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drug list
drug list
78
Pharmacology
Not Applicable
05/17/2011

Additional Pharmacology Flashcards

 


 

Cards

Term

Acetylcholine

class

mechanism

indications

effects

side fx

Definition

 

 

class: cholinergic agonist

mech.: direct/non-selective agonst (muc/nic)

indications: miosis during eye procedures

effects: " "

side fx: gen. cholin. stim.

 

Term

bethanechol ("bethany-cole")

class

mechanism

indications

effects

side fx

 

 

Definition

 

class: cholinergic agonist

mechanism: direct mus. agonst

indications: atonic/neurogenic bladder & ileus, some types of megacolon

effects: stim. intestinal motility/urination

side fx: gen. cholin. stim.

 

Term

carbachol (KAR-ba-kol)

 

class

mechanism

indications

effects

side fx

 

Definition

 

class: cholinergic agonist

mechanism: direct/non-selective agonist (mus/nic) 

indications: reduce intraocular pressure during cataract surgery; chronic open angle glaucoma

effects: lower intraocular pressure 

side fx: gen. cholin. stim.

 

Term

cevimeline (seh-VIM-eh-leen)

class

mechanism

indications

effects

side fx

Definition

class: cholinergic agonist

mech: direct mus. agonist

indications: sjogrens syndrome

effects: stim. gland secretion

side fx: gen. cholin. stim.

Term

pilocarpine (pye-loe-KAR-peen)

class

mechanism

indications

effects

side fx

Definition

class: cholinergic agonist

mech: direct mus. agonst

indications: emergency lower of intraocular pressure in primary glaucoma. sjorgens

effects: lower intraocular pressure; stim gland sec.

side fx: gen. cholin. stim.

Term

 

echothiophate ((ek-oh-THYE-oh-fate)

class

mechanism

indications

effects

side fx

 

Definition

 

class: cholinergic agonist

mech: indirect/AChE inhibitor (irrev)

indications: chronic open-angle glaucoma

effects: transient inc. in m. strength

side fx: gen. cholin. stim.

 

Term

 

Edrophium (ED roe FOE nee um)

class

mechanism

indications

effects

side fx

 

Definition

 

 

class: cholinergic agonist

mech: indirect/AChE inhibitor (reverse)

indications: myasthenia gravis, (dx & tx); reversal of NMJ blockade

effects: transient inc. in m. strength

side fx: gen. cholin. stim.

 

 

Term

neostigmine (neo-STIG-meen)

class

mechanism

indications

effects

side fx

Definition

class: cholinergic agonist

mech: indirect/AChE inhibitor (rever)

indications: atonic/neurogen bladder, megacolon; myasthenia gravis, reverse NMJ blockage

effects: stim. intestinal motility/urination, inc. m. strength

side fx: gen. cholin. stim.

Term

 

physostigmine (fi-zoe-STIG-meen)

class

mechanism

indications

effects

side fx

 

Definition

 

class: cholinergic agonist

mech: indirect/AChE inhibitor (revers)

indications: tx of CNS sx of anticholingergic OD

effects: stim peripheral and CNS cholinergic neurotransmission

side fx: Convulsions, gen. cholin. stim.

 

Term

 

atropine

class

mechanism

indications

effects

side fx


 

Definition

 

class: cholinergeric antagonist

mech: mus. antagonist

indications: eye exam w/cycogplegia; cholingeric OD; GI hypermotility/incontinence 

effects: mydriasis & cycloplegia; inhibits voiding/secretions

side fx: blind/dry/red/mad; latent gluacoma

 

Term

Ipratropium

class

mechanism

indications

effects

side fx

Definition

class: cholinergeric antagonist

mech: mus. antagonist

indications: w/beta agonists (asthma); 1st line COPD 

effects: bronchodilation 

side fx: blind/dry

Term

scopolamine

class

mechanism

indications

effects

side fx

Definition

class: cholinergeric antagonist

mech: muscar. antagonist

indications: motion sickness, surgery (amnestic, sedative)

effects: amnestic, sedative

side fx:blind/dry/hot/mad

Term

mecamylamine (mek-ah-MIL-a-meen)

class

mechanism

indications

effects

side fx

Definition

class: cholinergeric antagonist

mech: non-depol nicotinic (ganglia) antagonist

indications: mod to severe htn, not 1st line

effects: dec BO by blocking sym output to CV system

side fx: many

Term

trimethaphan

class

mechanism

indications

effects

side fx

Definition

class: cholinergeric antagonist

mech: non-depol nicotinic (ganglia) antagonist

indications: htn emergency; controlled hypotension in surgery

effects: dec BP by blocking CV system

side fx: many

Term

 

nicotine

class

mechanism

indications

effects

side fx

 

