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No. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
Sheet I
Penicillin G (IV), V (oral) Methicillin, nafcillin, dicloxacillin Ampicillin, amoxicillin Carbenicillin, pipericillin, ticarcillin 1st-gen cephalosporins (cephalothin, cephalexin) 2nd-gen cephalosporins (cefuroxime, cefaclor) 3rd-gen cephalosporins (cefotaxime) 4th generation cephalosporins Aztreonam Imipenem Vancomycin Aminoglycosides (ex: gentamycin, streptomycin) Tetracyclines Macrolides (-thromycins) Chloramphenicol Clindamycin Sulfonamides Trimethoprim Flouroquinolones (-floxacin, ex: Cipro) Metronidazole Polymyxins B and E Isoniazid (INH) Rifampin Amphotericin B Nystatin Azoles Griseofulvin Amantadine Zanamivir Ribavirin Acyclovir Ganciclovir Foscarnet Protease Inhibitors (-navir) AZT (zidovudine) & d4T (stavudine) Didanosine, zalcitabine, lamivudine Nevirapine, delavirdine, efavirenz Interferons Ivermectin
Sheet II
Mebendazole/thiabendazole Praziquantel Pentavalent antimony Primaquine Pentamidine Nifurtimox Suramin Bethanechol Carbachol, pilocarpine Neostigmine, Pyridostigmine Edrophonium Physostigmine, echothiophate Atropine Hexamethonium Pralidoxime Scopolamine Ipratropium Succinylcholine Tubocurarine, pancuronium, etc. Dantrolene Epinephrine Norepinephrine Isoproterenol Dopamine Dobutamine Amphetamine Ephedrine Phenylephrine Albuterol, terbutaline Cocaine Clonidine, a-methyl dopa Phenoxybenzamine, phentolamine Prazosin (-zosins) Yohimbe Propanolol, timolol, nadolol, etc. Metoprolol, atenolol, esmolol
Sheet III
Pheno-/pento-/seco-barbital; thiopental Dia-/lora-/tema-/oxa- zepam; tria-/mida- zolam Haloperidol, thioridazine, fluphenazine, chlorpromazine Clozapine, olanzapine, risperidone Lithium Imi-/desi-/clomi-pramine; ami-/nor-triptyline; doxepin Fluoxetine, paroxetine, sertraline, citalopram Trazodone Buproprion Venlafaxine Mirtazapine Phenelzine, tranylcypromine Selegiline L-dopa Morphine/fentanyl/codeine/heroin/meperidine Sumatriptan Ondansetron Phenytoin Valproate Ethosuximide Lamotrigine Carbamazepine Halothane; en-/iso-/sevo-/methoxy-flurane, NO Bromocriptine Benztropine Ketamine Pro-/co-/tetra-/lido-/bupivi- caine Hydralazine Nifedipine / verapamil / diltiazem Capto-/elana-/lisino- pril Acetazolamide Losartan Furosemide Ethacrinic acid Hydrochlorothiazide Spironolactone Triamterine, amiloride Mannitol Nitroglycerin Digoxin, digitoxin
Sheet IV
Quinidine, Amiodarone, Procainamide, Disopyramide Lidocaine, mexiletine, tocainide Propafenone, flecainide, ecainide Propa-/es-/meto-/ti- molol; atenolol Sotalol, amiodarone, bretylium Adenosine Cholestyramine, cholestipol Lova-/prava-/simva-/atorva- statin Niacin Gemfibrozil, clofibrate Methotrexate 5-Flourouracil 6-Mercaptopurine Busulfan Cyclophosphamide Car-/lo-/se- mustine; streptozocin Cisplatin Doxorubicin (Adriamycin) Bleomycin Etoposide Prednisone Tamoxifen/raloxifene Vincristine / Vinblastine Paclitaxel Dactinomycin Levamisole Sildenafil Clomiphene Mifepristone (RU486) Cime-/rani-/famo-/niza-tidine Omeprazole, lansoprazole Sucralfate Misoprostol Heparin Warfarin Streptokinase, urokinase, tPA, APSAC Clopidogrel, ticlopidine Indomethacin Celecoxib, rofecoxib Acetaminophen
Sheet V
Hydrocorti-/predni-/dexametha-sone Salmeterol Theophylline Ipratropium Cromolyn Beclomethasone, prednisone Zileuton, Zafirlukast Colchicine, indomethacin Prebenecid Allopurinol Tolbutamide, chlorpropamide, glyburide, glipizide Metformin Pioglitazone, rosiglitazone Acarbose, miglitol Leuprolide Propylthiouracil Finasteride Flutamide Cyclosporine Azathioprine Tacrolimus (FK506)
Pharm I
Drug
100%
Class
75%
Mechanism
50%
Use
25%
0%
Toxicity
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38
bactericidal antibiotic
Hypersens. rexns.
