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Pharmacology Comprehensive
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109
Pharmacology
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03/13/2013

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Term

Acetylcholine

Definition
  1. Direct acting muscarinic agonst
  2. Activity - ↑GI motility, ↓HR, ↓CO, bladder contraction, sphincter relaxation, miosis, ↓intraocular pressure, ↑ secretions(salivary, lacrimal, GI, sweat).
  3. ADR - hypotension, bradycardia bronchoconstriction, diarrhea, urinary incontinence, sweating.
  4. Use - glaucoma
  5. Rapidly hydrolyzed.
Term
Methacholine
Definition
  1. Direct acting muscarinic agonst
  2. Activity - ↑GI motility, ↓HR, ↓CO, bladder contraction, sphincter relaxation, miosis, ↓intraocular pressure, ↑ secretions(salivary, lacrimal, GI, sweat).
  3. ADR - hypotension, bradycardia bronchoconstriction, diarrhea, urinary incontinence, sweating.
  4. Use - Pulmonary function test.
Term
Bethanechol
Definition
  1. Direct acting muscarinic agonst
  2. Activity - ↑GI motility, ↓HR, ↓CO, bladder contraction, sphincter relaxation, miosis, ↓intraocular pressure, ↑ secretions(salivary, lacrimal, GI, sweat).
  3. ADR - hypotension, bradycardia bronchoconstriction, diarrhea, urinary incontinence, sweating.
  4. Use - stimulate GI motility, treaty urinary retention.
  5. Resistant to rapid hydrolysis.
Term
Pilocarpine
Definition
  1. Direct acting muscarinic agonst
  2. Activity - ↑GI motility, ↓HR, ↓CO, bladder contraction, sphincter relaxation, miosis, ↓intraocular pressure, ↑ secretions(salivary, lacrimal, GI, sweat).
  3. ADR - hypotension, bradycardia bronchoconstriction, diarrhea, urinary incontinence, sweating.
  4. Use - Glaucoma, xerostomia(poor salivation)
Term
Edrophonium
Definition
  1. Reversible AChE inhibitor
  2. Effects -↑GI motility and secretion, bladder contraction, urinary sphincter relaxation,bradycardia, hypotension, ↑ secretions(saliva, tears, sweat),↓intraocular pressure, stimulate skeletal muscles and bronchoconstriction.
  3. ADR- SLUDGE, skeletal muscle fasciculations and paralysis, bradycardia, shock, severe miosis.
  4. Use - diagnose myasthenia gravis.
  5. Toxicity- TX with atropine.
  6. Short acting.
Term
Physostigmine
Definition
  1. Reversible AChE inhibitor
  2. Effects -↑GI motility and secretion, bladder contraction, urinary sphincter relaxation,bradycardia, hypotension, ↑ secretions(saliva, tears, sweat),↓intraocular pressure, stimulate skeletal muscles and bronchoconstriction.
  3. ADR- SLUDGE, skeletal muscle fasciculations and paralysis, bradycardia, shock, severe miosis.
  4. Use - Tx atropine poisoning
Term
Neostigmine
Definition
  1. Reversible AChE inhibitor
  2. Effects -↑GI motility and secretion, bladder contraction, urinary sphincter relaxation,bradycardia, hypotension, ↑ secretions(saliva, tears, sweat),↓intraocular pressure, stimulate skeletal muscles and bronchoconstriction.
  3. ADR- SLUDGE, skeletal muscle fasciculations and paralysis, bradycardia, shock, severe miosis.
  4. Use - Tx myasthenia gravis.
  5. Longer acting.
Term
Pyridostigmine
Definition
  1. Reversible AChE inhibitor
  2. Effects -↑GI motility and secretion, bladder contraction, urinary sphincter relaxation,bradycardia, hypotension, ↑ secretions(saliva, tears, sweat),↓intraocular pressure, stimulate skeletal muscles and bronchoconstriction.
  3. ADR- SLUDGE, skeletal muscle fasciculations and paralysis, bradycardia, shock, severe miosis.
  4. Use - Tx myasthenia gravis, protect against nerve agents.
  5. Longer acting.
Term
Rivastigmine
Definition
  1. Reversible AChE inhibitor
  2. Effects -↑GI motility and secretion, bladder contraction, urinary sphincter relaxation,bradycardia, hypotension, ↑ secretions(saliva, tears, sweat),↓intraocular pressure, stimulate skeletal muscles and bronchoconstriction.
  3. ADR- SLUDGE, skeletal muscle fasciculations and paralysis, bradycardia, shock, severe miosis.
  4. Use - Tx alzheimer's.
Term
Donepezil
Definition
  1. Reversible AChE inhibitor
  2. Effects -↑GI motility and secretion, bladder contraction, urinary sphincter relaxation,bradycardia, hypotension, ↑ secretions(saliva, tears, sweat),↓intraocular pressure, stimulate skeletal muscles and bronchoconstriction.
  3. ADR- SLUDGE, skeletal muscle fasciculations and paralysis, bradycardia, shock, severe miosis.
  4. Use - Tx alzheimer's.
Term
Carbamate Insecticides
Definition
  1. Reversible AChE inhibitor
  2. Effects -↑GI motility and secretion, bladder contraction, urinary sphincter relaxation,bradycardia, hypotension, ↑ secretions(saliva, tears, sweat),↓intraocular pressure, stimulate skeletal muscles and bronchoconstriction.
  3. ADR- SLUDGE, skeletal muscle fasciculations and paralysis, bradycardia, shock, severe miosis.
  4. Tx poisoning with atropine.
Term
Parathion, malathion(organophosphate)
Definition
  1. Irreversible AChE inhibitors
  2. Effects -↑GI motility and secretion, bladder contraction, urinary sphincter relaxation,bradycardia, hypotension, ↑ secretions(saliva, tears, sweat),↓intraocular pressure, stimulate skeletal muscles and bronchoconstriction.
  3. ADR- SLUDGE, skeletal muscle fasciculations and paralysis, bradycardia, shock, severe miosis.
  4. Tx poisoning with pralidoxime or atropine.
Term
Nerve Agents (Sarin)
Definition
  1. Irreversible AChE inhibitors
  2. Effects -↑GI motility and secretion, bladder contraction, urinary sphincter relaxation,bradycardia, hypotension, ↑ secretions(saliva, tears, sweat),↓intraocular pressure, stimulate skeletal muscles and bronchoconstriction.
  3. ADR- SLUDGE, skeletal muscle fasciculations and paralysis, bradycardia, shock, severe miosis.
  4. Tx poisoning with pralidoxime or atropine.
Term