Definition

 

class: cholinergeric agonist/antagonist

mech: depol nicotinic antagonist (ganglia/NMJ/CNS)

indications: smoking cessation

effects: dose dependent central and peripheral fx

side fx:

 

Term

cisatracurium (sis-ah-trah-KYOO-ree-um)

class

mechanism

indications

effects

side fx

Definition

class: cholinergeric antagonist NM blocker

mech: non-depol nicotinic (NMJ) blocker; spontaneous degradation

indications: m. relax in surgery

effects: NM blockade

side fx:

Term

rapacuronium

class

mechanism

indications

effects

side fx

Definition

class: cholinergeric antagonist NM blocker

mech: non-depol nicotinic (NMJ) blocker; liver metabolism 

indications: m. relax during surgery 

effects: NM blockage

side fx: caution in pts w/liver disease

Term

succinylcholine

class

mechanism

indications

effects

side fx

Definition

class: cholinergeric antagonist NM blocker

mech: depolarizing nicotinic antagonist; esterase metab

indications: ET tube

effects: NM blockage

side fx: many: ganglionic stim, mus agonist, hyperkalemia; malignant

Term

tubocurarine (tū′bō-kyū-ra′rin)

class

mechanism

indications

effects

side fx

Definition

class: cholinergeric antagonist NM blocker

mech: non-depol nicotonic (NMJ and ganglia) antagonist; excreted

indications: m. relax in surgery

effects: NM blockage

side fx: ganglionic block (hypotension and reflex tachycardia)

Term

botulinum toxin

class

mechanism

indications

effects

side fx

Definition

class: cholinergeric antagonist

mech: blocks ACh by cleaving vesicle ptns

indications: excessive sweating, cervical dystonia, strabismus, blepharospams, HA, spastic disorders, cosmo

effects: denervation of m.

side fx: many, ptosis

Term

dobutamine (doe-BYOO-ta-mean)

class

mechanism

indications

effects

side fx

Definition

class: adrenergic agonist (catecholamine)

mech: b-1 > b-2 >a-1 agonist

indications: CHF; chemical stress test

effects: inotrophic agent w/little effect on heart rate

side fx: arryhthmias; angina; MI 

Term

dopamine

class

mechanism

indications

effects

side fx

Definition

class: adrenergic agonist (catecholamine)

mech: D1-5 receptor agonist; beta > alpha

indications: shock

effects: inc. kidney perfusion (vasodil of mesentaric and renal vascular beds); cardiac stim.

side fx:

Term

epinephrine

class

mechanism

indications

effects

side fx

Definition

class: adrenergic agonist (catecholamine)

mech: alpha and beta agonist

indications: cardiac life support; asthma, open-angle glaucoma, anaphylaxis, local anesthesia

effects: cardiac stimulant, bronchodil, vasoconstriction

side fx: arrthmias, MI, CNS (anxiety, fear), htn HA, pulmonary edema, cerebral hemorrhage

Term

isoproterenol

class

mechanism

indications

effects

side fx

Definition

class: adrenergic agonist (catecholamine)

mech: beta-1 and 2 agonist

indications: emer. cardiac stim, occasional for asthma

effects: cardiac stim, reduced PVR, bronchiodil 

side fx: arrythmias, angina, MI, CNS (fear/anxiety)

Term

 

norepinephrine

class

mechanism

indications

effects

side fx

 

Definition

 

class: adrenergic agonist (catecholamine)

mech: alpha > beta agonist

indications: pressor, shock

effects: inc. PVR/reflex bradycardia, asthma/COPD, anaphylaxis, prolong local anesthetics

side fx: kidney failure during shock

 

