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pharmacology 1st A
First Semester
Question | Answer |
---|---|
Cocaine | Inhibition of Uptake 1 so more NA remains in the synaptic cleft. Has abuse potential. Causes tachycardia, hypertension and arrythmias. Intermediate duration. |
Bupivocaine | Used in nerve block spinal anesthesia and epidural anesthesia. Used during delivery since it causes less of a motor blockade. Can be cardiotoxic but the S isomer is less so. |
Ropivacaine | Used in nerve block spinal anesthesia. Not cardiotoxic. Only the S isomer is used. Amide of longer duration. |
Articaine | Used for infiltration and nerve block anesthesia. |
Lidocaine | Amide of intermediate duration. Good penetration, used on surfaces. Can be used alone (5%) or with adrenaline(0.001%). |
Prilocaine | Amide of intermediate duration.. Can cause methemoglobinemia. |
Mepivacaine | Amide of intermediate duration. Longer acting used in nerve block and spinal anesthesia. Not used during pregnancy due to potential harm to fetus. |
Procaine | Local anesthetic. Esters. Allergic reactions are frequent. Used as surface anesthetic since it has poor penetration and rapid metabolism. |
Tetracine | Local anesthetic. Esters. Good penetration and slow metabolism leading to a higher toxicity. Used in spinal anesthesia, nerve block and surface anesthesia. Given with vasoconstrictor. |
Pentholamine | non selective al[pha antagonist. Rarely used but acts as a dilator. Can cause hypotension, flushing, tachycardia nasal conjestion and impotence. |
Phenoxybenzamine | Irreversible a antagonist and uptake 1 inhibitor. Used in the treatment of phaeochromocytoma. Drug is covalently bound to the receptor. |
Dihydroergotamine | alpha receptor antagonist and partial 5HT agonist. Obsolete treatment for migraines but causes less vomiting than ergotamine. |
Urapidil | akpha receptor antagonist and 5HT1A agonist. |
Prazosin | apha 1 antagonist. Used in the treatment of hypertension. Absorbed orally and metabolized by the liver. Can cause hypotension, flushing, tachycardia, nasal congestion and impotence. |
Terazosin, Doxazosin | like prazosin. |
Carvedilol | alpha and beta antagonist. Used in the treatment of heart failiure. Can initially exacerbate heart failure or cause renal failure. |
Lebetalol | Used to treat hypertension during pregnancy. Is absorbed orally and conjugated in the liver. May cause postural hypertension and bronchoconstriction. |
Propranolol | Non selective beta antagonist. for hypertension, arrythmias, anxiety tremors and glaucoma. 90% protein bound with extensive 1st pass loss. Can cause bronchoconstriction, cardiac failure cold legs arms, fatigue, depression and hypoglycemia. |
Pindolol | Non selective beta antagonist. Partial b agonist activity used in the treatment of angina pectoris and hypertension. Also has anti-arrythmic effect and inhibits 5HT1A receptors. |
Timolol | like propranolol but for glaucoma. May cause bronchospasm. |
Oxyprenolol | Partial b antagonist activity used in the treatment of angina pectoris and hypertension. Lipophillic and can therefore cross the BBB. Should not be given to asthmatics since it can cause airway failure. |
Esmolol | Selective B1 antagonist. Rapid onset. for tachycardia during surgery or in act SVT |
Metoprolol | Used to treat hypertension. Short half-life and moderately lipophillic. |
Atenolol | Selective B1 antagnonist. Hydrophillic does not cross BBB. Excreted via breast milk and kidney. Freely crosses the placenta. |
Bisoprolol | B1 antagnonist. More selective than metoprolol, atenolol and bisoprolol. Stronger antihypertensive than propanolol. Inhibits rennin secretion by 65% and tachycardia by 35%. |
Adrenaline | Adtenergic Receptor Agonist given during an asthmatic attack, anaphylactic shock or cardiac arrest. Can be used in conjunction with local anesthetics. IM or IV.side effects: tachycardia, dysrythmias, vasoconstriction and hypertension. |
Noradrenaline | a/b agonist metabolized by MAO and COMT. Can cause hypertension, vasoconstriction, tachycardia and ventricular dysrythmias. |
Dopamine | moderate a/b agonist which also acts on dopamine(D) receptors. Slight increase in systolic BP but decrease in diastolic BP. D1 receptors responsible for vasodilation in the kidney therefore maintain the perfusion of the kidney in shock conditions. |
Dobutamine | Selective b1 agonist used in the treatment of cardiogenic shock. Given IV, may cause dysrythmias. |
Salbutamol | b2 agonist used to treat premature labor and asthma. Given orally and by aerosol. |
Salmetrol | Long acting b2 agonist administered by aerosol. Used to treat asthma. |
Formetrol | Long acting b2 agonist administered by aerosol. Used to treat asthma. More potent than salmeterol due to decreased lipophillicity. |
Terbutaline | b2 agonist used to delay parturition and in the treatment of asthma. Given orally and by aerosol. |
Ephedrine | Mixed indirect sypathomimetic and direct b agonist. |
Henylephrine | a1 agonist used as a decongestant and metabolized by MAO. Can cause hypertension or reflex bradycardia. |
Oxymetazoline | non-selective a agonist used as a decongestant. Can cause hypertension and reflex bradycardia. |
Xylometazoline | a agonist used as a decongestant. |
Clonidine | a2 partial agonist used in the treatment of migranes and hypertension. Well absorbed orally. Causes drowsiness, orthostatic hypotension, edema and weight gain. |
Guanfacine | a2 agonist used as an antihypertensive which can act on the CNS. Can cause dry mouth, sedation and constipation. Can also be used against ADHD and PTSD. |
Guanabenz | a2 agonist used to treat hypertension. Can cause dizziness, drowsiness, dry mouth, headache and weakness. |
Moxonidine. Rimenidine | Antihypertensive acting on the CNS that binds I1 and a2 receptors but binds I1 (imidazoline) with greater affinity. |
Naphazoline | a agonist used in eye drops to prevent the swelling of the conjunctiva. Do not use with MAOi-s or phenylephrine. |
Ergotamine | anti-migrane drug which stimulates a1 and 5HT1 receptors. Poorly absorbed and given aerosol or as a suppository. Can cause vasoconstriction, nausea, vomiting and uterine contraction. |