| Term 
 | 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 
 | 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 
 | Definition 
 
        | Liquid Inhalation Anesthetic; 2nd agent of choice;
 SE - areflexia, irritant, muscle relaxation, SEIZURES, hepatic tox, hypovent, CV depression
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Liquid Inhalation Anesthetic; '1st' agent of choice;
 SE - areflexia, irritant, muscle relaxation, hypovent
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Liquid Inhalation Anesthetic; '1st' agent of choice - newer;
 Accumulate and equilibrate quickly, PLUS rapid recovery;
 SE - areflexia, irritant, hypovent
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Liquid Inhalation Anesthetic; '1st' agent of choice - newer;
 Accumulate and equilibrate quickly, PLUS rapid recovery;
 SE - areflexia, hypovent, CV depression
 |  | 
        |  | 
        
        | Term 
 | 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 
 | 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 
 | 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 
 | 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 
 | 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 
 | 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 
 | 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 
 | 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 
 | 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 
 | Definition 
 
        | Local anesthetic - amide; Injectable;
 Block Na channels, inc refractory period;
 No topical effects;
 Slow onset, intermediate duration
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Local anesthetic - amide; Injectable;
 Block Na channels, inc refractory period;
 Rapid onset, intermediate duration;
 Dec acute tox;
 SE - Methemoglobinemia (Ferric Hb, cyanosis)
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Local anesthetic - amide; Injectable;
 Block Na channels, inc refractory period;
 Slow onset, LONG duration;
 Very potent due to long binding
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Local anesthetic - amide; Injectable;
 Block Na channels, inc refractory period;
 Slow onset, LONG duration;
 Very potent due to long binding;
 Dec cardiotoxicity
 |  | 
        |  | 
        
        | Term 
 | 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 
 | Definition 
 
        | Local anesthetic - ester; Injectable;
 Block Na channels, inc refractory period;
 Slow onset, long action;
 HIGH POTENCY;
 Potentially very toxic
 |  | 
        |  | 
        
        | Term 
 | 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 
 | 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 
 | Definition 
 
        | TOPICAL local anesthetic; Causes swelling of membrane, occlusion of Na channels;
 Often for Mucous membranes (contra to Nagel);
 SE - methemoglobinemia
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | TOPICAL local anesthetic; Block Na channels, inc refractory period;
 Often for Mucous membranes (contra to Nagel);
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | TOPICAL local anesthetic; Block Na channels, inc refractory period;
 Skin use, NOT mucus membranes (contra to Nagel);
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | TOPICAL local anesthetic; Block Na channels, inc refractory period;
 
 Skin use, NOT mucus membranes (contra to Nagel);
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Common ER prep; Topical;
 Prilocaine + Lidocaine;
 apply, wrap, wait, wipe, proceed
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Common ER prep; Topical, Apply through CUT SKIN;
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | alpha-1,2 Antagonist; used to reverse vasoconstriction
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Infusion of lipid emulsion ot treat severe cardiotoxicity (et. al) of local/regional anesthetics |  | 
        |  | 
        
        | Term 
 | 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 
 | Definition 
 
        | H1 antagonist; po and IM;
 SEDATIVE, antichilinergic, antiemetic
 |  | 
        |  | 
        
        | Term 
 
        | Diphenhydramine (Benadryl) |  | Definition 
 
        | H1 anti-histamine; po and IM;
 SEDATIVE, ANTICHOLINERGIC, antiemetic
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | H2 antagonist; "no" CNS sedation;
 Will neutralize the pH of gastric acid secretions, no effect on pre-existing acid level/content
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | H2 antagonist; "no" CNS sedation;
 Will neutralize the pH of gastric acid secretions, no effect on pre-existing acid level/content
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Non-particulate Antacid; Na- and K-citrate + citric acid;
 Neutralize existing contents of stomach
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Non-particulate Antacid; Na- and K-citrate + citric acid;
 Neutralize existing contents of stomach
 |  | 
        |  | 
        
        | Term 
 | 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 
 | Definition 
 
        | Serotonin antagonist; Anti-emetic;
 Expensive, reserved for severe cases
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Antibiotic, prophalyxis of infection; Ancillary drug to anesthesia;
 STAPH AND STREP
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Antibiotic, prophalyxis of infection; Ancillary drug to anesthesia;
 BOWEL ANEROBES
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Antibiotic, prophalyxis of infection; Ancillary drug to anesthesia;
 BOWEL ANEROBES
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Antibiotic, prophalyxis of infection; Ancillary drug to anesthesia;
 MRSA
 |  | 
        |  | 
        
