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Pharm Session 2.1
University of Minnesota, cardio and respiratory
118
Pharmacology
Graduate
10/14/2009

Additional Pharmacology Flashcards

 


 

Cards

Term
Diphenhydramine
Definition
1st generation H1 antagonist; allergy relief; sleep aid
Term
Fexofenadine
Definition
2nd generation H1 antagonist; allergy relief
Term
Loratadine
Definition
2nd generation H1 antagonist; allergy relief
Term
Desloratadine
Definition
2nd generation H1 antagonist; allergy relief
Term
Levocetirizine
Definition
2nd generation H1 antagonist; allergy relief
Term
Azelastin
Definition
2nd generation H1 antagonist; allergy relief
Term
H1 antagonists (1 first gen, 5 second gen)
Definition
1st gen: diphenhydramine (CNS side effects).
2nd gen: fexofenADINE, loratADINE, desloratADINE, levocetirizine, azelastin.
Term
Cimetidine
Definition
H2 antagonist; reduce gastric acid; INHIBITS P450 SYSTEM
Term
Which H2 antagonist inhibits the P450 system?
Definition
Cimetidine
Term
Ranitidine
Definition
H2 antagonist; reduce gastric acid
Term
Nizatidine
Definition
H2 antagonist; reduce gastric acid
Term
Famotidine
Definition
H2 antagonist; reduce gastric acid
Term
H2 antagonists (4)
Definition
CimetIDINE, ranitIDINE, nizatIDINE, famotIDINE
Term
Which H1 antagonist has CNS side effects?
Definition
Diphenhydramine
Term
Albuterol
Definition
Asthma; bronchodilator; short-acting beta-2 agonist (SABA)
Term
Terbutaline
Definition
Asthma; bronchodilator; short-acting beta-2 agonist (SABA)
Term
Salmeterol
Definition
Asthma; bronchodilator; LONG-acting beta-2 agonist (LABA)
Term
Theophylline
Definition
Asthma; bronchodilator; xanthine; oral or IV (aminophylline); rarely used
Term
Beta-2 agonists for asthma (3)
Definition
Albuterol, salmeterol, terbutaline ("ASThma")
Term
Fluticasone
Definition
Asthma; inhaled corticosteroid (ICS); HIGH potency
Term
Budesonide
Definition
Asthma; inhaled corticosteroid (ICS); HIGH potency
Term
Beclomethasone
Definition
Asthma; inhaled corticosteroid (ICS); LOW potency
Term
Flunisolide
Definition
Asthma; inhaled corticosteroid (ICS); LOW potency
Term
Prednisone
Definition
ORAL corticosteroid
Term
Inhaled corticosteroids (2 high potency, 2 low potency)
Definition
High: FLUticaSONE, [B]udesonIDE.
Low: FLUnisolIDE, [B]eclomethaSONE.
"[B]ird FLU." "ONE is like prednisONE"
Term
Cromolyn
Definition
Asthma; anti-inflammatory; prophylactic
Term
Nedocromil
Definition
Asthma; anti-inflammatory; asthma prophylactic
Term
Ipratropium bromide
Definition
Bronchodilator; muscarinic antagonist
Term
Montelukast
Definition
Asthma; bronchodilator + anti-inflam.; CysLTR1 antagonist
Term
Zafirlukast
Definition
Asthma; bronchodilator + anti-inflam.; CysLTR1 antagonist
Term
Zileuton
Definition
Asthma; bronchodilator + anti-inflam., 5-lipoxygenase inhibitor
Term
Omalizumab
Definition
Asthma; anti-inflam.; anti-IgE antibodies
Term
Anti-leukotrienes (2 receptor antagonists [LTRA's], 1 5-lipoxygenase inhibitor)
Definition
LTRA's: MonteLUKAST, ZafirLUKAST
5-LO inhibitor: zileuton
Term
Acetylsalicylic acid (aspirin)
Definition
Antiplatelet; irreversible COX inhibitor
Term
Clopidogrel
Definition
Antiplatelet agent; metabolite = ADP receptor irreversible antagonist (platelet surface)
Term
Abciximab
Definition
Antiplatelet; 1st GPIIb/IIIa receptor antagonist; MOST POTENT; IV
Term
Epoprostenol
Definition
Antiplatelet; SYNTHETIC PGI2; IV
Term
Cilostazol
Definition
Anti-platelet; PDE3 inhibitor (keeps cAMP alive); used for intermittent claudication
Term
Tranexamic acid
Definition
Hemostatic; plasminogen inhibitor
Term
Protamine sulphate
Definition
Hemostatic; heparin inhibitor
Term
Heparin
Definition
Anti-coagulant; RAPID via IV (hard to control)
Term
Warfarin
Definition
Anti-coagulant; oral; slower than heparin but has adverse drawbacks; metabolized by P450
Term
Enoxaprin