Sildenafil(viagra)


Definition
  1. Cyclic GMP PDE inhibitor
  2. ↑ release of NO = vasodilation.
  3. Effects - hypotension, ↑HR(reflex), visual disturbances.
  4. DI - nitrates, sympathomimetics.
Term
Vardenafil(levitra)
Definition
  1. Cyclic GMP PDE inhibitor
  2. ↑ release of NO = vasodilation.
  3. Effects - hypotension, ↑HR(reflex), visual disturbances.
  4. DI - nitrates, sympathomimetics.
Term
Tadalafil(cialis)
Definition
  1. Cyclic GMP PDE inhibitor
  2. ↑ release of NO = vasodilation.
  3. Effects - hypotension, ↑HR(reflex), visual disturbances.
  4. DI - nitrates, sympathomimetics.
  5. Longer half-life and duration.
Term
Pralidoxime
Definition
  1. Cholinesterase reactivator
  2. Antidote for organophosphate poisoning.
  3. Does not work with carbamate insecticides. 
Term
Atropine
Definition
  1. Muscarinic antagonist, anticholinergic.
  2. Effects - Dries secretions, ↓GI motility, urine retention, bronchodilation, mydriasis(dilation), ↑HR.
  3. ADR - tachycardia, may cause initial bradycardia, dry mouth, hot skin, constipation, urine retention, visual disturbances, sedation, confusion.
  4. Uses- GI(cramps, diarrhea, IBS),mydriatic agent, cardiac stimulant, dry respiratory secretions, block vagal reflexes on heart.
  5. CI- glaucoma,  prostate hypertrophy, cardiovascular instability and ulcerative colitis.
Term
Scopolamine
Definition
  1. Muscarinic antagonist, anticholinergic.
  2. Effects - Dries secretions, ↓GI motility, urine retention, bronchodilation, mydriasis(dilation), ↑HR.
  3. ADR - tachycardia, dry mouth, hot skin, constipation, urine retention, visual disturbances, sedation, confusion.
  4. Use -Patch form for motion sickness and vertigo.

