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Assessment 07
Pharm - Anesthetics, Migraine, Derm
125
Pharmacology
Professional
10/06/2010

Additional Pharmacology Flashcards

 


 

Cards

Term
Nitrous Oxide
Definition
Inhalation Anesthetic;
Analgesia, but not full anesthetic;
Maintenance of protective reflexes;
cheaper - "vapor sparing";
SE - potential teratogen, drowsiness, dizziness, vertigo, dysphorya, panic, amnesia, laughing, parasthesias
Term
Halothane (Flurothane)
Definition
Liquid Inhalation Anesthetic;
3rd (of 3) agent of choice;
SE - arrhythmias (esp w/ CA), hepatotoxicity (halothane hepatitis), loss of reflexes, hypovent, CV depression
Term
Enflurane (Ethrane)
Definition
Liquid Inhalation Anesthetic;
2nd agent of choice;
SE - areflexia, irritant, muscle relaxation, SEIZURES, hepatic tox, hypovent, CV depression
Term
Isoflurane (Forane)
Definition
Liquid Inhalation Anesthetic;
'1st' agent of choice;
SE - areflexia, irritant, muscle relaxation, hypovent
Term
Desflurane (Suprane)
Definition
Liquid Inhalation Anesthetic;
'1st' agent of choice - newer;
Accumulate and equilibrate quickly, PLUS rapid recovery;
SE - areflexia, irritant, hypovent
Term
Sevoflurane (Ultane)
Definition
Liquid Inhalation Anesthetic;
'1st' agent of choice - newer;
Accumulate and equilibrate quickly, PLUS rapid recovery;
SE - areflexia, hypovent, CV depression
Term
Thiopental (Pentothal)
Definition
Induction agent;
Barbiturate - prolong binding of GABA to GABA receptor;
Shifts endogenous GABA curve L;
No analgesic activity;
SE - Resp depression, death, bronchospasm, interactions lead to CV effects
Term
Methohexital (Brevital)
Definition
Induction agent;
Barbiturate - prolong binding of GABA to GABA receptor;
Shifts endogenous GABA curve L;
No analgesic activity;
SE - Resp depression, death, bronchospasm, interactions lead to CV effects
Term
Propofol (Diprivan)
Definition
Induction agent;
Inc GABA activity, dec Glu activity, RAPID;
No analgesia;
Sedation, antiemetic, dec ICP;
SE - dec CBF, CO, RR, P INFUSION SYNDROME
Term
Etomidate (Amidate)
Definition
Induction agent;
Inc GABA's action, may displace endogenous antagonists;
Potent cerebral vasoconstrictor;
Good drug for pt with CV problems;
SE - injection pain, inhibiton of steroidogenesis (dec HPA axis), dec CBF;
no prolonged use
Term
Ketamine (Ketalar)
Definition
Inhibits Glu receptor, specific CNS depression;
Balanced anesthesia;
IV and IM;
Potent analgesic, stimulate Symp NS, bronchodilator;
Dissociated state - eyes can remain open;
SE - hallucinations (use short acting BZ to control after sedation), inc CBF, inc MAP, inc CO
Term
Diazepam (Valium)
Definition
Benzodiazepine - balanced anesthesia;
Inc activity of GABA receptor/channel;
Death from OD more diff than with barbs;
No analgesia;
Anticonvulsant, anterograde amnesia, balancing sympathomimetic effects, wide safety margin;
SE - prolonged sedation, long 1/2 life;
(Flumazenil = specific BZ antagonist)
Term
Lorazepam (Ativan)
Definition
Benzodiazepine - balanced anesthesia;
Inc activity of GABA receptor/channel;
Death from OD more diff than with barbs;
No analgesia;
Anticonvulsant, anterograde amnesia, balancing sympathomimetic effects, wide safety margin;
(Flumazenil = specific BZ antagonist)
Term
Midazolam (Versed)
Definition
Benzodiazepine - balanced anesthesia;
Inc activity of GABA receptor/channel;
Death from OD more diff than with barbs;
No analgesia;
Anticonvulsant, anterograde amnesia, balancing sympathomimetic effects, wide safety margin;
(Flumazenil = specific BZ antagonist)
Term
Lidocaine (Xylocaine)
Definition
Local anesthetic - amide;
Injectable;
Block Na channels, inc refractory period;
Most commonly used form;
Rapid onset, intermediate duration;
ALSO... Rapid seq intubation- dec intracranial and bronchospastic response
Term
Mepivacaine (Carbocaine)
Definition
Local anesthetic - amide;
Injectable;
Block Na channels, inc refractory period;
No topical effects;
Slow onset, intermediate duration
