a depletion of dopamine, but dopamine cannot be given as a treatment because it does not cross the blood-brain barrier. Levadopa is a precursor of dopamine and does cross the blood-brain barrier.
Inhibits metabolism of Dopamine

Uses:Given with levadopa for the treatment of Parkinson's disease. Carbadopa inhibits aromatic amino acid decarboxylation. Levadopa is an aromatic amino acid. Reduces nausea.
Term
Chloramphenicol
Definition
Mech:bacteriostatic-interferes in protein synthesis
Can cross BBB

uses:serious occular infections, like conjunctivitis
Drug of choice for meningitis for people with cillin or sporin sensitivities.
Term
Clonidine
Definition
Mech: a-2 agonist
Autoreceptor. Causes neg feedback on neurons to fool them into thinking there is too much NT. Indirectly ↓ sympathetic.

Uses:Hypertension
Also used for easing withdrawl from drugs, alcohol, nicotine due to ↓ sympathetic stimulus.
Term
Cocaine
Definition
Mech: Binds to the dopamine reuptake transporter and in so doing keeps dopamine from being removed and broken down. The increased activation leads to the "high".
Can also block Na+ channels and reduce APs which is helpful as local anesthetic.

Uses:Topical anesthesia of mucous membranes
Term
Codeine
Definition
Mech: An opiod agonist
Prodrug-metabolizes to morphine

Ues: pain
Term
Diazapem
Definition
Mech: benzodiazepine. Binds to benzodiazepine receptors enhancing the inhibitory effect of the GABA neurotransmittor on neuronal excitability. The membrane becomes more permeable to chloride ions, resulting in hyperpolarization ( reduced excitability)
Uses:Anxiety disorders, tremors
Term
Digoxin
Definition
Mech: Inhibits sodium-potassium ATPase which leads to increased intracellular sodium and calcium, reduces the activity of the sympathetic nervous system.
Uses:Heart failure, CHF
Big one is ↓ CO and ↓ HR
Term
Dobutamine
Definition
Mech: b-1 agonist
Doesn’t act on dopamine receptors. Activated Dopamine reecptors cxause ↑ NE release.

Uses:Heart failure
Used for cardiogenic shock due to ↓ Contractility
Term
Dopamine
Definition
Mech: a and b-1 agonist
Uses:Hypotension and Heart failure
Term
Edrophonium
Definition
Mech: Reversible AchE antagonist
Short duration= 20 minutes

Uses:Reversal of paralytics and Anticholinergic toxins/disorders aka myasthenia gravis
Term
Ephedrine
Definition
Mech: alpha and beta receptor agonist (alpha-1, beta-1, and beta-2)

Uses:pressor agent, asthma, myasthenia gravis
appetite suppressant, ↑ concentration, decongestant
Term
Epinephrine
Definition
Mech: alpha-1, beta-1, and beta-2
Also a hormone, ↑ Sympathetic

Uses:bronchspasm, cardiac arrest,
Term
Esmolol
Definition
Mech: beta-1 blocker (beta-2 blocker at high doses)
Rapid onset, short duration. Block EPi and NE, ↓ force and contraction of HR

Uses:Used short term to reduce ventricular rate in atrial fibrilation, sinus tachycardia (good because it has a short half life)
Term
Heroin
Definition
Mech: mu opiod receptor agonist
Ingest-extensive first pass effect by Deacetylation
Inject-bypass first pass effect, acetyl groups allow to cross BBB.

uses:euphoria, pain relief
Term
Lithium
Definition
Mech:mechanism not clear, but it alters sodium transport and shifts toward intraneural metabolism of catacholamines
Chemical element given as salts. Therapeutic dose only SLIGHTLY less than toxic dose
uses:bipolar disorder, mania, depression
Term
Malathion
Definition
Mech: Ach-Esterase inhibitor
Organophosphate parasympathomimetic binds irreversibly to Ach-esterase.

Uses: Pesticide Related to nerve agents
Lower toxicity to humans than some others
Term
Metaprolol
Definition
Mech: b-1 antagonist
Selective, no intrinsic sympathomimetic activity

Uses:HTN, Angina
↓ HR, ↓contractility, ↓CO
Term
Morphine
Definition
Mech: Opiod receptor agonist (primarily mu)
Acts directly on CNS. Other prodrugs become morphine.