Term
Dicyclomine
Definition
  1. Muscarinic antagonist, anticholinergic.
  2. Effects - Dries secretions, ↓GI motility, urine retention, bronchodilation, mydriasis(dilation), ↑HR.
  3. ADR - tachycardia, dry mouth, hot skin, constipation, urine retention, visual disturbances, sedation, confusion.
  4. Use - Intestinal antispasmodic, IBS.
Term
Propantheline
Definition
  1. Muscarinic antagonist, anticholinergic.
  2. Effects - Dries secretions, ↓GI motility, urine retention, bronchodilation, mydriasis(dilation), ↑HR.
  3. ADR - tachycardia, dry mouth, hot skin, constipation, urine retention, visual disturbances, sedation, confusion.
  4. Use - antispasmodic, IBS.
Term
Glycopyrrolate
Definition
  1. Muscarinic antagonist, anticholinergic.
  2. Effects - Dries secretions, ↓GI motility, urine retention, bronchodilation, mydriasis(dilation), ↑HR.
  3. ADR - tachycardia, dry mouth, hot skin, constipation, urine retention, visual disturbances, sedation, confusion.
  4. Use - preop to dry secretions
Term
Ipratropium(atrovent)
Definition
  1. Muscarinic antagonist, anticholinergic.
  2. Effects - Dries secretions, ↓GI motility, urine retention, bronchodilation, mydriasis(dilation), ↑HR.
  3. ADR - tachycardia, dry mouth, hot skin, constipation, urine retention, visual disturbances, sedation, confusion.
  4. Use - asthma and COPD
Term
Tiatropium(spiriva)
Definition
  1. Muscarinic antagonist, anticholinergic.
  2. Effects - Dries secretions, ↓GI motility, urine retention, bronchodilation, mydriasis(dilation), ↑HR.
  3. ADR - tachycardia, dry mouth, hot skin, constipation, urine retention, visual disturbances, sedation, confusion.
  4. Use - asthma and COPD, longer acting!
Term
Benztropine(cogentin)
Definition
  1. Muscarinic antagonist, anticholinergic.
  2. Effects - Dries secretions, ↓GI motility, urine retention, bronchodilation, mydriasis(dilation), ↑HR.
  3. ADR - tachycardia, dry mouth, hot skin, constipation, urine retention, visual disturbances, sedation, confusion.
  4. Use - Tx parkinson's or drug induced parkinsons.
Term
Tolterodine(detrol)
Definition
  1. Muscarinic antagonist, anticholinergic.
  2. Effects - Dries secretions, ↓GI motility, urine retention, bronchodilation, mydriasis(dilation), ↑HR.
  3. ADR - tachycardia, dry mouth, hot skin, constipation, urine retention, visual disturbances, sedation, confusion.
  4. Use - Tx urinary incontinence due to overactive bladder.
Term

Epinephrine

(EpiPen,Adrenalin)

Definition
  1. Adrenergic receptor agonist(non-selective), sympathomimetic. Parenteral.
  2. Stimulates α and β receptors equally, ↑SP, PP & HR.
  3. Uses - anaphylactic shock, asthma bronchoconstriction, cardiac arrest, bradycardia in A-V block, prolongs local anesthetics.
  4. ADR - Tolerance and rebound(when stopped)
Term

