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Exam 9
HIV agents, antimalarials, antiprotozoas, antihelminths, anticancer, antipsychotics, affective, OCD, anxiety, marijuana
84
Pharmacology
Graduate
02/18/2015

Additional Pharmacology Flashcards

 


 

Cards

Term
zidovudine, AZT, ZDV (retrovir)
Definition
NRTI--pyrimidine nucleoside (HIV)
Term
didanosine, ddl (videx)
Definition
NRTI--purine nucleoside (HIV) --peripheral neuropathy
Term
lamivudine, 3TC (epivir)
Definition
NRTI--pyrimidine nucleoside (HIV, Hepatitis B) --Hep B flare up
Term
abacavir, ABC (ziagen)
Definition
NRTI--nucleoside analogue (HIV) --severe hypersensitivity
Term
emtricitabine (emtriva)
Definition
NRTI--nucleoside analogue (HIV, Hepatitis B) --hyperpigmentation of palms and soles
Term
tenofovir (viread)
Definition
NNRTI--nucleoTide (HIV, Hepatitis B)
Term
efavirenz (sustiva)
Definition
NNRTI--non-nucleoside (HIV) --P450 metabolism
Term
ritonavir (norvir)
Definition
PI--modified peptide (HIV, boost concentration of other PI's) --P450 metabolism, circumoral & peripheral paresthesia
Term
indinavir (crixivan)
Definition
PI--modified peptide (HIV) --P450 metabolism, nephrolithiasis
Term
nelfinavir (viracept)
Definition
PI--synthetic non-peptide (HIV) --P450 metabolism
Term
atazanavir sulfate (reyataz)
Definition
PI--modified peptide (HIV) --P450 metabolism
Term
chloroquine (aralen) and hydroxychloroquine (plaquenil)
Definition
blood schizonticide--inhibits plasmodium feeding (treatment/prophylaxis of malaria)
Term
quinine
Definition
blood schizonticide--inhibits plasmodium feeding (chloroquine resistant malaria) --cinchonism, neuromuscular blockade, myocardial depression
Term
quinidine gluconate
Definition
blood schizonticide--inhibits plasmodium feeding (chloroquine resistant malaria) --cinchonism, neuromuscular blockade, myocardial depression
Term
mefloquine (lariam)
Definition
blood schizonticide--inhibits plasmodium feeding (treatment/prophylaxis of chloroquine resistant malaria, especially P. falciparum) --ataxia, psychotic rxns, seizures
Term
artemisinin (artemether)
Definition
blood schizonticide--generates free radicals (drug of choice for chloroquine resistant P. falciparum)
Term
primaquine
Definition
tissue schizonticide (P. vivax/ovale malarial treatment) --hemolytic anemia
Term
pyrimethamine (daraprim)
Definition
folic acid antagonist--dihydrofolate reductase inhibitor (treatment/prophylaxis of chloroquine resistant P. falciparum)
Term
proguanil (paludrine)
Definition
folic acid antagonist--dihydrofolate reductase inhibitor (treatment/prophylaxis of chloroquine resistant P. falciparum) --not available in US
Term
pyrimethamine + sulfadoxine (fansidar)
Definition
dihydrofolate reductase inhibitor + PABA incorporation inhibitor (presumptive treatment of chloroquine resistant P. falciparum)
Term
atovaquone + proguanil (malarone)
Definition
inhibits proton transport and dihydrofolate reductase (treatment/prophylaxis of chloroquine resistant P. falciparum)
Term
doxycycline (vibramycin)
Definition
tetracycline--inhibits protein synth. (treatment/prophylaxis of drug resistant malaria) --phototoxicity, teeth discoloration, no children under 8 or pregnant women
Term
albendazole (albenza)
Definition