Term
Prilocaine (Citanest)
Definition
Local anesthetic - amide;
Injectable;
Block Na channels, inc refractory period;
Rapid onset, intermediate duration;
Dec acute tox;
SE - Methemoglobinemia (Ferric Hb, cyanosis)
Term
Bupivacaine (Marcaine)
Definition
Local anesthetic - amide;
Injectable;
Block Na channels, inc refractory period;
Slow onset, LONG duration;
Very potent due to long binding
Term
Ropivacaine (Naropin)
Definition
Local anesthetic - amide;
Injectable;
Block Na channels, inc refractory period;
Slow onset, LONG duration;
Very potent due to long binding;
Dec cardiotoxicity
Term
Procaine (Novacain)
Definition
Local anesthetic - ester;
Injectable;
Block Na channels, inc refractory period;
Slow onset, short duration;
Standard used to measure potency of other agents
Term
Chloroprocaine (Nesacaine)
Definition
Local anesthetic - ester;
Injectable;
Block Na channels, inc refractory period;
Block Na channels, inc refractory period;
Rapid onset, SHORTEST duration (1/2 life);
Minimal fetal exposure
Term
Tetracaine (Pontocaine)
Definition
Local anesthetic - ester;
Injectable;
Block Na channels, inc refractory period;
Slow onset, long action;
HIGH POTENCY;
Potentially very toxic
Term
Cocaine
Definition
Local anesthetic - ester;
Injectable, topical ENT use;
Block Na channels, inc refractory period;
Potent vasoconstriction;
SE - cardiac arrhythmias (esp w/ epi), ischemia and gangrene in nasopharynx
Term
Articaine (Septocaine)
Definition

Local anesthetic - ester and amide!; Injectable;

Block Na channels, inc refractory period;

Fast onset, intermediate duration;

Dental use w/ epi; Good penetration into BONE;

SE - PARASTHESIAS

Term
Benzocaine (Americaine)
Definition
TOPICAL local anesthetic;
Causes swelling of membrane, occlusion of Na channels;
Often for Mucous membranes (contra to Nagel);
SE - methemoglobinemia
Term
Dyclonine (Dyclone)
Definition
TOPICAL local anesthetic;
Block Na channels, inc refractory period;
Often for Mucous membranes (contra to Nagel);
Term
Dibucaine (Nupercainal)
Definition
TOPICAL local anesthetic;
Block Na channels, inc refractory period;
Skin use, NOT mucus membranes (contra to Nagel);
Term
Promoxine (Tronothane)
Definition
TOPICAL local anesthetic;
Block Na channels, inc refractory period;

Skin use, NOT mucus membranes (contra to Nagel);
Term
ELMA
Definition
Common ER prep;
Topical;
Prilocaine + Lidocaine;
apply, wrap, wait, wipe, proceed
Term
TAC
Definition
Common ER prep;
Topical, Apply through CUT SKIN;
Term
Phentolamine (OraVerse)
Definition
alpha-1,2 Antagonist;
used to reverse vasoconstriction
Term
Lipid rescue
Definition
Infusion of lipid emulsion ot treat severe cardiotoxicity (et. al) of local/regional anesthetics
Term
Promethazine (Phenergan)
Definition
H1 antagonist - anti-emetic;
Anti-dopamine, anti-cholinergic;
Tx for peri-op sedation, migraine anti-emetic;
Sedative;
SE - dec threshold for seizures, respiratory depression, glaucoma, BPH
Term
Hydroxyzine (Vistoril)
Definition
H1 antagonist;
po and IM;
SEDATIVE, antichilinergic, antiemetic
Term
Diphenhydramine (Benadryl)
Definition
H1 anti-histamine;
po and IM;
SEDATIVE, ANTICHOLINERGIC, antiemetic
Term
Cimetidine (Tagamet)
Definition
H2 antagonist;
"no" CNS sedation;
Will neutralize the pH of gastric acid secretions, no effect on pre-existing acid level/content
Term
Ranitidine (Zantac)
Definition
H2 antagonist;
"no" CNS sedation;
Will neutralize the pH of gastric acid secretions, no effect on pre-existing acid level/content
Term
Bicitra
Definition
Non-particulate Antacid;
Na- and K-citrate + citric acid;
Neutralize existing contents of stomach
Term
Polycitra
Definition
Non-particulate Antacid;
Na- and K-citrate + citric acid;
Neutralize existing contents of stomach
Term
Metoclopramide (Reglan)
Definition
Gastrokinetic, anti-emetic agent;
po and IV;
Central D2 block = anti-emetic, sedation;
Sensitizes upper GI to Ach;
Accelerate gastric emptying and peristalsis;