Definition
Anti-coagulant; LMWH (therefore, easier dosing).  "rin" = heparin
Term
Fondaparinux
Definition
Anti-coagulant; factor Xa inhibitor.  "F_____x = [F]ondaparinu[X]; [F]actor [X]"
Term
Alteplase (tPA)
Definition
Thrombolytic ("clot buster"); recombinant tPA
Term
Streptokinase
Definition
Thrombolytic ("clot buster"); alternative to tPA
Term
Urokinase
Definition
Thrombolytic ("clot buster"); alternative to tPA
Term
Antiplatelets (3 oral, 2 IV)
Definition
Oral: Aspirin, clopidogrel, cilostazol.
IV: Abciximab, epoprostenol (PGI2)
Term
Hemostatics (2)
Definition
Tranexamic acid, protamine sulphate
Term
Anti-coagulants (4)
Definition
HepARIN, warfARIN, enoxApRIN, fondapARINux
("ARIN = without fibrin")
Term
Thrombolytics ("clot busters") (3)
Definition
AlteplASE (tPA), streptoKINASE, uroKINASE
Term
Plant Sterol
Definition
Lipid lowering agent; reduces cholesterol absorption
Term
Atorvastatin
Definition
Lipid lowering agent; statin = HMG CoA reductase inhibitor
Term
Fluvastatin
Definition
Lipid lowering agent; statin = HMG CoA reductase inhibitor
Term
Lovastatin
Definition
Lipid lowering agent; statin = HMG CoA reductase inhibitor
Term
Pravastatin
Definition
Lipid lowering agent; statin = HMG CoA reductase inhibitor
Term
Rosuvastatin
Definition
Lipid lowering agent; statin = HMG CoA reductase inhibitor
Term
Simvastatin
Definition
Lipid lowering agent; statin = HMG CoA reductase inhibitor
Term
Cholestyramine
Definition
Lipid lowering agent; bile acid resin (USMLE artifact)
Term
Colestipol
Definition
Lipid lowering agent; bile acid resin (USMLE artifact)
Term
Colesevelam
Definition
Lipid lowering agent; ONLY bile acid resin that anyone uses; ↓LDL
Term
Gemfibrozil
Definition
Lipid lowering agent; fibrate = PPAR-α agonist
Term
Fenofibrate
Definition
Lipid lowering agent; fibrate = PPAR-α agonist
Term
Niacin
Definition
Lipid lowering agent; vitamin mega-dose; ↑↑HDL
Term
Niacin
Definition
Lipid lowering agent; vitamin mega-dose
Term
CETP inhibitors
Definition
Lipid lowering agents; still in trials; blocks transfer of cholesterol esters/TGs between lipoproteins
Term
Ezetimibe
Definition
Lipid lowering agent; blocks cholesterol transporter in intestine
Term
Ezetimibe/Simvastatin
Definition
Lipid lowering agent; drug combo; statin (endogenous) + cholesterol transporter inhibitor (exogenous)
Term
Statins (good effects/side effects)
Definition
Good = ↓↓LDL, ↓TGs. Potential side effects = teratogenic, liver dz, myopathy (soreness to rhabdomyolysis), minor GI sx (cramps, constipation)
Term
Bile acid resins (3)
Definition
Best = COLEsevelam. Unimportant = CHOLEstyramine, COLEstipol
Term
Fibrates (2) (good effects)
Definition
GemFIBRozil, fenoFIBRATE. PPAR-α agonist = ↓↓VLDL, ↑HDL
Term
Glyceryl trinitrate (nitroglycerin)
Definition
Anti-anginal; vasodilator; organic nitrate
Term
Isosorbide dinitrate
Definition
Anti-anginal; vasodilator; organic nitrate
Term
Isosorbide mononitrate
Definition
Anti-anginal; vasodilator; organic nitrate
Term
Diltiazem
Definition
Anti-anginal; Class IV Antiarrhythmic; VOCC antagonist
Term
Propanolol
Definition
Anti-anginal; Class II Antiarrhythmic; nonspecific β-blocker
Term
Ranolazine
Definition
Anti-anginal; inhibits fatty acid oxidation
Term
Atenolol
Definition
Anti-anginal; Class II Antiarrhythmic; β1-antagonist
Term
Organic nitrates (3)
Definition
Glyceryl trinitrate; isosorbide dinitrate; isosorbide mononitrate. VENOdilators
Term
Sympatholytics for angina (2)
Definition
Propanolol (nonspecific) and atenolol (β1-antagonist)
Term
Captopril
Definition
Heart failure; vasodilator; ACE inhibitor
Term
Enalapril
Definition
Heart failure; vasodilator; ACE inhibitor
Term
Lisinopril
Definition
Heart failure; vasodilator; ACE inhibitor
Term
Losartan
Definition
Heart failure; vasodilator; Angiotensin Receptor Blocker (ARB)
Term
Na Nitroprusside
Definition