Term

albuterol

class

mechanism

indications

effects

side fx

Definition

class: adrenergic agonist (non-catecholamine)

mech: beta-2 agonist

indications: asthma, COPD

effects: brochodil

side fx: CNS (anxiety, fear, tension, HA, tremor)

Term

clonidine

class

mechanism

indications

effects

side fx

Definition

class: adrenergic agonist (non-catecholamine)

mech: alpha-2 agonist

indications: htn, many others

effects: dec BP via CNS, many other

side fx: bradycardia, many other

Term

 

methoxamine

class

mechanism

indications

effects

side fx

 

Definition

 

class: adrenergic agonist (non-catecholamine)

mech: alpha-1 agonist

indications: reverse hypotension during anesthesia; evoke brady during tachycardia

effects: inc PVR, reflex bradycardia

side fx: htn HA, N/V, pulmonary edema, cerebral hemorrhage

 

Term

 

phenylephrine

class

mechanism

indications

effects

side fx


 

Definition

 

class: adrenergic agonist (non-catecholamine)

mech: A-1 > A-2 agonist

indications: mydriasis (eye exam); decogestant; evoke reflex bradycardia during tachy

effects: inc PVR/reflex bradycardia, decongestant; mydriasis

side fx: htn HA

 

Term

salmeterol

class

mechanism

indications

effects

side fx

Definition

class: adrenergic agonist (non-catecholamine)

mech: long lasting beta-2 agonist

indications: asthma, COPD

effects: bronchodil

side fx: CNS fx (fear, anxeity, tremor, HA...)

Term

 

terbutaline

class

mechanism

indications

effects

side fx

 

Definition

class: adrenergic agonist (non-catecholamine)

mech: B-2 agonist

indications: asthma/COPD, reduce/delay premature contractions

effects: bronchodil, relaxation of smooth m.

side fx: CNS (fear, tremor, tension, HA, anxiety)

Term

 

ephedrine

class

mechanism

indications

effects

side fx

 

Definition

 

class: adrenergic agonist (non-catecholamine)

mech: mixed, action-potential independent NE release, direct: A and B agonist

indications: nasal congestion; asthma; inc BP; performance enhancer

effects: decogest, bronchodil; cardiac stim; inc BP and metab; mild CNS stim 

side fx: death, FDA prohibited in supplements

 

Term

amphetamine

class

mechanism

indications

effects

side fx


Definition

class: adrenergic agonist (non-catecholamine) psychostimulant

mech: indirect: action-potential independent NE release

indications: AHDH, narcolepsy 

effects: strong CNS (elation, alertness, inc. self-conf, loss apetite)

side fx: addiction, dependent, withdrawm

Term

tyramine

class

mechanism

indications

effects

side fx

Definition

class: tyrosine metabolism, byproduct in wine/cheese

mech: indirect: AP indep NE release

indications: 

effects: in presense of MAOI, dangerous inc. in BP, fever, swelling, sweating, HAs

side fx: food-drug interaction w/MAOIs

Term

cocaine

class

mechanism

indications

effects

side fx

Definition

class: psychostimulant 

mech: indirect: inhibition of MO uptake

indications: 

effects: amphetamine-like fx

side fx: addiction, dependence withdrawl

Term

phenoaxybenamine

class

mechanism

indications

effects

side fx

Definition

class: adernergic antagonist

mech:irrev. alpha adrenergic (non-selective) 

indications: pheochromocytoma; raynauds disease

effects: dev PVR, reflex inc. of cardiac output, delayed onset/biotransformation, long duration) 

effects: 

side fx: orthostatic htn, nasal congestion, miosis, tachycardia/angina

Term

phentolamine

class

mechanism

indications

effects

side fx

Definition

class: adrenergic antagonist

mech: rev. alpha antagonist

indications: pheochromocytoma; reversal of vasoconstriction after accident infusion of alpha agonist

effects: dec. PVR, reflex inc. cardiac output 

side fx: orthostatic hypotension, nasal congestion, miosis; tachycardia/angina

Term

doxazosin

class

mechanism

indications

effects

side fx

Definition

class: adrenergic antagonist

mech: alpha-1 antagonist

indications: htn, BPH, raynauds disease

effects: dec PVR

side fx: orthostatic hypotension, dizziness/vertigo, tachycardia, hypotension

Term

prazosin

class

mechanism

indications

effects

side fx

Definition

class: adrenergic antagonist

mech: alpha-1 antagonist

indications: htn, raynauds disease

effects: dec PVR

side fx:orthostatic htn, dizziness/vertigo, tachycardia, hypotension

Term

 

terazosin

class

mechanism

indications

effects

side fx


 