SE - lower seizure threshold, inc PL secretion (gynecomastia), drowsiness, confusion
Term
Ondansetron (Zofran)
Definition
Serotonin antagonist;
Anti-emetic;
Expensive, reserved for severe cases
Term
Cefazolin (Ancef)
Definition
Antibiotic, prophalyxis of infection;
Ancillary drug to anesthesia;
STAPH AND STREP
Term
Cefotetan (CEfotan)
Definition
Antibiotic, prophalyxis of infection;
Ancillary drug to anesthesia;
BOWEL ANEROBES
Term
Cefoxitin (Mefoxin)
Definition
Antibiotic, prophalyxis of infection;
Ancillary drug to anesthesia;
BOWEL ANEROBES
Term
Vancomycin (Vancocin)
Definition
Antibiotic, prophalyxis of infection;
Ancillary drug to anesthesia;
MRSA
Term
Atropine
Definition
Anticholinergic;
Vagolytic effects (tx bradycardia);
Pre-op ancillary agent for anesthesia;
Tx reflex bradycardia, block muscarinic anticholinesterases (NM blocker OD);
Drying of secretions;
ALSO... Rapid seq intubation- mitigates bradycardia in response to succinylcholine, children <10yrs
Term
Glycopyrrolate (Robinul)
Definition
Anticholinergic;
Anti-sialogogue effect (dry secretions);
Pre-op ancillary agent for anesthesia;
Tx reflex bradycardia, block muscarinic anticholinesterases (NM blocker OD);
Drying of secretions
Term
Scopolamine (Isopto)
Definition
Anticholinergic;
Sedation and amnesia;
Pre-op ancillary agent for anesthesia;
Tx reflex bradycardia, block muscarinic anticholinesterases (NM blocker OD);
Drying of secretions;
Blocks pathways from inner ear;
Tx motion sickness
Term
Vecuronium (Norcuron)
Definition
Rapid seq intubation- dec fasciculations and mitigates ICP response to Sccinylcholine
Term
Fentanyl (Sublimaze)
non analgesic action
Definition
Rapid Sequence Intubation;
dec sympathetic response to procedure;
Indicated if inc ICP, hemorrhage, CV dz
Term
Dopamine
Definition
Ancillary: post-op CV support;
tx hypoT;
beta effect on heart, maintains renal perfusion
Term
Phenylephrine (AK-Dilate)
Definition
Ancillary: post-op CV support;
alpha-agonist;
tx hypoT;
Term
Nitroprusside (Nitropress)
Definition
Ancillary: post-op CV support;
tx HTN;
vasodilation, venodilation
Term
Trimethaphan
Definition
Ancillary: post-op CV support;
tx HTN;
Dec sympathetic tone - vasodilation;
Prevention of reflex tachy
Term
Epinephrine
think Post-op
Definition
Ancillary:
tx post-op Anaphylaxis;
Initial agent to stimulate CV, vasoconstriction;
Term
Aminophylline (Theo-Dur)
Definition
Ancillary:
tx post-op Anaphylaxis;
2ndary use;
tx persistent bronchospasm
Term
Hydrocortisone
think Post-op
Definition
Ancillary:
tx post-op Anaphylaxis;
Anti-inflamm function of LT, PGs, kinins released by mast cells
Term
Methylprednisolone (Methacort)
Definition
Ancillary:
tx post-op Anaphylaxis;
Anti-inflamm function of LT, PGs, kinins released by mast cells
Term
Propofol Infusion Syndrome
Definition
Iatrogenic dz;
Acidosis, rhabdomyolysis, arrthymias, heart and kindey failure;
Risk factors - dec O2 delivery, prior cerebral injury;
Tx - CV stabilization
Term
NSAID and Migraine
Definition
(review)
1st treatment - mild to moderate migraine;
SE - gastric irritation, nephrotoxicity (dec renal blood flow);
CI - G6PD deficiency and high dose aspirin
Term
Butalbital (Fiorinal)
Definition
Barb for acute migraine tx;
GABA enhancement - sedative function;
SE - ANALGESIC OVERUSE SYN, CYP450 induction, CNS+resp depression, porphyria (beware of Nishimoto's vampireS)
Term
Butorphanol (Stadol)
Definition
Opiate for acute migraine tx;
Agonist/antagonist of all 3 ORs;
Hyperpolarizes endplate, dec cAMP, blocks SP release;
SE - resp depression, bradycardia, histamine release, QT prolong, constipation, CYP3A4's, N/V
Term
Acute therapy of migraines
review (5) agents
Definition
NSAIDs
Opiates
Triptans
Ergot's
(Anti-emetics)
Term
Naratriptan (Amerge)
Definition
Triptan for acute migraine tx (1st line);
Cerebral vasoconstriction, Inh trigeminal n activation, Inh trigeminal cervical cortes activation;
5-HT1b, 5-HT1d actions;
Met by CYP450;
Least problems with triptan SE, but..
