Flashcards
Pharmacology II (100 Flash Cards)

Cards in this deck (100)
- 1-lamidecarbonic anhydrase inhibitor
acetazolamide, methazolamide
Used to treat epilepsy, glaucoma, and altitude sickness
- 2-mabmonoclonal antibody
adalimumab, omalizumab
A type of immunotherapy where antibodies are developed to attack a specific antigen. Frequently used to treat rheumatoid arthritis, cancer, and transplant rejection.
- 3-mycinMacrolide antibiotic
azithromycin, clarithromycin, clindamycin, erythromycin
Mostly work on Gram-positive bacteria. Macrolide antibiotics prevent bacterial protein synthesis by binding to the *50S ribosomal subunit*
- 4-azoleantifungal
fluconazole, ketoconazole
Azole antifungals inhibit the enzyme necessary to convert lanosterol to ergosterol, which is necessary for a functional fungal membrane.
- 5-ololβ-blockers
atenolol, metoprolol, propanolol
Used to treat cardiac arrythmias and hypertension.
- 6-olonecorticosteroid
fluocinolone, prednisolone, triamcinolone
Reduces inflammation and immune response
- 7-onidecorticosteroid
fluocinonide
Anti-inflammatory agents
- 8-parinanticoagulant
heparin, tinzaparin, enoxaparin
Treats DVT, pulmonary embolism, and unstable angina.
Prevents clotting by *inhibiting Factor Xa* in the clotting cascade
- 9-praminetricyclic antidepressant (TCA)
clomipramine, imipramine, trimipramine
Early antidepressant drugs that are now mostly replaced by newer drugs like SSRIs, SNRIs, and NRIs that have an improved side effect profile.
- 10pred-corticosteroid
prednisone, prednisolone
Immunosuppressant and anti-inflammatory drugs used to treat many autoimmune diseases
- 11-prilACE inhibitor
captopril, lisinopril
Antihypertensives that lower BP by reducing the activity of the renin-angiotensin-aldosterone system.
- 12-sartanangiotensin II receptor blocker
losartan, valsartan
Treats HTN and CHF by reducing activity of the renin-angiotensin-aldosterone system.
- 13-semideloop diuretic
furosemide, torsemide
Treats HTN and edema due to CHF or renal insufficiency. These drugs inhibit Na+, Cl-, and K+ reabsorption at the loop of Henle, resulting in more elimination of water by the kidney.
Indicated for patients with impaired kidney function
- 14-setronserotonin (5-HT3) antagonist
odansetron, dolasetron
5-HT3 antagonist drugs are antiemetics used to prevent nausea and vomiting, particularly after chemotherapy.
- 15-statinHMG-CoA reductase inhibitor (Statins)
atorvastatin, lovastatin, simvastatin
Statins are lipid-lowering drugs that work by inhibiting HMG-CoA reductase, which is necessary for cholesterol synthesis.
*Statins must not be taken with grapefruit juice, which inhibits CYP enzymes required to activate the drug*
- 16sulfa-sulfonamide antibiotic
sulfacetamide, sulfadiazine, sulfamethoxazole
Contraindicated for use in patients allergic to sulfa drugs
- 17-tadineAnti-influenza A medication
amantadine, rimantadine
Inhibit influenza's viral replication by preventing uncoating of the virus' envelope and capsid.
- 18-terolbronchodilator (β-agonist)
albuterol, formoterol, levalbuterol
Treat asthma and COPD by stimulating β2 receptors, resulting in relaxation of bronchioles.
- 19-thiazidethiazide diuretic
hydrochlorothiazide
Drugs used to treat HTN and edema (usually caused by heart, liver, or kidney failure). Thiazide diuretics prevent reabsorption of Na+ at the distal convoluted tubule, thereby increasing water excretion.
*Works best for patients with normal kidney function* (loop diuretics are indicated for patients with impaired kidney function)
- 20-tinibantineoplastic (kinase inhibitor)
crizotinib, gefitinib, imatinib
Used to treat cancer. Work by inhibiting protein kinases, which are used by cells to phosphorylate proteins to activate them.
- 21-trelprogestin (synthetic female hormones)
desogestrel, etonogestrel, levnorgestrel
Used for hormonal contraceptives
- 22-triptanAnti-migraine drugs (selective 5-HT receptor agonist)
almotriptan, rizatriptan, sumatriptan
Triptan drugs treat acute migraines after initial onset
- 23-tylinetricyclic antidepressant
amitriptyline, nortriptyline, protriptyline
Older drugs used to treat depression and mood disorders. Not really used much anymore because newer drugs have fewer side effects.
- 24-vudinenucleoside analog antiviral
lamivudine, savudine, zidovudine
Antiviral drugs used to treat hepatitis B, hepatitis C, herpes simplex, and HIV.
zidovudine = AZT
- 25-zepambenzodiazepine
clonazepam, diazepam, lorazepam, temazepam
BZDs are have sedative, hypnotic, anxiolytic, anticonvulsant, and amnesic actions. Frequently used to treat anxiety.
- 26-zolambenzodiazepine
alprazolam (xanax), midazolam, triazolam
Anti-anxiety meds
- 27-zosinalpha blocker
doxazosin, prazosin, terazosin
Used to treat prostatic hyperplasia, hypertension, and PTSD.
- 28"-caine"local anesthetic