antihelminth--Inhibits microtubule polymerization & microtubule dependent glucose uptake (Pinworms, Asymptomatic round worms, Hookworm, Neurocysticercosis d/t Taenia solium (pork tapeworm))
Term
pyrantel (antiminth, pin-x)
Definition
antihelminth--Activates cholinergic nicotinic-Rs in muscles of nematode leading to Paralysis of worm (Pinworm, Heavy infections round worms)
Term
praziquantel (biltricide)
Definition
antihelminth--Induces muscle contraction then spastic paralysis, ↑ Ca2+ ion influx (cestodes ex: taenia's)
Term
metronidazole (flagyl)
Definition
antiprotozoan--Binds intracellular macromolecules inhibiting DNA Synthesis (symptomatic amebiasis, Giardiasis, Trichomonas vaginalis, Anaerobic bacteria, C. Diff (+), B. fragilis (-))
Term
iodoquinol (yodoxin)
Definition
antiprotozoan (Asymptomatic carriers of Amebiasis (entamoeba histolytica)) --neurotoxic, optic neuritis
Term
paromomycin (humatin)
Definition
antiprotozoan--Inhibits protein synthesis, Binds 30S ribosomal unit (Asymptomatic carriers of Amebiasis, Cryptosporidiosis in AIDS pts) --aminoglycoside so nephrotoxic and ototoxic
Term
nitazoxanide (alinia)
Definition
antiprotozoan--Interferes w/ anaerobic energy metabolism, Inhibit pyruvate:ferredoxin 2-oxidoreductase (Giardiasis, Cryptosporidiosis in immunocompetent)
Term
mechlorethamine (mustargen)
Definition
alkylating agent CCNS (hodgkins, lymphosarcoma, CLL)
Term
cyclophosphamide (cytoxan)
Definition
alkylating agent CCNS (hodgkins, lymphoma, multiple myeloma, leukemia, adenocarcinoma of ovary, breast and lung, immunosuppresant) --activated in liver
Term
carmustine (BiCNU)
Definition
alkylating agent CCNS (BRAIN TUMORS, hodgkins/non-hodgkins lymphoma, multiple myeloma) --lipid soluble
Term
cisplatin (platinol-AQ)
Definition
alkylating agent CCNS (metastatic TESTICULAR and ovarian tumors, advanced bladder and lung cancer) --platinum containing, NEPHROTOXIC, OTOTOXIC
Term
methotrexate (rheumatrex)
Definition
antimetabolite folic acid analog CCS (leukemia, lymphoma, breast head neck carcinomas, osteosarcoma, bladder and gastric cancer, immunosuppresant, PSORIASIS, RA)
Term
mercaptopurine (purinethol)
Definition
antimetabolite purine analog CCS (acute lymphatic, acute myelogenous, and central nervous system leukemia, immunosuppresant)
Term
fluorouracil (adrucil)
Definition
antimetabolite pyrimidine analog CCS on proliferating cells--thymidylate synthetase inhibitor (breast carcinoma, colon rectum stomach and pancreas cancers, immunosuppresant)
Term
cytarabine (cytosar)
Definition
antimetabolite pyrimidine analog CCS (acute non-lymphocytic and lymphocytic leukemia, chronic myelocytic leukemia, meningeal leukemia, immunosuppresant)
Term
daunorubicin hydrochloride (cerubidine)
Definition
anthracycline antibiotic--intercalates and binds DNA CCNS (acute nonlymphocytic leukemia and acute lymphocytic leukemia) --cardiotoxic
Term
doxorubicin hydrochloride (adriamycin)
Definition
anthracycline antibiotic--intercalates and binds DNA CCNS (lymphoma, leukemia, hodgkins, breast ovary testicle thyroid lung gastric carcinomas) --cardiotoxic
Term
vinblastine sulfate (velban)
Definition
vinca alkaloid--distrupt mitotic spindle CCS M phase (hodgkins lymphoma, kaposis sarcoma, testicular bladder lung carcinomas, brain tumors) --neurotoxic
Term
vincristine sulfate (vincasar PFS)
Definition