SE - sleepiness, dec mentition, inc HR, dizziness, VASOSPASM
Term
Rizatriptan (Maxalt)
Definition
Triptan for acute migraine tx (1st line);
Cerebral vasoconstriction, Inh trigeminal n activation, Inh trigeminal cervical cortes activation;
5-HT1b, 5-HT1d actions;
Met by MAOs;
SE - sleepiness, dec mentition, inc HR, dizziness, VASOSPASM
Term
Sumatriptan (Imitrex)
Definition
Triptan for acute migraine tx (1st line);
Cerebral vasoconstriction, Inh trigeminal n activation, Inh trigeminal cervical cortes activation;
5-HT1b, 5-HT1d actions;
PO, nasal, or SC admin;
DOESN'T CROSS BBB;
Met by MAOs;
SE - sleepiness, dec mentition, inc HR, dizziness, VASOSPASM
Term
Zolmitriptan (Zomig)
Definition
Triptan for acute migraine tx (1st line);
Cerebral vasoconstriction, Inh trigeminal n activation, Inh trigeminal cervical cortes activation;
5-HT1b, 5-HT1d actions;
Met by MAOs;
SE - sleepiness, dec mentition, inc HR, dizziness, VASOSPASM
Term
Dihydroergotamine (Migranal)
Definition
Ergot for acute SEVERE migraine tx;
Agonist on 5-HT1&2, alpha-1&2, D2;
Central and peripheral vasoconstriction;
BP is unpredictable;
SE - drug interactions, CATEGORY X, valvular heart dz;
CI - vasospasm, triptans, vasoconstrictors, tobacco, propranolol
Term
Ergotamine (Ergomar)
Definition
Ergot for acute SEVERE migraine tx;
Agonist on 5-HT1&2, alpha-1&2, D2;
Central and peripheral vasoconstriction;
BP is unpredictable;
SE - drug interactions, CATEGORY X, valvular heart dz;
CI - vasospasm, triptans, vasoconstrictors, tobacco, propranolol
Term
Prochlorperazine
Definition
Anti-emetic in acute Migraine tx;
D2 block at chemoreceptors, Ach and alpha-adrenergic block;
SE - Sedation, muscle relax, hypoT, HA, glaucoma, additive CNS effects, dec seizure threshold, tardive dyskinesia
Term
Chlorpromazine (Thorazine)
Definition
Anti-emetic in acute Migraine tx;
D2 block at chemoreceptors, Ach and alpha-adrenergic block;
SE - Sedation, muscle relax, hypoT, HA, glaucoma, additive CNS effects, dec seizure threshold, tardive dyskinesia
Term
Amitriptyline (Elavil)
Definition
TCA for chronic migraine prophylaxis;
Inhibits NE and Sero uptake;
Anti-cholinergic;
SE - aggression, irritability, tachycardia, cycloplegia, xerostomia, constipation, urinary ret, endocrine dysfunction
Term
Divalproex (Depakote)
Definition
Anticonvulsant for chronic migraine prophylaxis;
Inh Na channels, dec GABA met & reuptake;
Highly protein bound;
CYP2C9 substrate;
SE - TERATOGEN, N/V, pancreatitis, hepatotoxicity, sedation
Term
Valproic Acid (Depacon)
Definition
Anticonvulsant for chronic migraine prophylaxis;
Inh Na channels, dec GABA met & reuptake;
Highly protein bound;
CYP2C9 substrate;