28:53 08:18
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21% 0
Ampicillin, amoxicillin
Aztreonam
Imipenem
Vancomycin
Tetracyclines
Macrolides (-thromycins)
Chloramphenicol
Clindamycin
Sulfonamides
Trimethoprim
Metronidazole
Polymyxins B and E
Isoniazid (INH)
Rifampin
Amphotericin B
Nystatin
Azoles
Griseofulvin
Amantadine
Zanamivir
Ribavirin
Acyclovir
Ganciclovir
Foscarnet
Interferons
Class
bactericidal antibiotic
bactericidal antibiotic
bactericidal antibiotic
bactericidal antibiotic
bactericidal antibiotic
bactericidal antibiotic
bactericidal antibiotic
bactericidal antibiotic
antibiotic
bactericidal antibiotic
bactericidal antibiotic
bactericidal antibiotic
bacteriostatic antibiotics
bacteriostatic antibiotics
bacteriostatic antibiotics
bacteriostatic antibiotics
bacteriostatic antibiotics
bacteriostatic antibiotics
bactericidal antibiotic
bactericidal antibiotic
antibiotic
antitubercular
antitubercular
antifungal
antifungal
antifungal
antifungal
antiviral
antiviral
antiviral
antiviral
antiviral
antiviral
antiretrovirals
NRTI antiretrovirals
NRTI antiretrovirals
NNRTI antiretrovirals
cytokine
Mechanism
1. Binds penicillin-binding proteins 2. Blocks transpeptidase cross-linking of cell wall 3. Activates autolytic enzymes
1. Binds penicillin-binding proteins 2. Blocks transpeptidase cross-linking of cell wall 3. Activates autolytic enzymes
1. Binds penicillin-binding proteins 2. Blocks transpeptidase cross-linking of cell wall 3. Activates autolytic enzymes
1. Binds penicillin-binding proteins 2. Blocks transpeptidase cross-linking of cell wall 3. Activates autolytic enzymes
Inhibit formation of initiation complex & cause misreading of mRNA. Require O2 for uptake.
Bind 30S and prevent amino-acyl tRNA attachment. Doxycycline fecally eliminated; can be used w/ renal pts.
Act like detergents, bind bacterial membranes & disrupt osmotic properties.
Blocks viral penetration/uncoating by inhibiting M2 protein. Incidentally, increases dopamine release fr. nerves.
Inhibits neuraminidase, preventing sialic acid cleavage fr. host membrane, and thus, budding of new virions.
Preferentiall inhibits viral DNA polymerase when phosphorylated by viral thymidine kinase.
Inorganic pyrophosphate analog, inhibits viral DNA polymerase. Does not require activation.
Allosterically inhibit reverse transcriptase, prevent viral DNA integration into host DNA.
Human glycoproteins that block various stages of viral RNA and DNA synthesis.
Use
HELPS: H.influenzae, E.coli, L.monocytogenes, P.mirabilis, Salmonella Not penicillinase resistant; use w/ clavulanic acid. AmOxicillin has better Oral availability.
HEN PEcKS: H.influenzae, Enterobacter aerogenes, Neisseria, Proteus, E.coli, Klebsiella, Serratia
VACUUM your BedRoom: V.cholerae, Acne, Chlamydia, Ureaplasma Urealyticum, M.pneumoniae, B.burgdorferi, Rickettsia, tularemia.
URI, pneumonia, STDs, GPC. Mycoplasma, Legionella, Chlamydia, Neisseria. Erythromycin is the DOC for Legionella.
Meningitis
Anaerobes above the diaphragm. Clindamycin "climbs" up to where there's no air (anaerobes).
In combo w/ sulfonamides for sequential blockade of folate synth. UTI, Shigella, Salmonella, PCP.
GNR of urinary & GI tracts (Pseudomonas), Neisseria, some gram positives. FLOWroquinolones: for when the GI or UT won't flow fr. all the GNRs.