vinca alkaloid--distrupt mitotic spindle CCS M phase (acute leukemia, hodgkins/non-hodgkins lymphoma, breast carcinoma, bladder cancer) --neurotoxic
Term
etoposide (toposar)
Definition
podophyllotoxin--topoisomerase inhibitor, DNA chain breaks CCS G2 phase (testicular gastric lung carinoma and leukemias) --alopecia
Term
paclitaxel (taxol)
Definition
diterpene from taxus brevifolia--promotes microtubule assembly CCS G2 and M phase (metastatic ovarian and breast carcinoma, non-small cell lung carcinoma) --alopecia
Term
prednisone (intensol)
Definition
glucocorticoid--binds cytosolic receptors and affect DNA, RNA and protein synth. CCS G1 phase, suppress lymphocytes and macrophages (breast carcinoma, leukemia and lymphoma, immunosuppresant) --iatrogenic cushings syndrome
Term
tamoxifen (nolvadex)
Definition
nonsteroidal antiestrogen CCS G1 phase (BREAST cancer) --hot flashes, visual disturbances, hypercalcemia, vaginal bleeding, potential tumor promoting endometrial cancer
Term
imatinib mesylate (gleevec)
Definition
kinase inhibitor--Bcr-Abl protein tyrosine kinase inhibition, inhibits cell proliferation and induces apoptosis, CCS G1 phase (PHILADELPHIA chromosome pos. chronic myeloid leukemia, ALL, c-Kit (CD117) receptor pos. gastrointestinal stromal tumor) --joint pain, fluid retention, cramps, edema, rash
Term
trastuzumab (herceptin)
Definition
IgG1 monoclonal AB--binds extracellular domain of human epidermal growth factor receptor HER-2, downregulation of EGF receptor tyrosine kinase signaling, G1 cell cycle arrest (BREAST cancer in EGF-2 pos. tumors)
Term
chlorpromazine (throrazine)
Definition
low potency phenothiazine--D2 antagonist (antipsychotic) --sedation, CV, AC effects
Term
fluphenazine (prolixin, prolixin decanoate)
Definition
high potency phenothiazine--D2 antagonist (antipsychotic) --EPS effects
Term
prochlorperazine (compazine)
Definition
high potency phenothiazine--D2 antagonist (antipsychotic, antiemetic) --EPS effects,
Term
trifluoperazine (stelazine, suprazine)
Definition
high potency phenothiazine--D2 antagonist (antipsychotic) --EPS effects
Term
haloperidol (haldol, haldol decanoate)
Definition
high potency NONphenothiazine--D2 antagonist (antipsychotic) --EPS effects
Term
clozapine (clozaril)
Definition
2nd gen atypical antipsychotic--D4 and 5HT antagonist (2nd line therapy as antipsychotic) --grunulocytopenia, agranulocytosis, seizures, metabolic SE's
Term
olanzapine (zyprexa)
Definition
2nd gen atypical antipsychotic--D4 and 5HT antagonist (antipsychotic) --AC effects, metabolic SE's
Term
risperidone (risperdal)
Definition
2nd gen atypical antipsychotic--D4 and 5HT antagonist (widely used antipsychotic) --metabolic SE's
Term
aripiprazole (abilify)
Definition
2nd gen atypical antipsychotic--Partial AGONIST/ANTAGONIST at D2 and 5-HT1a (antipsychotic)
Term
quetiapine (seroquel)
Definition
2nd gen atypical antipsychotic--D4 and 5HT antagonist (antipsychotic)
Term
ziprasidone (geodon)
Definition
2nd gen atypical antipsychotic--D4 and 5HT antagonist (antipsychotic)
Term
imipramine (tofranil, janimine)
Definition
tricyclic--inhibits reuptake of NE and 5HT (BED WETTING, pain, 2nd line tx for depression) --decreases BETA receptors, AC and CV effects
Term
amitriptyline (elavil)
Definition