SE - TERATOGEN, N/V, pancreatitis, hepatotoxicity, sedation
Term
Propranolol (Inderal)
Definition
for chronic migraine prophylaxis;
Prevents vasodilation, dec renin, dec PG synth, inc O2 delivery;
EFFECTIVE FOR CHILDREN;
SE - lethargy, GI, exercise intolerance;
CI - asthma, AV block, sinus bradycardia, DM
Term
Timolol (Blocadren)
Definition
for chronic migraine prophylaxis;
Prevents vasodilation, dec renin, dec PG synth, inc O2 delivery;
SE - lethargy, GI, exercise intolerance;
CI - asthma, AV block, sinus bradycardia, DM
Term
Topiramate (Topamax)
Definition
Antiepileptic for chronic migraine prophylaxis;
Block Na channel, enhance GABA, Inh Glu;
Long duration, narrow TI, renal elim;
Term
Botulinum toxin (Botox)
Definition
for chronic migraine prophylaxis;
Inject into glabellar frontalis and temporalis mm;
Dec incidence and severity of HA;
Limited SE;
High placebo rate
Term
Polymixin B Sulfate
Definition
Topical antibiotic;
Prevent clean wound infection, early tx of infected dermatoses/wounds, prevent staph in nares, tx acne vulgaris, axillary deodorizer;
Avoid in open wounds;
SE - neuro-, nephro-toxic
Term
Gentamicin (Garamycin)
Definition
Topical antibiotic;
Prevent clean wound infection, early tx of infected dermatoses/wounds, prevent staph in nares, tx acne vulgaris, axillary deodorizer;
Limited in topical usage due to resistance fears;
SE - neuro-, nephro-, and oto-toxic
Term
Tetracycline (Sumycin)
Definition
Topical antibiotic;
Prevent clean wound infection, early tx of infected dermatoses/wounds, prevent staph in nares, tx acne vulgaris, axillary deodorizer;
CI - pregnancy, renal, hapatic dz
Term
Clotrimazole (Cruex)
Definition
Topical antifungal agent - azole deriv;
Dec production of ergosterol to compromise fungal cell wall integrity;
Term
Econazole (Spectazole)
Definition
Topical antifungal agent - azole deriv;
Dec production of ergosterol to compromise fungal cell wall integrity;
Term
Ketoconazole (Nizoral)
Definition
Topical/Oral antifungal agent - azole deriv;
Dec production of ergosterol to compromise fungal cell wall integrity;
Inh CYP2C19, 3A4,5,7!;
Inh testosterone synth
Term
Miconazole (Lotrimin)
Definition
Topical antifungal agent - azole deriv;
Dec production of ergosterol to compromise fungal cell wall integrity;
Term
Oxiconazole (Oxistat)
Definition
Topical antifungal agent - azole deriv;
Dec production of ergosterol to compromise fungal cell wall integrity;
Term
Sulconazole (Exelderm)
Definition
Topical antifungal agent - azole deriv;
Dec production of ergosterol to compromise fungal cell wall integrity;
Term
Ciclopirox (Loprox)
Definition
Topical antifungal agent . . .