Uses: pain management
Term
Muscarine
Definition
Mech: Muscarinic R agonist
Term
Neostigmine
Definition
Mech: Reversible AchE antagonist
Indirectly stimulates N + M receptors.
More polar than physostigmine which means it doesn’t affect CNS.

uses:Reversal of paralytics and Anticholinergic toxins/disorders aka myasthenia gravis
Term
Nicotine
Definition
Mech: Nicotinic agonist

Uses:Medical: Smoking cessation
Term
Norepinephrine
Definition
Mech: a and b-1 agonist
Uses: severe hypotension
Term
Organophosphates
Definition
Mech: Ach-Esterase inhibitor
Irreversible binding

uses:Pesticides, Related to nerve agents
Sx-Paralysis, esp respiratory, salivation, lacrimation, defecation, emesis
Term
Phenoxybenzamine
Definition
Mech: alpha receptor blocking agent (irreversible alpha antagonist)
Nonspecific, blocks receptor form Epi + NE

uses:pheochromocytoma, increases blood flow to skin and mucosa (vasodialator), reduces blood pressure, decreases sweating
Term
Phenylephrine
Definition
Mech:Smooth Muscle a-1 agonist

Uses:Hypotension
Used as Decongestant instead of pseudoephedrine since it can’t be converted to Meth
Term
Physostigmine
Definition
Mech :Reversible AchE antagonist
Indirectly stimulates N + M receptors

Uses:Reversal of paralytics and Anticholinergic toxins/disorders aka myasthenia gravis
-Less polar than neostigmine, can cross BBB so can be used to treat anticholinergic overdoses like atropine.
Term
Pylocarpine
Definition
Mech: Muscarinic agonist
Non-selective but used especially on M3 receptors for clinical use

uses:Head/neck CA, xerostomia
Topically for glaucoma, xerostomia.
↑ Salva, ↑ sweat
Term
Pirenzapine
Definition
Mech: M1 specific antimuscarinic drug

Uses:prevents gastric acid release
↓ gastric motility
Term
Prazosin
Definition
Mech: a1 antagonist
sympatholytic

Uses:HTN
Term
Propranolol
Definition
Mech: nonselective beta-adrenergic receptor blocker, competes with beta-adrenergic receptor agonist agents for available receptor sites. At dosages greater than required for beta blockade, propranolol also exerts a quinidine-like or anesthetic-like membrane action, which affects the cardiac action potential.
Eating w/ food enhances bioavailability

Uses:HTN, angina
Term
Reserpine
Definition
Mech: Decrease CNS catecholamine release
Blocks transport of NT from cytoplasm of neuron to presynaptic terminal, can’t be released.

Uses:HTN and psychosis
Not used very much anymore.
Term
Scopolamine
Definition
Mech: Ach Receptor antagonist
Muscarinic Specific, competitive inhibitor

Uses:Motion Sickness/vertigo
Very small doses, OD causes delirium, delusions, etc.
Term
Tetracycline
Definition
Mech: bacteriostatic- inhibits protein synthesis
uses:spotted fever, typhus, Mycoplasma pneumoniae, Lymphogranuloma venereum, Psittacosis, cholera, plague, and more
Term
Theophyline
Definition
Mech: mechanism unknown but related to inhibition of phosphodiesterase
Works by ↑ camp causes effects.
Bioavailability is 100%

Uses:asthma, emphysema, chronic bronchitis
Can relax bronchial SM, ↑ BP, ↑CO, etc
Term
Tobocurarine
Definition
Mech: Antagonist at the neuromuscular junction- acetylcholine receptor antagonist
Nicotinic Specific

Uses:asthma, emphysema, chronic bronchitis
Can relax bronchial SM, ↑ BP, ↑CO, etc
Muscle relaxant, used in surgery, used for patients on ventilators, used in the diagnosis of myasthenia gravis
Paralyzes patients-not just relax.
Term
Vancomysin
Definition
Mech: Inhibits bacterial cell wall synthesis,
Glycopeptide

Uses:especially effective against MRSA
Supporting users have an ad free experience!