- 29"-coxib"cyclooxygenase (COX)-2 inhibitors (eg, celecoxib)...inhibit inflammation and pain, different than NSAIDs which block COX-1 AND COX-2, common for arthritis

- 30"-dipine"dihydropyridine calcium channel blockers (eg, nifedipine)...these relax the muscles of heart and blood vessels, treating angina and hypertension, think "pine tree"=relaxed, de-stressed

- 31"-dronate"bisphosphonate (eg, alendronate, Fosamax)...treats osteoporosis or Paget's Disease, could cause bisphosphonate-associated osteonecrosis of the jaw, think about an old woman with osteoporosis flying a drone

- 32"-fungin"glucan synthesis inhibitor, antifungal (eg, caspofungin)...can treat a candida infection in the blood

- 33"-gliptin"dipeptidyl peptidase-4 (DPP-4) inhibitor drug for type 2 diabetes (eg, sitagliptin)...lowers blood sugar, think about a diabetic patient drinking LIPTON sugary tea and needing this drug

- 34"-glitazone"peroxisome proliferator activated receptor gamma (PPAR-gamma) activator for type 2 diabetes (eg pioglitazone), think about a diabetic patient eating a calZONE and needing this drug

- 35"-grel"P2Y12 adenosine diphosphate (ADP) receptor inhibitor in platelets (eg, clopidogrel, Plavix)
-prevents heart attack and stroke, makes patients more susceptible to bleeding and bruising
-think "grel"="gel". this is an anti-gel for platelets.
- 36"-olol"beta-adrenergic receptor blocker (eg, propranolol)
-treats arrythmia, protects heart from second heart attack, treats hypertension
-"olol" looks like two backwards b's for beta-blocker
- 37"-ilol" or "-alol"beta-adrenergic receptor blocker that also blocks alpha-1-adrenergic receptors (eg, carvedilol)....by blocking the alpha-1 receptors, it causes vasodilation of skin/brain vessels