Term
Naftifine (Naftin)
Definition
Topical antifungal agent - allylamine;
Inh squalene monooxygenase to block sterol synthesis to compromise structural integrity
Term
Terbinafine (Desenex)(Lamisil)
Definition
Topical/oral antifungal agent - allylamine;
Inh squalene monooxygenase to block sterol synthesis to compromise structural integrity;
Inh CYP2D6 as oral agent, CI - codeine, theophylline
Term
Butenafine (Mentax)
Definition
Topical antifungal agent - allylamine;
Inh squalene monooxygenase to block sterol synthesis to compromise structural integrity
Term
Tolnaftate (Absorbine)(Tinactin)
Definition
Topical antifungal agent - thiocarbamate;
Term
Nystatin (Mycostatin)
Definition
Topical antifungal agent - polyene;
Binds to ergosterol to compromise fungal cell wall integrity;
Term
Amphotercin B
Definition
Topical antifungal agent - polyene;
Binds to ergosterol to compromise fungal cell wall integrity;
Term
Griseofulvin (Fulvicin)
recall the major SE's (6)
Definition
Oral antifungal agent;
Disrupts mitotic spindle structure, so metaphase arrest;
SE - leukopenia, proteinuria, dec anticoag effect of warfarin, dec contraceptive effects, dec cyclosporine serum lvls, inc ethanol effects
Term
Fluconazole (Diflucan)
Definition
Oral antifungal agent;
Dec production of ergosterol to compromise fungal cell wall integrity;
Inh CYP2C9
Term
Itraconazole (Sporanox)
Definition
Oral antifungal agent;
Dec production of ergosterol to compromise fungal cell wall integrity;
Inh CYP3A4,5,7
Term
Clobetasol (Clobex)
Definition
Very potent topical steroid;
Dec phospholipase A2 activity to dec inflamm mediators;
Immunomodulatory, anti-inflamm, antipruritic, vasoconstrictive;
Acute control;
Don't use on face, neck, groin;
SE - spread the infection, skin atrophy, glaucoma, hirsutism, acne, depigmentation, perioral dermatitis, cushingoid
Term
Budesonide (Entacort)
Definition
Potent topical steroid;
Dec phospholipase A2 activity to dec inflamm mediators;
Immunomodulatory, anti-inflamm, antipruritic, vasoconstrictive;
Acute control;
Don't use on face, neck, groin;
SE - spread the infection, skin atrophy, glaucoma, hirsutism, acne, depigmentation, perioral dermatitis, cushingoid
Term
Betamethasone valerate (Beta-Derm)
Definition
Moderate topical steroid;
Dec phospholipase A2 activity to dec inflamm mediators;
Immunomodulatory, anti-inflamm, antipruritic, vasoconstrictive;
Maintenance control;
SE - spread the infection, skin atrophy, glaucoma, hirsutism, acne, depigmentation, cushingoid
Term
Hydrocortisone
Definition
Mild topical steroid;
Dec phospholipase A2 activity to dec inflamm mediators;
Maintenance control;
SE - spread the infection, skin atrophy, glaucoma, hirsutism, acne, depigmentation, cushingoid
Term
Methylprednisolone (Solu-Medrol)
Definition
IM steroid;
Dec phospholipase A2 activity to dec inflamm mediators;
Tx resistant pyoderma gangrenosum, SLE, dermatomyositis
Term
Tacrolimus (Prograf)
Definition
Topical/Oral Calcineurin blocker;
Blocks NFAT production, dec inflamm cytokines leading to dec T-, B-cell activation;
Tx atopic dermatitis;
SE - at CYP3A4
Term
Pimecrolimus (Elidel)
Definition
TOPICAL Calcineurin blocker;
Blocks NFAT production, dec inflamm cytokines leading to dec T-, B-cell activation;
Tx atopic dermatitis;
SE - rxn w/ alcohol
Term
Imiquimod (Aldara)
Definition
TOPICAL immunosuppresant;
Unknown mech;
Tx external genital or perianal HPV warts;
Term
Alefacept (Amevive)
Definition
IV/IM fusion protein - Immunosuppressant;
Modulates CD2 response, induces apoptosis of CD2+ cells;
Tx chronic plaque psoriasis;
SE - lymphopenia, secondary BCC or SCC, neutralizing Abs
Term
Lindane (GBH)
Definition
Tx scabies and pediculosis - 2nd line;
Topical;
Absorbed into the parasites;
SE - seizures and death, CNS stimulant
Term
Crotaminton (Eurax)
Definition
Tx scabies and pediculosis;
Topical;
Unknown mech;
Avoid inflamed or raw skin;
Term
Permethrin (Elimite)
