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pharm 2 drug list
drug list
79
Pharmacology
Professional
11/07/2012

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Term
clemastine (tavist)
Definition
first gen H1 antagonist
Term
diphenhydramine (benadryl
Definition
first gen H1 antagonist
second line agent: OTC, prophy, sedation, anticholinergic (drying)
Term
hydroxyzine (atarax)
Definition
first gen H1 antagonist
second line agent: OTC, prophy, sedation (used in pedo), anticholinergic (drying)
Term
meclizine (bonnine)
Definition
first gen H1 antagonist
Term
chlopheniramine (chlo-trimenton)
Definition
first gen H1 antagonist
second line agent: OTC, prophy, sedation, anticholinergic (drying)
Term
promethazine (phenergan)
Definition
first gen H1 antagonist
sedation (used for pedo)
Term
cetirizine (zyrtec)
Definition
second gen H1 antagonist
Term
des-loratidine (clarinex)
Definition
second gen H1 antagonist
Term
fexofenadine (allegra)
Definition
second gen H1 antagonist
Term
loratadine (claritin)
Definition
second gen H1 antagonist
Term
cimetidine (tagamet)
Definition
H2 antagonist
Term
famotidine (pepcid)
Definition
H2 antagonist
Term
ranitidine (zantac
Definition
H2 antagonist
Term
nizatidine (axid pulvules)
Definition
H2 antagonist
Term
cortisol
Definition
anti-inflammatory steroid
short acting glucocorticoid
Term
prednisone (deltasone)
Definition
anti-inflammatory steroid
intermediate acting glucocorticoid
oral steroid
Term
prednisolone (delta-cortef)
Definition
anti-inflammatory steroid
intermediate acting glucocorticoid
oral steroid
Term
triamcinolone (aristocort
Definition
anti-inflammatory steroid
intermediate acting glucocorticoid
intraarticular
Term
methylprednisolone (medrol)
Definition
anti-inflammatory steroid
intermediate glucocorticoid
oral steroid
Term
dexamethasone (decadron)
Definition
anti-inflammatory steroid
long acting glucocorticoid
intranasal steroid - allergic rhinitis or inflammatory cond
intraarticular (TMJ)

intraarticular injection (decadron-LA)
Term
betamethasone (celestone)
Definition
anti-inflammatory steroid
long acting glucocorticoid
Term
triamcinolone (azmacort)
Definition
oral inhalation for asthma
intranasal steroid (nasacort)
intraarticular injection (aristocort)
-first line (inhaled)
-not for acute attack (long onset)
-decrease release of prostaglandins and leukotrienes
Term
beclomethasone (beclovent)
Definition
oral inhalation for asthma
intranasal steroid (beconase)
-first line (inhaled)
-not for acute attack (long onset)
-decrease release of prostaglandins and leukotrienes
intranasal steroid - allergic rhinitis or inflammatory cond
Term
flutocasone (flovent)
Definition
oral inhalation for asthma
-first line (inhaled)
-not for acute attack (long onset)
-decrease release of prostaglandins and leukotrienes
Term
orabase hydrocortisone (orabase-hca)
Definition
glucocorticoid: oral topical
for oral lesions
no steroid - 2-3x/day
Term
orabase + trimcinolone (kenalog in orabase)
Definition
oral topical
no steroid - 2-3x/day
Term
levothyroxine (synthroid)
Definition
hypothyroid drug (L isomer of T4)
best absorbed in stomach
prodrug for T3 (in tissues)
Term
desiccated thyroid
Definition
hypothyroid drug
t4 and t3
porcine thyroid gland
Term
OTC TH from bovine
Definition
hypothyroid drug
risk: BSE (bovine spongiforms encephalopathy)
Term
131I isotope
Definition
hyperthyroidism
beta particle (radioactive) - destroy glands in 2-3 months
1/2 life = 8 days
cheap but may have delayed hypothyroidism
Term
propylthiouracil
Definition
hyperthyroidism
reduce synthesis of thyroid hormone (inhibits thyroid peroxidase)
long acting

bad: may lose taste, liver injury/failure
Term
methimizole
Definition
hyperthyroidism
reduce synthesis of thyroid hormone (inhibits thyroid peroxidase)
long acting

bad: bad taste, salivary swelling, birth defects
Term
conjugated estrogen (premarin)
Definition
repo
Term
ethinyl estraiol (estinyl)
Definition
repo
Term
estradiol transdermal system
Definition
repo
Term
conjugated estrogen and medroxyprogesterone (prempro)
Definition
repo
Term
medroxyprogesterone (provera-oral and depo-provera-IM)
Definition
repo
Term
raloxifene (evista)
Definition
repo
Term
norethidrone (miconor)
Definition
repo
Term
norgestimate
Definition
repo
Term
monophasic
Definition
repo
Term
diphasic
Definition
repo
Term
triphasic
Definition
repo
Term
yaz (drospirenone + ethinyl E)
Definition
repo
Term
etonogestrel (implant) (implanon)
Definition
repo
Term
etonogestrel + ethyinyl estradiol (nuvaring)
Definition
repo
Term
plan b (emergency)
Definition
repo
Term
tamoxifen (nolvadex)
Definition
repo
Term
testosterone
Definition
repo
Term
17-alpha-alkylated androgens
Definition
repo
Term
finasteride (proscar)
Definition
repo
androgen hormone inhibitor - benign prostatic hypertrophy, prostate CA
Term
aspirin
Definition
hemostasis and anticoagulants
antiplatelet aggregation
used for: CVA, CAB surgery, post MI, transient ischemic attack, angina pectoris