Norepinephrine

(Levophed)

Definition
  1. Adrenergic receptor agonist(non-selective), sympathomimetic.
  2. Stimulates α1+2 & β1 receptors.
  3. Effects - ↑ all pressure measures, ↓HR.
  4. Uses - Shock(cardiogenic & neurogenic), early phase of septic shock, support BP during spinal anesthesia.
  5. ADR - Tolerance & rebound, severe hypertension.
Term

Isoproterenol

(Isuprel)

Definition
  1. Adrenergic receptor agonist(non-selective), sympathomimetic.
  2. Stimulates β1+2 receptors.
  3. Effects - ↓DP & MP, ↑ PP & HR
  4. Uses - Bradyarrhythmias
  5. ADR - tachyarrhythmia.
Term
Dopamine
Definition
  1. Adrenergic receptor agonist(non-selective), sympathomimetic.
  2. Stimulates D>β11.
  3. Effects - selectively ↑ bloodflow to GI and kidney(low dose), stimulates cardiac contractility(intermediate dose), ↑PVR & MAP(high dose, alpha1).
  4. Uses - cardiogenic and neurogenic shock, CHF, bradyarrhythmia.
  5. ADR - tachycardia.
Term

Dobutamine

(dobutrex)

 

Definition
  1. Adrenergic receptor agonist(selective)
  2. Stimulates β1.
  3. Effects - ↑ contractility, CO & PP. Very slight increase in DP and BP.
  4. Uses - CHF, cardiogenic shock, late septic.
  5. ADR - 
Term
Albuterol, Salmeterol, Pirbuterol
Definition
  1. Adrenergic receptor agonist(selective)
  2. Stimulates β2.
  3. Effects - relaxes bronchial smooth muscles.
  4. Uses - asthma and COPD(rescue inhalers).
  5. ADR - tolerance & rebound, tachyarrhythmia.
Term
Terbutaline
Definition
  1. Adrenergic receptor agonist(selective)
  2. Stimulates β2.
  3. Effects - relaxes bronchial smooth muscles.
  4. Uses - asthma and COPD(rescue inhalers), uterus relaxation for premature labor.
  5. ADR - tolerance & rebound, tachycardia in premature labor.
Term
Phenylephrine
Definition
  1. Adrenergic receptor agonist (selective)
  2. Stimulates α1.
  3. Effects - ↑DP & MBP.
  4. Uses - maintain DP & MBP during neurogenic shock, hemmorhoids, nasal congestion, mydriatic agent, superventricular tachycardias.
  5. ADR - reflex bradycardia.
Term
Midodrine
Definition
  1. Adrenergic receptor agonist (selective)
  2. Stimulates α1.
  3. Effects - ↑DP & MBP.
  4. Uses - Treat orthostatic hypotension, urinary incontinence.
Term
Diazepam
Definition

1. Long acting

2. Used for withdrawal

3. ADR's- Sedation, amnesia, inhibition of behavior, tolerance, dependence

 

Term
Lorazepam
Definition

1. Intermdiate action

2. Good for liver failure

3. ADR's- Sedation, amnesia, inhibition of behavior, tolerance, dependence

Term
Alprazolam
Definition

1. Intermediate acting

2. 