tricyclic--inhibits reuptake of NE and 5HT (pain, 2nd line tx for depression) --worst AC effects
Term
fluoxetine (prozac)
Definition
SSRI (depression, OCD, anxiety, PMDD, bulimia, anorexia) --drug interactions
Term
fluvoxamine (luvox)
Definition
SSRI (OCD, depression)
Term
sertraline (zoloft)
Definition
SSRI (OCD, depression)
Term
paroxetine (paxil)
Definition
SSRI (OCD, depression) --short half life, wt gain
Term
citalopram (celexa)
Definition
SSRI (OCD, depression)
Term
escitalopram (lexapro)
Definition
SSRI (OCD, depression)
Term
venlafaxine (effexor)
desvenlafaxine (pristiq)
Definition
SNRI--inhibits reuptake of NE, 5HT, and DA (depression, anxiety) --stimulant activity, decreased BETA receptors
Term
duloxetine (cymbalta)
Definition
SNRI--inhibits reuptake of NE, 5HT, and DA (depression, anxiety, NEUROPATHIC PAIN) --CV effects
Term
trazodone (desyrel)
Definition
2nd gen antidepressant--inhibits reuptake of 5HT, also blocks 5HT-2 receptors (depression) --PRIAPISM, sedating
Term
nefazodone (serzone)
Definition
2nd gen antidepressant--inhibits reuptake of 5HT, also blocks 5HT-2 receptors (depression) --PRIAPISM, sedating
Term
bupropion (wellbutrin)
Definition
2nd gen antidepressant--inhibits DA reuptake (depression, nicotine/cocaine/amphetamine addictions) --SEIZURES
Term
mirtazepine (remeron)
Definition
2nd gen antidepressant--blocks presynaptic alpha-2 receptors, increasing NE and 5HT release (depression with anxiety)
Term
atomoxetine (strattera)
Definition
selective NE reuptake inhibitor (ADHD) --decreases BETA receptors, INCREASED BP
Term
phenelzine (nardil)
Definition
MAO inhibitor (bulimia, OCD, PTSD, narcolepsy, 3rd line tx for depression) --orthostatic HYPOtension, OD causes HYPERtension, tyramine toxicity, pheochromocytoma
Term
tranylcypromine (parnate)
Definition
MAO inhibitor (bulimia, OCD, PTSD, narcolepsy, 3rd line tx for depression) --orthostatic HYPOtension, OD causes HYPERtension, tyramine toxicity, pheochromocytoma
Term
selegiline (emsam)
Definition
MAO inhibitor (bulimia, OCD, PTSD, narcolepsy, 3rd line tx for depression) --orthostatic HYPOtension, OD causes HYPERtension, tyramine toxicity, pheochromocytoma
Term
lithium carbonate (eskalith)
Definition
mood stabilizer--alters phosphoinositol pathway? (manic depressive disorders) --hypothyroidism, nephrotoxic, teratogenic, toxicity=drunkenness
Term
valproic acid analogs (depakene/depakote)
Definition
antiepileptic (epilepsy, manic depressive disorders)
Term
carbamazepine (tegretol)
Definition
antiepileptic (epilepsy, manic depressive disorders)
Term
clonazepam (klonopin)
Definition
antiepileptic (epilepsy, manic depressive disorders)
Term
marijuana
Definition
maybe acting on cannabinoid receptors in brain (recreational) --lipid soluble, suppresses immune fxn, decreased testosterone, teratogenic, amotivational syndrome, lung damage
Term
dronabinal (THC)
Definition
(nausea and vomiting during chemo, prevention of wasting in AIDS, maybe useful in glaucoma and asthma)
Term
salvia
Definition
salvinorin A--agonist at kappa opioid and D2 receptors (recreational hallucinogen) --criminalized in some states
Term
Kratom
Definition
opioid-like effect--agonist at mu-opioid receptors (self medicating for pain relief/abuse, controlling opioid withdrawal) --currently legal
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