inhibits synthesis of thromboxane A2
Term
heparin
Definition
hemostasis and anticoagulants
disaccharides
mechn: antithrombin III inactivates IX, X, XII > decreased thrombin formation

decreases fibrin activation
heparin increase AT III 100x
Term
LMWH (lovenox
Definition
hemostasis and anticoagulants
porcine
prevention of deep vein thrombosis after surgery (hip,knee)
effects factor X most
Term
warfarin (coumadin)
Definition
hemostasis and anticoagulants
coumarind derivative: reduces vit K
doesnt affect clot, just prevents new clots

absorbed by all routes, bound to plasma proteins, metabolized in the liver
Term
clopidogrel (plavix
Definition
hemostasis and anticoagulants
irreversible inhibition of ADP receptor induced platelet agg (increased BT)
(avoid NSAIDS)
Term
microfibrillar collagen hemostat (hemopad)
Definition
hemostasis and anticoagulants
increases agg of platelets
Term
absrobable gelatine sponge (gelfoam)
Definition
hemostasis and anticoagulants
applied dry, absorbs blood, stims coag, resorbs 4-6 wks
Term
oxidized cellulose sponge (oxycel)
Definition
hemostasis and anticoagulants
physical plug, swells, remove in 1-2 days, forms artificial clot, delays healing
Term
fibrin sealant (fibrin glue)
Definition
hemostasis and anticoagulants
procoagulant
thrombin + calcium + fibrinogen + XIII = clot
used for people with blood disorder
Term
transexamic acid (cyklokapron)
Definition
hemostasis and anticoagulants
prevents hemorrhage in hemophiliacs
competitively inhibits plasminogen activator and plasmin
Term
tolbutamide (orinase)
Definition
oral hypoglycemics
sulfonylureas: first gen
short dur, high # doses
Term
glipizide (glucatrol)
Definition
oral hypoglycemics
sulfonylureas: second gen
high dose, long dur, short half/life
Term
glyburide (nonmicronized diabeta, micronized micronase)
Definition
oral hypoglycemics
sulfonylureas: second gen
long dur, mico shorter half life
Term
glimepiride (amaryl)
Definition
oral hypoglycemics
sulfonylureas: second gen
Term
metfromin (glucophage)
Definition
oral hypoglycemics
other oral hypoglycemics
improves glucose tolerance in type II patients > lowers blood glucose

decreases production
decreases int absorption
improves insulin sens in tissues

might cause GI problems, lactic acidosis
Term
miglitol (glyset)
Definition
oral hypoglycemics
other oral hypoglycemics
inhibition of membrane-bound int glucoside hydroxylases - delays carbo digestion > keeps small rise in blood glucose after meal

GI problems
Term
repaglinide (prandin)
Definition
oral hypoglycemics
other oral hypoglycemics

non-sulfonyl urea stims release of insulin from pancreas use with metformin
Term
rosiglitazone (avandia)
Definition
oral hypoglycemics
other oral hypoglycemics
increase insulin sens in tissues

CHF and myocardial ischemia
decreased effectiveness of oral contraceptives
Term
saxagliptin (onglyza)
Definition
oral hypoglycemics
other oral hypoglycemics
DPP-4 inhibitor: blocks enzyme which breaks down incretins > increases active levers of incretin hormone
Term
chlorpropamide (diabinese)
Definition
oral hypoglycemics
sulfonylureas: first gen
Term
h1 antagonist
Definition
-reversible, competitive against histamine
-no effect on H2 receptors
-most effective before histamine release
-first gen: short duration, lotta action
-second gen: longer, only antihistamine

uses: antagonize receptors on resp SM
anti-allergic
Term
first gen h1 antagonist
Definition
4-6 hours, antihist, antichlo, sedative
readily enter CNS
metabolized in the liver
side effects: CNS depression, xerostomia, blurred vision
Term
second gen h1 antagonist
Definition
doesnt enter CNS
metabolized by CYP3A4 system
not effective for sedation
-reduces stim of gastric acid secretion
-also used for zolilnger-ellison synd; GERD; heartburn, premed
-side effects: low acid in stomach, headache/dizziness, inhibit CP450
Term
anti inflammatory steroid
glucocorticoid
Definition
- substitution for deficiency (chronic = addisons)
- anti-inflammatory, immunosuppressant
- bronchial asthma
Term
insulin - rapid
Definition
lispro, humalog
Term
insulin - short acting
Definition
regular, humulin R
Term
insulin - intermediate-acting
Definition
humulin N
Term
insulin - long acting
Definition
glargine solution - lantis
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