3. ADR's- Sedation, amnesia, inhibition of behavior, tolerance, dependence

Term
Midazolam
Definition

1. Very short acting

2. Anesthesia

Term
Flumazenil
Definition
  1. BZD antagonist
  2. Reverse anesthesia(midazolam)
  3. Can trigger seizures.
Term
Phenobarbital
Definition
  1. Barbiturate
  2. Facilitate GABA, sedative, anxiolytic, anticonvulsant.
  3. ADR's - Depression of respiration, hangover
  4. Withdrawal signs - gran mal seizures, EEG changes
  5. Long acting
Term
Thiopental
Definition
  1. Barbiturate
  2. GABA induction, pre-op surgery.
  3. ADRs- Depression of respiration, hangover, habit forming
  4. Ultra short acting, lipid soluble
Term
Butalbital
Definition
  1. Barbiturate
  2. Anxiety, anticonvulsant
  3. ADR's - Depression of respiration, hangover
Term
Buspirone
Definition
  1. alleviates mild anxiety, little sedative effects, first choice to tx anxiety in subtance abuse patients
  2. Not through GABA, low abuse potential
  3. ADR- dizziness, HA, tachycardia
Term
Baclofen
Definition
  1. Inhibits excitatory transmitters
  2. Treats spasms in multiple sclerosis
  3. ADR- CNS depression
Term
Ethyl Alcohol
Definition
  1. Depresses inhibitory mechanisms in brain
  2. Cutaneous vasodilation(flushing of skin), heat loss, inhibits ADH
  3. ADR -hepatic failure, FAS,
  4. Withdrawal TX: BZDs, Naltrexone or acomprosate.
Term
Eszopiclon(Lunesta)
Definition
  1. Z hypnotic
  2. Binds to BZD receptor, enhances GABA
  3. Used for insomnia, long acting
Term
Zolpidem (Ambien)
Definition
  1. Z hypnotic
  2. Binds to BZD receptor increases action of GABA
  3. Used for insomnia, restless leg, long acting
  4. ADRs - drowsiness
Term
Zaleplon
Definition
  1. Z hypnotic
  2. Acts on BZD receptor, enhances GABA
  3. Short acting, insomnia
Term
Metaxalone
Definition
  1. inhibits alpha and gamma motor neurons
  2. Tx-muscle spasms
Term
Ramelteon
Definition
  1. Melatonin receptor agonist
  2. Used to aid normal circadian rhythm
Term

Chlorpromazine

Phenothiazine

Definition
  1. Antipsychotic
  2. Block dopamine(D2) receptors
  3. Works on positive symptoms (delusions, hallucinations) Schizoprhenia
  4. Prototype drug
  5. No tolerance
  6. ADR- Seizures, tachycardia, sexual dysfunction, weight gain, increased prolactin
  7. EPS (D2) effects
Term
Trifluoperazine
Definition
  1. Antipsychotic
  2. Block dopamine(D2) receptors, more potent that chlorpromazine
  3. Works on positive symptoms (delusions, hallucinations) Schizoprhenia
  4. Prototype drug
  5. No tolerance
  6. ADR- Seizures, tachycardia, sexual dysfunction, weight gain, increased prolactin, less sedation
  7. Increased EPS than others
Term
Fluphenazine
Definition
  1. Antipsychotic
  2. Block dopamine(D2) receptors
  3. Works on positive symptoms (delusions, hallucinations) Schizoprhenia
  4. Prototype drug
  5. No tolerance
  6. ADR- Seizures, tachycardia, sexual dysfunction, weight gain, increased prolactin
  7. EPS (D2) effects
Term
Haloperidol
Definition
  1. 2nd generation antipsychotic
  2. More effective than 1st generation for negative symptoms.
  3. Far less EPS
  4. ADR- weight gain, hyperglycemia
  5. Decanoate is longer acting form,
Term
Clozapine
Definition
  1. 2nd generation antipsychotic
  2. Less EPS
  3. Better against negative symptoms
  4. ADR- weight gain, hyperglycemia, SERIOUS-granulocytopenia, agranulocytosis.
  5. This drug is not first line due to serious ADR
Term
Risperidone
Definition
  1. 2nd generation antipsychotic
  2. Does Dopamine and Seratonin
  3. Less EPS than 1st gen. more than clozapine and olanzapine
  4. ADR- weight gain and hyperglycemia
Term
Olanzapine
Definition
  1. 2nd generation antipsychotic
  2. for schizo and mania
  3. Less EPS than first generation
  4. Like clozapine but no bone marrow toxicity
Term
Aripiprazole
Definition
  1. 2nd generation antipsychotic
  2. D2 and Seratonin agonists
  3. Does not cause EPS
  4. Less weight gain and hyperglycemia
Term
Imipramine
Definition
  1. Tricyclic antidepressant 1st generation
  2. Block reuptake of NE and 5HT\
  3. ADR- Sedation, tachycardia,urinary retention, postural hypotension, mydriasis.
  4. Poisoning- 3Cs convulsions, coma, cardiotoxicity-use sodium bicarbonate
  5. Seratonin syndrome if taken with MAOI
Term
Amitriptyline
Definition
  1. Tricyclic antidepressant, 1st generation
  2. Block reuptake of NE and 5HT\
  3. ADR- Sedation, tachycardia,urinary retention, postural hypotension, mydriasis.
  4. Poisoning- 3Cs convulsions, coma, cardiotoxicity-use sodium bicarbonate
  5. Seratonin syndrome if taken with MAOI
Term
Fluoxetine
Definition
  1. 2nd generation antidepressant
  2. SSRI
  3. Fewer side effects-anxiety, tremor, sexual dysfunction
  4. 4-5 weeks to reach steady state
Term