Definition
Tx scabies and pediculosis - 1st line;
Topical;
Na channel disrupter = parasite death;
SE - none (low absorption + systemic inactivation)
Term
Malathion (Ovide)
Definition
Tx resistant scabies and pediculosis;
Remember: acetylcholinesterase inhibitor (insecticide);
SE - systemic ingestion=cholinergic effects
Term
Tretinoin retinoic acid
Definition
1ST Generation Retinoid - Oral;
Bind RAR, inc RNA pol activity, dec epidermal cohesion, inc epidermal cell turnover;
Tx inflamm dz's, hyperprolif dz's, skin malignancies;
Enhance penetration of other agents (benzoyl peroxide, topical ABs);
SE - dry skin, nose bleeds, conjunctivitis, alopecia, PHOTOSENSITIVITY, TERATOGEN
Term
Isotretinoin (Accutane)
Definition
1ST Generation Retinoid - Oral;
Bind RAR, inc RNA pol activity, dec epidermal cohesion, inc epidermal cell turnover;
Tx inflamm dz's, hyperprolif dz's, skin malignancies;
Enhance penetration of other agents (benzoyl peroxide, topical ABs);
SE - dry skin, nose bleeds, conjunctivitis, alopecia, PHOTOSENSITIVITY, TERATOGEN
Term
Acitretin (Soriatane)
Definition
2ND Generation Retinoid - Oral;
Bind RAR, inc RNA pol activity, dec epidermal cohesion, inc epidermal cell turnover;
Tx inflamm dz's, hyperprolif dz's, skin malignancies;
Enhance penetration of other agents (benzoyl peroxide, topical ABs);
SE - dry skin, nose bleeds, conjunctivitis, alopecia, PHOTOSENSITIVITY, TERATOGEN
Term
Adapalene (Differin)
Definition
3RD Generation Retinoid - TOPICAL;
Bind RAR, inc RNA pol activity, dec epidermal cohesion, inc epidermal cell turnover;
Tx inflamm dz's, hyperprolif dz's, skin malignancies;
Enhance penetration of other agents (benzoyl peroxide, topical ABs);
SE - dry skin, nose bleeds, conjunctivitis, alopecia, PHOTOSENSITIVITY, TERATOGEN
Term
Tazarotene (Tazorac)
Definition
3RD Generation Retinoid - TOPICAL;
Bind RAR, inc RNA pol activity, dec epidermal cohesion, inc epidermal cell turnover;
Tx inflamm dz's, hyperprolif dz's, skin malignancies;
Enhance penetration of other agents (benzoyl peroxide, topical ABs);
SE - dry skin, nose bleeds, conjunctivitis, alopecia, PHOTOSENSITIVITY, TERATOGEN
Term
Benzoyl peroxide
Definition
Topical;
Oxidation of bacterial proteins, keratolytic for acne resolution;
Tx. - P. acnes in seb. follicles and comedones;
SE - Xerosis, skin irritation, sting, +Hydroquinone= dark staining
Term
Azelaic acid
Definition
Keratolytic - topical;
Anti-microbial, anti-keratinizing, anti-inflamm;
Reversible inh of DNA pol, tyrosinase, resp mitochondrial enzymes;
Term
Salicylic acid
Definition
Keratolytic - topical; Solubilization of cell surface protein; SE - salicylism and death (tx w/ dialysis), Contact/allergic dermatitis (urticaria, anaphylaxis, erythema multiforme)
Term
Propylene glycol
Definition
Keratolytic - topical;
SE - contact dermatitis
Term
Minoxidil (Loniten)
Definition
(Rogaine) - topical, Trichogenic;
Inh PDE, SM contriction(?), vasodilation;
Tx hair loss;
SE - hypotension;
Avoid use at skin abrasion
Term
Finasteride (Propecia)
Definition
Oral trichogenic;
Block DHT production;
Tx hair loss;
SE - sexual dysfunction;
CI w/ Saw palmetto
Term
Eflornithine (Vaniqua)
Definition
Topical Anti-trichogenic;
Unknown mech, releated to ODC lvls;
Tx unwanted facial hair
Term
Hydroquinone (+Fluocinolone/Tretinoin=Tri-Luma)
Definition
Pigmentation agent;
Inh melanocyte production of DOPA, melanin formation;
Tx facial skin darkening 2nd to hormonal changes
Term
Methoxsalen (UVADEX)
Definition
Oral/Topical Pigmentation agent;
Stimulate melanocytes;
Tx vitiligo, psoriasis, cutaneous lymphoma, alopecia, inflamm dermatoses, eczema, lichen planus;
SE - +UV=erythema&inc melanin&cytotoxic, photosensitivity
Term
Drugs/classes that induce anaphylaxis (8)
Definition
barbiturates
etomidate
ester-type local anesthetics
succinylcholine
meperidine
morphine
fentanyl
antibiotics
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