Heart failure; vasodilator (POTENT); IV
Term
Hydralazine
Definition
Heart failure; vasodilator; acts directly on ARTERIOLES; never use alone!
Term
Nesiritide (BNP)
Definition
Heart failure; vasodilator AND diuretic; only use for ACUTE HF with dyspnea at rest
Term
Furosemide
Definition
Heart failure; diuretic; oral or IV
Term
Hydrochlorothiazide (HCTZ)
Definition
Heart failure; diuretic; thiazide
Term
Spironolactone
Definition
Heart failure; diuretic; aldosterone antagonist
Term
Eplerenone
Definition
Heart failure; diuretic; aldosterone antagonist
Term
Metoprolol
Definition
Heart failure; sympatholytic; Antiarrhythmic; β1-blocker
Term
Bisoprolol
Definition
Heart failure; sympatholytic; β1-blocker
Term
Carvedilol
Definition
Heart failure; sympatholytic; combined α/β blocker
Term
Digoxin
Definition
Heart failure; inotrope; antiarrhythmic (AV block); inhibits Na/K channels; oral/IV
Term
Dobutamine
Definition
Sympathomimetic; big increase in contractility with small increase in HR; IV
Term
Dopamine
Definition
Sympathomimetic (mostly dopaminergic but also β-agonist); IV
Term
Inamrinone
Definition
Heart failure; phosphodiesterase inhibitor; IV
Term
RAAS inhibitors (3 ACE inhibitors, 1 ARB)
Definition
ACE inhibitors: captoPRIL, enalaPRIL, lisinoPRIL.
ARB: Losartan
Term
Vasodilators for heart failure (3 ACE inhibitors, 1 ARB, 3 misc)
Definition
ACE inhibitors (warning: potassium-sparing!): CaptoPRIL, enalaPRIL, lisinoPRIL. ACE inhibitors = ARTERIAL dilators.
ARB (not potassium-sparing): Losartan.
Others: Na Nitroprusside, hydralazine, nesiritide (doubles as diuretic).
Term
Diuretics for heart failure (2 aldosterone antagonists, 3 misc)
Definition
Aldosterone antagonists: SpironolactONE, eplerenONE (warning: potassium-sparing!). ("keeps you from going 'number one'") Misc: NesiritIDE (doubles as vasodilator), furosemIDE, hydrochlorothiazIDE
Term
Sympathomimetics for heart failure (2)
Definition
Dobutamine and dopamine
Term
Quinidine
Definition
Class Ia antiarrhythmic. Good for a.fib./v.fib. COMBO due to multiple effects.
Term
Lidocaine
Definition
Class Ib antiarrhythmic. Great for v.fib.
Term
Esmolol
Definition
Class II antiarrhythmic. Great for a.fib. and AV nodal re-entry.
Term
Pindolol
Definition
Class II antiarrhythmic. Great for a.fib. and AV nodal re-entry.
Term
Amiodarone
Definition
Class III antiarrhythmic. Serious side effects = pulmonary fibrosis, liver toxicity, thyroid abnormalities.
Term
Bretylium
Definition
Class III antiarrhythmic. Fewer side effects than amiodarone, but weaker.
Term
Sotalol
Definition
Class III antiarrhythmic. Fewer side effects than amiodarone, but weaker.
Term
Nifedipine
Definition
Antianginal; VOCC antagonist
Term
Verapamil
Definition
Antianginal; Class IV antiarrhythmic; VOCC antagonist
Term
Adenosine
Definition
Antiarrhythmic; diagnostic
Term
What are the four main targets of antiarrhythmic drugs?
Definition
Class I = sodium channels. Class II = β-activation. Class III = potassium channels. Class IV = calcium channels. ("NBKC")
Term
Which antiarrhythmic classes are supraventricular? Ventricular?
Definition
Supraventricular = II and IV. Ventricular = I and III.  ("Even Stephen" = even numbers for Supra)
Term
What are the PRIMARY drugs to remember for each class of antiarrhythmic?
Definition
Class I = lidocaine. II = propanolol. III = sotalol, bretylium, amiodarone. IV = verapamil. ("3 for 3")
Term
What do organic nitrates dilate: arteries or veins?
Definition
Veins. Depends on dose
Term
Cerivastatin
Definition
The first (and worst) statin. 80-fold increase in rhabdomyolysis.
Term
ACE Inhibitors: Contraindications/undesirable effects (hint: CAPTOPRIL)
Definition
Cough, Angioedema, Proteinuria, Taste changes, hypOtension, Pregnancy, Rash, Increased renin, Lower AngII (and thus, hyperkalemia)
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