Sertraline

Paroxetine

Citalopram

Escitalopram

 

Definition
  1. SSRI's
  2. 2nd generation antidepressant
  3. SSRI
  4. Fewer side effects-anxiety, tremor, sexual dysfunction
  5. 4-5 weeks to reach steady state
Term
Buproprion
Definition
  1. Selectively blocks reuptake of Dopamine.
  2. Some activating energy, seizures possible.
  3. Used in nicotine, cocaine and amphetamine dependance, also in depression.
Term
Trazodone
Definition
  1. 2nd generation antidepressant
  2. Inhibits seratonin reuptake and blocks 5ht2 receptors
  3. ADR- priaprism, VERY sedating, use at bedtime.
Term
Venlafaxine
Definition
  1. 2nd gen. antidepressant
  2. Inhibits synaptic reuptake of 5HT, NE and DA
  3. Low CV side effects
  4. Mild stimulant like Buproprion
  5. ADHD in children
Term
Tranylcypromine
Definition
  1. MAOI
  2. Inhibits MAO-A and B
  3. Antidepressant effect may take weeks
  4. TX narcolepsy and bulemia
  5. ADR- Hepatotoxic, orthostatic hypotension, HTN
  6. Interaction with tyramine containing foods, cheese, wine etc
Term
Phenelzine
Definition
  1. MAOI
  2. Inhibits MAO-A and B, IRREVERSIBLE
  3. Antidepressant effect may take weeks
  4. TX narcolepsy and bulemia
  5. ADR- Hepatotoxic, orthostatic hypotension, HTN,pheochromocytoma
  6. Interaction with tyramine containing foods, cheese, wine etc
Term
Lithium
Definition
  1. For Bi-polar, most effective for manic phase
  2. Has low TI
  3. ADRs-alter distribution of cations(K,Ca, Na)
  4. Li intoxication- drunk appearance, ataxia, blurred vision, tinnitus etc
  5. Many drug interactions
  6. Caution in renal dysfunction
Term
Carbamazepine/Valproic acid
Definition
  1. Anti-epileptics used in the treatment of mania.
Term
Atomoxetine
Definition
  1. SNRI
  2. ADHD children and adults
  3. ADR-decreased appetite and weight, increased BP, tachycardia, sexual dysfunction.
Term
L-Dopa/Carbidopa
Definition
  1. Treat Parkinson's, does not stop progression
  2. Precursor crosses BBB, second drug prevents metabolism.
  3. ADR- depression, gout, arrhythmias, choreiform movements
  4. End dose phenomenon(end of dose blood levels low)
  5. Inhibits antipsychotics
Term
Bromocriptine
Definition
  1. Treat Parkinsons
  2. Dopamine receptor agonist
  3. Best used with L-dopa
  4. ADRs- N/V, headache, choreiform movements, hypotension, endocrine disturbances(prolactin)
  5. Can treat ammenorrhea
  6. Expensive
Term
Amantadine
Definition
  1. Treat Parkinsons
  2. Also an antiviral agent
  3. Stimulates release of DA
  4. ADRs- mental disturbances, hyperexcitability, choreiform movements,convulsions
  5. Kidney excretion
Term
Selegiline
Definition
  1. Treats Parkinsons
  2. Selective inhibition of MAOB
  3. ADRs-Dyskinesias, choreiform, hallucinations, low doses no tyramine rxn
  4. Can be used with L-dopa
Term
Pramipexole/Ropinirole
Definition
  1. Treats Parkinsons
  2. Targets D2 and D3 receptors agonism
  3. Used more first line now
  4. ADRs- Nausea, dyskinetic movements, confusion, sedation
  5. P may have antioxidant activity, slow disease
Term
Entacapone