Definition

 

class: adrenergic antagonist

mech: alpha-1 antagonist

indications: htn, BPH, raynaud disease

effects: dec PVR

side fx: orthostatic hypotension, dizziness/vertigo, tachycardia

 

Term

atenolol

class

mechanism

indications

effects

side fx

Definition

class: adrenergic antagonist

mech: beta-1 antagonist

indications: htn for ptns w/asthma, COPD, DM, bradycardia; angina

effects: dec CO, oxygen demand and BP, little fx on PVR

side fx: cardiac failure, bradycardia; hypotension/fatigue

Term

esmolol (ES-moe-lol)

class

mechanism

indications

effects

side fx

Definition

class: adrenergic antagonist

mech: beta-1 antagonist

indications: short acting parenteral antagonist for arrhythmia and htn

effects: dec CO, oxygen demand, BP; little fx on PVR, pulmonary, metabolism

side fx: cardiac failure, bradycardia/arrhythmia

Term

metoprolol

class

mechanism

indications

effects

side fx


Definition

class: adrenergic antagonist

mech: beta-1 antagonist

indications: htn for pts w/asthma, COPD, DM, bradycardia; angina, post-MI

effects: dec CO, oxygen demand, BP; little fx on PVR, pulmonary, metabolism: 

side fx: cardiac failure, bradycardia, hypotension/fatigue

Term

propranolol

class

mechanism

indications

effects

side fx

Definition

class: adrenergic antagonist

mech: beta-1, beta-2 antagonist

indications: htn, migraine, hyperthyroidism; angina; post-MI, arrhythmias, performance anxiety

effects: dec CO, O2 demand, and BP; brochoconstriction, metabolic fx 

side fx: cardiac failure, arrhythmias, bronchoconstriction, hypotension, fatigue

Term

timolol

class

mechanism

indications

effects

side fx

Definition

class: adrenergic antagonist

mech: beta-1 & beta-2 antagonist 

indications: htn, open-angle glaucoma, post MI

effects: dec CO, O2 demand, BP, bronchoconstriction, dec. intraoccular pressure

side fx: visual disturbances, cardiac failure, arrhythmias, brochoconstriction, hypotension/fatigue

Term

nadolol

class

mechanism

indications

effects

side fx

Definition

class: adrenergic antagonist

mech: long lasting B1 and B2 antagonist

indications: htn, angina

effects: dec CO, O2 demand, and BP; bronchoconstriction

side fx: cardiac failure, arrhythmias, bronchoconstriction, hypotension/fatigue, hypoglycemia in IDD

Term

acebutolol

class

mechanism

indications

effects

side fx

Definition

class: adrenergic antagonist

mech: B1 antagonist w/ISA

indications: htn for select pts (asthma, COPD, DM, bradycardia)

effects: mild dec in CO, O2 demand and BP; little fx on PVR, pulmonary, metab

side fx: cardiac failure, bradycardia; hypoten/fatigue

Term

pindolol

class

mechanism

indications

effects

side fx


Definition

class: adrenergic antagonist

mech: B1 and B2 antagonist w/ISA

indications: htn (asthma, COPD, DM, bradycardia)

effects: mild dec in CO, O2 demand, BP; bronchoconstriction

side fx: cardiac failure, bradycardia; hypoten/fatigue

Term

labetalol

class

mechanism

indications

effects

side fx

Definition

class: adrenergic antagonist

mech: A1 and B2 antagonist

indications: pheochromocytoma; htn emergencies

effects: dec PVR, dec CO

side fx: orthostatic htn, cardiac failure, bradycardia; hypotension/fat

Term

reserpine

class

mechanism

indications

effects

side fx

Definition

class: adrenergic antagonist

mech: indirect: blocks NE, DOPA, 5-HT reuptake

indications: rarely used, mild htn

effects: gradual reduction in BP and CO

side fx: many: N, gastric intolerance, weight gain, etc

Term

guanethidine

class

mechanism

indications

effects

side fx

Definition

class: adrenergic antagonist

mech: indirect: blocks AP dependent release of NE 

indications: rarely used, mild htn

effects: gradual reduction in BP and CO

side fx: many N, ...weight gain, etc

Term

 

prostaglandin E1

class

mechanism

indications

effects

side fx

 