- 38"-mab"monoclonal antibodies (eg, infliximab)
-works against TNF-alpha (part of immune reaction) to treat autoimmune diseases
-can treat rheumatoid arthritis, ankylosing spondylitis, Crohn's disease, plaque psoriasis, and ulcerative colitis.
- 39"-onium" or "-urium"quaternary ammonium compounds, usually competitive, peripherally acting skeletal muscle relaxers (eg, pancuronium)
-binds nicotinic acetylcholine receptor at neuromuscular junction which prevents acetylocholine from binding
- 40"-osin"alpha-1-adrenergic receptor blockers (eg, prazosin)
-vasodilation of skin and GI tract smooth muscle
-think of a devil "sinning" by being lazy and laying on the couch digesting a bag of Doritos
- 41"-oxacin"fluoroquinolone antibacterial (eg, moxifloxacin)
-may treat pneumonia, sinusitis
-think of an "ox" that has pneumonia
- 42"-parin"heparin or low molecular weight heparin (eg, tinzaparin)
-treats deep vein thrombosis and pulmonary embolism
- 43"-prazole"proton pump inhibitor (eg, esomeprazole)
-"omeprazole"= Omesec, Prilosec
-treats heartburn, damaged esophagus, stomach ulcers, gastroesophogeal reflux disease (GERD)
-think "get a prize" for not having heartburn
- 44"-penem"carbapenem beta-lactam antibacterial (eg, ertapenem)
-treats pneumonia and urinary tract, skin, diabetic foot, gynecological, pelvic, and abdominal infections that are caused by bacteria
-"penem" sounds like "PNEUMonia"
- 45"-pril" or "-prilat"angiotensin-converting enzyme (ACE) inhibitors (eg, captopril)
-can treat high blood pressure and heart failure
-think "ACE", play cards in A*pril*
- 46"-sartan"angiotensin II receptor blockers (eg, losartan)
-treats high blood pressure
-think "sartan"="satan"= gives you high BP
- 47"-statin"3-hydroxy-3-methylglutaryl coenzyme A (HMG-CoA) reductase inhibitor antilipid drugs (eg, lovastatin)
-reduces levels of cholesterol
- 48"-teplase"Cell surface receptor types

- 49Type 1 dose response curves are ___________, and useful for determining characteristics of _____________ and ____________.Graded, agonists, antagonists

- 50The maximal effect of a drugIntrinsic activity

- 51The effect of a drug as a function of level of binding to its receptorEfficacy

- 52-The attractiveness of a drug to its receptor -Measured by the dissociation constant, KdAffinity

- 53The lower the Kd, the [lower/higher] the affinityHigher
![The lower the Kd, the [lower/higher] the affinity](https://examtimeassets.s3.amazonaws.com/uploads/media/image/36731054/desktop_20733e3e-5f12-451e-b96b-498049ad3caa.png)
- 54-The response to a drug over a given range of concentrations -Measured by the effective concentration of the drug leading to its half maximal effect, EC50Potency

- 55The effective concentration of a drug leading to its half maximal effectEC50

- 56-These type of drugs have intrinsic activity -They elicit a response from the tissueAgonists

- 57These type of drugs have no intrinsic activity They do not elicit a "graded response" aloneAntagonists

- 58The y-axis of a Type 1 graded dose response curveGraded response %

- 59Type 2 Dose Response CurveQuantal

- 60Y axis of Type 2 Dose Response curveQuantity of subjects responding to a drug

- 61Therapeutic indexLd50/Ed50
An estimate of the margin of safety for a drug
- 62Weak acids tend to concentrate in areas of low/high pHHigh pH
Think weak acid, strong base
- 63Weak bases tend to concentrate in areas of low/high pHLow pH
Think strong acid/weak base
- 64Weak acids are excreted more rapidly at lower/higher pH because they are concentrated in the ____________ of the kidney tubuleHigher, lumen

- 65A drug made active by metabolismProdrug

- 66Phase reaction of drug metabolism involving oxidation, reduction, hydrolysisPhase 1

- 67Phase reaction of drug metabolism involving conjugation, in which a substituent is added to a drug. The most common type is glucuronide conjugation.Phase 2

- 68Most metabolism of drugs occurs in the ________, and can be microsomal or nonmicrosomal.Liver

- 69Three types of excretion in the kidneyGlomerular filtration, active tubular secretion, passive tubular transfer (from blood to lumen or lumen to blood (reabsorption)).

- 70k * t1/2 First order Rate constant * half time0.693

- 71Cp0 * Vd Concentration in plasma at time 0 * volume of distributionDose

- 72k * Vd First order rate constant * volume of distributionClearance

- 73If the same mg of a drug are eliminated every hour, independent of the concentration, this is ________ order kineticsZero

- 74If the same fraction of a drug is eliminated every hour which Is proportional to the drug's concentration, this is _______ order kineticsFirst

- 75-Transporter responsible for reducing a drug's accumulation -Found in the liverP-glycoprotein

- 76-Enzyme in liver that does metabolism -microsomalCytochrome P-450

- 77Induction/inhibition of metabolism is a reaction to certain drugs by which the # of liver cytochrome enzymes increases, resulting in an increase/decrease in effect of other drugInduction, decrease