Definition
  1. Treats Parkinsons
  2. Inhibits metabolism of DA and l-dopa by COMT
  3. ADR's- hallucinations, nausea, HTN
  4. Used with l-dopa
Term
Benztropine/diphenhydramine
Definition
  1. Anticholinergic
  2. Used in mild Parkinsons
  3. somewhat effective treating tremor but not rigidity.
Term
Morphine
Definition
  1. Opioid agonist
  2. prototype
  3. For severe pain
  4. ADRs- sedation, nausea, depression of respiration, miosis, lower seizure threshold, constipation, urinary retention, bronchoconstriction
  5. OD- CNS depression(stupor/coma), respiratory depression
Term
Codeine
Definition
  1. Opioid agonist
  2. 1/12 potency of morphine
  3. Can be used as antitussive
  4. ADRs- sedation, nausea, depression of respiration, miosis, lower seizure threshold, constipation, urinary retention, bronchoconstriction
Term
Heroin
Definition
  1. Opioid agonist
  2. More potent than morphine
  3. Used in other countries, high abuse
Term
Hydromorphone
Definition
  1. Opioid agonist
  2. 10x more potent than morphine
  3. ADRs- sedation, nausea, depression of respiration, miosis, lower seizure threshold, constipation, urinary retention, bronchoconstriction
Term
Hydrocodone
Definition
  1. Opioid agonst
  2. For milder pain, slight antitussive
  3. ADRs- sedation, nausea, depression of respiration, miosis, lower seizure threshold, constipation, urinary retention, bronchoconstriction
Term
Meperidine
Definition
  1. Opioid agonist
  2. Synthetic, 1/10th potency of morphine
  3. Short acting, used for moderate to severe pain
  4. ADRs- sedation, nausea, depression of respiration, miosis, lower seizure threshold, constipation, urinary retention, bronchoconstriction
Term
Methadone
Definition
  1. Opioid agonist
  2. Used for treating opioid addiction or chronic severe pain
  3. Long duration! less euphoria
  4. ADRs- sedation, nausea, depression of respiration, miosis, lower seizure threshold, constipation, urinary retention, bronchoconstriction
Term
Oxycodone
Definition
  1. Opioid agonist
  2. Used for mild to moderate pain, usually with APAP
  3. ADRs- sedation, nausea, depression of respiration, miosis, lower seizure threshold, constipation, urinary retention, bronchoconstriction
Term
Fentanyl
Definition
  1. 100x more potent than morphine
  2. Most potent
  3. parenteral for anasthesia supplement
  4. Can cause neuroleptic analgesia and anesthesia
  5. ADRs- sedation, nausea, depression of respiration, miosis, lower seizure threshold, constipation, urinary retention, bronchoconstriction
Term
Pentazocine
Definition
  1. Mixed agonist/antagonist opioid
  2. Agonist effect at Kapp receptor
  3. Not a strong analgesic, less than morphine
  4. Less sedation and respiratory depression
  5. Worse CNS and hallucinations
Term
Buprenorphine
Definition
  1. Mixed agonist/antagonist opioid
  2. Partial agonist at mu and maybe k
  3. Very low abuse potential
  4. Treatment for heroin addiction
  5. Office based treatment of opioid addiction
Term
Tramadol
Definition
  1. Mixed agonist/antagonist
  2. Used for mild/moderate pain