Definition

PGE1

class: Endogenous eicosanoid

mech: cell type dependent, agonist at all subtypes of EP Rs

indications: ED, maintain patent ductus arteriosus

effects: vasodilation, inhibits platelet aggreg

side fx: apnea, bradycardia, hypotension, hyperpyrexia

Term

prostaglandin E2

class

mechanism

indications

effects

side fx

Definition

class: Endogenous eicosanoid

mech: cell type dependent; agonist at subtypes of EP Rs

indications: facilitate labor & induce abortion 

effects: better PG-F inducing labor; inhibits ADH; natriuresis; vasodilation

side fx: fever, GI: cramps, diarrhea

Term

prostaglandin I2

class

mechanism

indications

effects

side fx

Definition

class: Endogenous eicosanoid

mech: agonist at IP Rs; activation of adenylyl cyclase

indications: primary pulmonary htn, heparin substitute for platelet harvesting 

effects: vasodilation, inhibits platement aggreg.

side fx: flushing, HA, hypotension, nausea, diarrhea

Term

prostaglandin F2a

class

mechanism

indications

effects

side fx

Definition

class: Endogenous eicosanoid

mech: agonist at FP Rs, activation of phospholipase C

indications: facilitates labor, induces abortion 

effects: non-vascular smooth m. contraction, vasoconstriction

side fx: bronchoconstriction, pulmonary htn, NVD

Term

carboprost

class

mechanism

indications

effects

side fx


Definition

class: synthetic PGF analog

mech: mimics PGF2 alpha, longer duration

indications: postpartum hemorrhage, induces abortion

effects: oxytocic, smooth m. contraction

side fx: vomiting, diarrhea, bronchoconstriction

Term

thromboxane A2

class

mechanism

indications

effects

side fx

Definition

class: Endogenous eicosanoid

mech: agonist at TP Rs; increased Ca++ influence on target cell

indications: none

effects: vasoconstriction, brochoconstriction, platelet aggregation...

side fx:

Term

leukotriene B (LTB4)

class

mechanism

indications

effects

side fx

Definition

class: Endogenous eicosanoid

mech: agonist at LT R (BLT); activation of phospholipase C

indications: none

effects: chemotaxis/recruitment of inflammatory cells

side fx:

Term

cysteinyl leukotrienes (LTs C, D, E)

class

mechanism

indications

effects

side fx

Definition

class: Endogenous eicosanoid

mech: agonists at LT R (cysLT subtypes); activation of PLC

indications: none 

effects: vasoconstriction; inc. capillary permeability

side fx:

Term

iloprost

class

mechanism

indications

effects

side fx

Definition

class: syn. protaglandin mimic

mech: mimics PGI 

indications: primary pulmonary htn, via inhalation 

effects: see PGI

side fx: see PGI, also cough

Term

misoprostol

class

mechanism

indications

effects

side fx


Definition

class: synthetic prostaglandin

mech: mimics PGE2

indications:  prevent ulcers by NSAIDs, induce abortion

effects: gastric cyoprotection, oxytocic

side fx: see PGE

Term

latanoprost

class

mechanism

indications

effects

side fx

Definition

class: synthetic prostaglandin

mech: analogue of and mimics PGF2 alpha

indications: ocular htn; glaucoma

effects: topical, reduces intraocular pressure

side fx: pigmentation of iris, eyelids; inflammation/irritation; eyelash growth

Term

bimatoprost

class

mechanism

indications

effects

side fx

Definition

class: syt. prostaglandin mimic

mech: prostandin analogue that mimics PGF2 alpha

indications: ocular htn; glaucoma

effects: topical, reduces intraocular pressure

side fx: pigmentation of iris, eyelids; irritation/inflammation; eyelash growth

Term

NSAIDs

class

mechanism

indications

effects

side fx

Definition

mech: inhibit COX 1 & 2

indications: inflammation, pain, fever

effects: dec inflammation, dec pain/fever, dec risk of colorectal ca

side fx:ulcers, weight gain (fluid retent), a. htn, inc thromotic events, unselective agents cause inc. bleeding time due to inhibition of plt TXA formation