- 78Induction/inhibition of metabolism is a reaction to certain drugs by which one drug either competes for metabolism of another or directly inhibits metabolizing enzymesInhibition (could also inhibit P-glycoprotein transporters)

- 79The rate of metabolism is dictated by the ________________ isozyme profile of the patientCytochrome p-450

- 80An adverse effect that occurs within the therapeutic Dose range of the drugSide effect

- 81-An adverse drug reaction that is due to a genetic change usually involving a change in enzyme activity -occur rarely in population -could be an allergy or sensitivityIdiosyncratic reaction

- 82If a pt is taking itroconazole (anti fungal), clarithromycin (abx for skin and respiratory system), or a cytochrome P-450 inhibitor , what dental drugs could interact?diazepam (Valium) or triazolam (Halcion) (increased sedation due to reduced metabolism of benzodiazepines)

- 83If a pt isn't taking antacids, what dental drug might be affected?Tetracycline (commonly treats acne or bacterial infections) (reduced absorption of tetracycline)

- 84If a pt is taking anticoagulants (Heparin, warfarin), what dental drug should be used with caution?Aspirin (increased bleeding tendency)

- 85If a pt is taking probenecid (reduces Uric acid with gout), what dental drug can decrease the effect of Probenecid?Aspirin

- 86If a person is taking methotrexate (immunosuppressive drug for cancer, arthritis, or psoriasis), what dental drug could cause increased methotrexate toxicity?Aspirin

- 87If a person is a chronic alcoholic, which dental drug could cause increased liver toxicity?Acetaminophen (Tylenol)

- 88if a pt is taking cholinesterase inhibitors (these inhibit breakdown of ACh, thereby increasing neuromuscular transmission for myasthenia gravis), what dental drug should be used with caution?Local anesthetic (these reduce the ACh inhibitor effect)

- 89The rate of drug metabolism can vary greatly, depending on the _______________ isozyme profile of the pt.Cytochrome P-450

- 90If a pt has a genetic condition of *NADH-methemoglobin reductase deficiency*, which 2 anesthetics do you want to avoid that could cause methemoglobinemia?Benzocaine, prilocaine

- 91If a pt has a genetic condition of *G6P dehydrogenase deficiency*, which 3 drugs do you want to avoid that could cause a response of hemolytic anemia?Aspirin, primaquine (treats, prevents malaria), sulfonamides (antimicrobials)

- 92If a pt has a genetic condition of *abnormal heme synthesis*, which drugs do you want to avoid that could induce porphyria (build-up of red blood cell proteins)?Barbiturates (sedatives, anxiolytics, anticonvulsants), sulfonamides (antimicrobials)

- 93If a pt has a genetic condition of *low plasma cholinesterase activity*, which anesthetic do you want to avoid which could cause local anesthetic toxicity?Procaine (and other ester local anesthetics)

- 94If a pt has a genetic condition of *altered muscle calcium homeostasis*, which type of anesthetics (2) do you want to avoid which could cause malignant hyperthermia?Volatile inhalation anesthetics, succinylcholine (causes paralysis for general anesthesia)

- 95If a pt has a *prolonged Q-T interval* genetic condition, which 2 classes of drugs do you want to avoid which could cause "Torsades de pointes" (tachycardia)?Antipsychotics, antiarrhythmics

- 96Drug testing phase (I-IV) that uses normal volunteers, and assess safety and pharmacokinetics.Phase I

- 97Drug testing phase (I-IV) that uses patients who could benefit from the drug. Assesses *clinical efficacy*, pharmacokinetics, and safety.Phase II

- 98Drug testing phase (I-IV) that uses a larger # of pts, involving several medical centers. Safety and clinical efficacy are assessed.Phase III

- 99Drug testing phase (I-IV) that is post-marketing surveillance. Safety, patterns of use, and new indications are assessed.Phase IV

- 100What are the risk categories of drugs with pregnancy, from the safest to the most risk for fetuses?A, B, C, D, X

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- Praxis Flashcards: Pharmacology Flashcards on Pharmacology II (100 Flash Cards), created by ACAPUN INSTITUTE on 13/07/2021.
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