        | Term 
 | 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 
 | 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 
 | 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 
 | 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 
 | 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 
 | Definition 
 
        | Ancillary: post-op CV support; tx HTN;
 Dec sympathetic tone - vasodilation;
 Prevention of reflex tachy
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Ancillary: tx post-op Anaphylaxis;
 Initial agent to stimulate CV, vasoconstriction;
 |  | 
        |  | 
        
        | Term 
 | 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 
 | Definition 
 
        | (review) 1st treatment - mild to moderate migraine;
 SE - gastric irritation, nephrotoxicity (dec renal blood flow);
 CI - G6PD deficiency and high dose aspirin
 |  | 
        |  | 
        
        | Term 
 | 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 
 | 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 
 | 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 
 | 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 
 | 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 
 | 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 
 | 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 
 | 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 
 | 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 
 | 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 
 | 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 
 | 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 
 | 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 
 | Definition 
 
        | Antiepileptic for chronic migraine prophylaxis; Block Na channel, enhance GABA, Inh Glu;
 Long duration, narrow TI, renal elim;
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | for chronic migraine prophylaxis; Inject into glabellar frontalis and temporalis mm;
 Dec incidence and severity of HA;
 Limited SE;
 High placebo rate
 |  | 
        |  | 
        
        | Term 
 | 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 
 | 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 
 | 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 
 | Definition 
 
        | Topical antifungal agent - azole deriv; Dec production of ergosterol to compromise fungal cell wall integrity;
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Topical antifungal agent - azole deriv; Dec production of ergosterol to compromise fungal cell wall integrity;
 |  | 
        |  | 
        
        | Term 
 | 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 
 | Definition 
 
        | Topical antifungal agent - azole deriv; Dec production of ergosterol to compromise fungal cell wall integrity;
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Topical antifungal agent - azole deriv; Dec production of ergosterol to compromise fungal cell wall integrity;
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Topical antifungal agent - azole deriv; Dec production of ergosterol to compromise fungal cell wall integrity;
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Topical antifungal agent . . . |  | 
        |  | 
        
        | Term 
 | 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 
 | 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 
 | Definition 
 
        | Topical antifungal agent - polyene; Binds to ergosterol to compromise fungal cell wall integrity;
 |  | 
        |  | 
        
        | Term 
 | 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 
 | Definition 
 
        | Oral antifungal agent; Dec production of ergosterol to compromise fungal cell wall integrity;
 Inh CYP2C9
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Oral antifungal agent; Dec production of ergosterol to compromise fungal cell wall integrity;
 Inh CYP3A4,5,7
 |  | 
        |  | 
        
        | Term 
 | 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 
 | 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 
 | 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 
 | 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 
 | 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 
 | Definition 
 
        | TOPICAL immunosuppresant; Unknown mech;
 Tx external genital or perianal HPV warts;
 |  | 
        |  | 
        
        | Term 
 | 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 
 | Definition 
 
        | Tx scabies and pediculosis - 2nd line; Topical;
 Absorbed into the parasites;
 SE - seizures and death, CNS stimulant
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Tx scabies and pediculosis; Topical;
 Unknown mech;
 Avoid inflamed or raw skin;
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Tx scabies and pediculosis - 1st line; Topical;
 Na channel disrupter = parasite death;
 SE - none (low absorption + systemic inactivation)
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Tx resistant scabies and pediculosis; Remember: acetylcholinesterase inhibitor (insecticide);
 SE - systemic ingestion=cholinergic effects
 |  | 
        |  | 
        
        | Term 
 | 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 
 | 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 
 | 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 
 | 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 
 | 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 
 | 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 
 | Definition 
 
        | Keratolytic - topical; Anti-microbial, anti-keratinizing, anti-inflamm;
 Reversible inh of DNA pol, tyrosinase, resp mitochondrial enzymes;
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Keratolytic - topical; Solubilization of cell surface protein; SE - salicylism and death (tx w/ dialysis), Contact/allergic dermatitis (urticaria, anaphylaxis, erythema multiforme) |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Keratolytic - topical; SE - contact dermatitis
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | (Rogaine) - topical, Trichogenic; Inh PDE, SM contriction(?), vasodilation;
 Tx hair loss;
 SE - hypotension;
 Avoid use at skin abrasion
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Oral trichogenic; Block DHT production;
 Tx hair loss;
 SE - sexual dysfunction;
 CI w/ Saw palmetto
 |  | 
        |  | 
        
        | Term 
 | 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 
 | 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
 |  | 
        |  |