Term

aspirin

class

mechanism

indications

effects

side fx

Definition

class: PG syn inhib, a tNSAID w/some COX1 at low [ ]

mech: COX1/2 inhibitor 

indications: MI prophylaxis, risk for thrombosis, inflammation

effects: dec. pain/inflammation

side fx: reyes syndrome, see NSAIDs

Term

ibupropen

class

mechanism

indications

effects

side fx

Definition

class: PG synthesis inhibitor, tNSAID

mech: COX1/2 inhibt

indications: inflam, pain, fvr

effects: see NSAIDs

side fx:  see NSAIDs

Term

celecoxib

class

mechanism

indications

effects

side fx

Definition

class: PG syn inhibib, "Coxib"

mech: COX1/2

indications: inflam, pain, fvr

effects: dec pain/inflam

side fx: see NSAIDs, allergy in pts w/sulfonamide allergy

Term

acetaminophen

class

mechanism

indications

effects

side fx

Definition

class: weak PG inhib, not anti-inflammatory

mech: 

indications:  pain, fvr

effects: dec. pain/fvr

side fx: liver toxicity w/alcohol

Term

 

glucorticoids

class

mechanism

indications

effects

side fx

 

Definition

 

class: steroid anti-inflam

mech: inhib COX2 directly, inhib phospholipase indirectly

indications:  asthma, inflammation

effects:  many

side fx: many

 

Term

zileuton

class

mechanism

indications

effects

side fx

Definition

class: leukotriene syn inhib

mech: inhibits 5-lipoxygenase

indications: asthma prophylaxis

effects: bronchoconstriction

side fx: liver toxicity

Term

zafirlukast

class

mechanism

indications

effects

side fx

Definition

class: leukotriene antagonist

mech: blocks CYSLT1 R

indications: asthma prophylaxis

effects: dec. bronchoconstriction 

side fx: eosinophilic vasculitis (Churt-strauss syndrome)

Term

montelukast

class

mechanism

indications

effects

side fx

Definition

 

class: leukotriene antagonist

mech: blocks CYSLT1 R

indications: asthma prophylaxis

effects: dec. bronchoconstriction 

side fx: eosinophilic vasculitis (Churt-strauss syndrome)

 

Term

propranolol

mechanism

indications

effects

side fx

Definition

mech: comp ns B adr R antag 

indications: chronic htn; sym stim of hyperthy, dec angina, post MI, afib, 

effects: antag B adr R dec force and rate, a1 not blocked thus PVR inc; red sys and dias and inc Na retention

side fx: coldness in extremities, arrhyt, bronchoconst, hypoglycemia, inc B1 R expression

Term

nadolol

mechanism

indications

effects

side fx

Definition

mech: comp ns B adr R antag

indications: chronic htn; sym stim of hyperthy, dec angina, post MI, afib

effects: antag B adr R dec force and rate, a1 not blocked thus PVR inc; red sys and dias and inc Na retention…once daily dosing 

side fx: coldness in extremities, arrhyt, bronchoconst, hypoglycemia, inc B1 R expression

Term

timolol

class

mechanism

indications

effects

side fx

Definition

mech: comp ns B adr R antag

indications: inc IOP w/open angle glaucoma

effects: inhib of B adr R in aqueous humor secretion in ciliary body 

side fx: visual disturbances (limited due to no local anesthetic)

Term

antenolol

class

mechanism

indications

effects

side fx

Definition

mech: comp B1 adr R antag

indications: htn, angina

effects: no insulin induced hypoglycemia

side fx: cardiac failure, brady/arrhy, hypotension/fatigue

Term

metoprolol

class

mechanism

indications

effects

side fx

Definition

mech: comp B1 adr R antag

indications: htn, angina, s/p MI

effects: antag B adr R dec force and rate, a1 not blocked thus PVR inc; red sys and dias and inc Na retention, no insulin induced hypoglycemia…P450 2D6 

side fx: cardiac failure, brady/arrhy, hypotension/fatigue

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