  3. Weak mu agonist. Also inhibits 5HT and NE reuptake
  4. Mild side effects
Term
Naloxone
Definition
  1. Opioid antagonist
  2. Used parenterally for opioid poisoning, reverses resp. depression.
  3. Short acting 1-2hrs
  4. Can precipitate withdrawal in abusers
Term
Naltrexone
Definition
  1. Opioid antagonist
  2. Effective orally, long lasting 24 hours
  3. Used in immunizing addicts
  4. ADR- Hepatotoxicity
Term
Phenytoin
Definition
  1. Anticonvulsant
  2. Tx: Generalized tonic-clonic and partial seizures
  3. ADRs- Gingival hyperplasia, SJS
  4. Lots of drug interactions, highly protein bound
Term
Carbamazepine
Definition
  1. Anticonvulsant
  2. Used for tonic-clonic and partial seizures
  3. ADRs- Acute-stupor,coma,convulsions, hyperirritable, Chronic- Drowsiness, vertigo, ataxia
  4. increases drug metabolism
Term
Phenobarbital
Definition
  1. Anticonvulsant
  2. Enhances GABA
  3. Long acting
  4. Used for tonic-clonic partial seizures
  5. ADRs- megoblastic anemia, osteomalacia
Term
Valproic Acid
Definition
  1. Anticonvulsant
  2. Inhibits Ca channels
  3. Treats all types
  4. ADRs- CNS sedation, ataxia, tremor
  5. Highly protein bound
Term
Ethosuxamide
Definition
  1. Anticonvulsant
  2. Inhibits Ca channels
  3. Used for absence seizures
  4. ADRs- drowsiness, lethargy, euphoria, SJS
Term
Gabapentin
Definition
  1. Used as an adjunct in epilepsy
  2. ADRs- fatigue, ataxia
  3. No metabolism, excreted in urine
Term
Lamotrigine
Definition
  1. anticonvulsant
  2. Use- tonic-clonic and LGS
  3. Prolongs Na channels
  4. ADRs-dizziness, ataxia, blurred vision, nausea
Term
Dextromethorphan
Definition
  1. Antitussive
Term
Prochlorperazine
Definition
  1. Antiemetic
  2. Dopamine antagonist
  3. ADRs-Parkinsonism, anticholinergic(sedation, lethargy) psychomotor slowing
Term
Metoclopramide
Definition
  1. Antiemetic
  2. Dopamine antagonist
  3. ADRs-Parkinsonism, anticholinergic(sedation, lethargy) psychomotor slowing
Term
Scopolamine
Definition
  1. Antiemetic
  2. Anticholinergic
  3. Acts on vestibular system
  4. Tx vertigo and motion sickness
  5. ADRs- anticholinergic, dry mouth, constipation, urine retention, sedation
Term
Dimenhydrinate
Definition
  1. Antiemetic
  2. antihistamine
  3. Treat motion sickness and vertigo
  4. ADRs- anticholinergic
Term
Ondansetron
Definition
  1. Antiemetic
  2. 5HT3 antagonist works on CRTZ
  3. Prevents vomiting in chemotherapy and post op nausea
  4. ADRs- HA and constipation
Term
Dronabinol
Definition
  1. Antiemetic
  2. cannabinoid
  3. nausea and vomiting during chemotherapy when other drugs not effective
Term
d-amphetamine/methamphetamine
Definition
  1. Tx ADHD, narcolepsy
  2. enhanced release of DA and NE, and inhibition of reuptake
  3. Increased level of arousal and wakefulness,euphoria
  4. Excreted in acidic urine
Term
Cocaine
Definition
  1. CNS stimulation
  2. ADRs-increases HR and BP,arrhythmias, stroke, birth defects
  3. Chronic use results in decrease in DA production.
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