Antiprotozoal. GET on the metro: Giardia, Entamoeba, Trichomonas, also Gardnerella vaginitis, anaerobes. Part of H.pylori triple therapy.
M.tuberculosis, leprosy.
Systemic mycoses: Crypto, Blasto, Coccidio, Asper, Histo, Candida, Mucor Crosses neither intestinal wall nor BBB-- insert it where you want it.
Systemic mycoses. Fluco- for crypto. meningitis in AIDS pts, all types of candidal infex. Ketoco- for Blasto, Coccidio, Histo, Candida
Influenza A & B
RSV
CMV
CMV retinitis
AIDS
AIDS
AIDS
1 1 1 1 1 1 6
Toxicity
Hypersens. rexns.
Hypersens. rexns.
Hypersens. rexns.
Hypersens. rexns.
Hypersens. rexns.
amiNOglycosides: nephrotoxicity (w/ cephalosporins), ototoxicity (w/ loop diuretics). Streptomycin causes vertigo in 75% of pts!
Anemia, aplastic anemia, grey baby syndrome in premies lacking UDPglucuronyl transferase
Hypersens. rexns. Hemolysis if G6PD deficient. Tubulointerstitial nephritis, kernicterus in infants. Displace other drugs (warfarin) fr. albumin.
GI, superinfex, rash, headache, dizziness, damage cartilage/tendons in adults and fetuses.
INH Injures Neurons & Hepatocytes. G6PD hemolysis, SLE-like syndrome. Pyridoxine can prevent neurotoxicity.
Hemolytic anemia
Nephrotoxic
Bone marrow suppression, peripheral neuropathy, lactic acidosis. AZT: megaloblastic anemia
Neutropenia.
Inactivated Diagnosis
Activated Diagnosis
Unactivated Symptom
Activated Symptom
Pharm II
Drug
100%
Class
75%
Mechanism
50%
Use
25%
0%
Toxicity
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Drug Ivermectin
Mebendazole/thiabendazole
Praziquantel
Pentavalent antimony
Primaquine
Pentamidine
Nifurtimox
Suramin
Bethanechol
Carbachol, pilocarpine
Neostigmine, Pyridostigmine
Edrophonium
Physostigmine, echothiophate
Atropine
Hexamethonium
Pralidoxime
Scopolamine
Ipratropium
Succinylcholine
Dantrolene
Epinephrine
Norepinephrine
Isoproterenol
Dopamine
Dobutamine
Amphetamine
Ephedrine
Phenylephrine
Albuterol, terbutaline
Cocaine
Phenoxybenzamine, phentolamine
Prazosin (-zosins)
Yohimbe
Class
antiparasitic
antiparasitic
antiparasitic
antiparasitic
antiparasitic
antiparasitic
antiparasitic
antiparasitic
cholinomimetic
cholinomimetic
anticholinesterase
anticholinesterase
anticholinesterase
anticholinergic
anticholinergic
anticholinergic
anticholinergic
anticholinergic
neuromuscular blocker
neuromuscular blocker
sympathomimetic
sympathomimetic
sympathomimetic
sympathomimetic
sympathomimetic
sympathomimetic
sympathomimetic
sympathomimetic
sympathomimetic
sympathomimetic
sympathomimetic
sympatholytic
sympatholytic
sympatholytic
sympatholytic
sympatholytic
Mechanism
Direct ACh agonist. Activates ciliary mm of eye (open angle), pupillary sphincter (narrow angle)
antimuscarinic
antimuscarinic
antimuscarinic
depolarizing
nondepolarizing
D1 = D2 > b > a
a1 > a2
b2 > b1
non-selective a blockers
selective a1 blockers
selective a2 blocker
non-selective b blockers
selective b1 blockers
Use
Nematodes
Leishmaniasis
PcPp prophylaxis
African trypanosomiasis
Glaucoma
Neo: Postoperative & neurogenic ileus & urinary retention,reversal of NMJ blockade (postoperative). Both: Myasthenia gravis.
dilate pupil, reduce acid secretion, reduce urgency in cystitis, decrease GI motility, block SLUDE.
motion sickness
surgery
surgery
Tx of malignant hyperthermia fr. use of halothane w/ succinylcholine. Also, neuroleptic malignant syndrome (antipsychotic drugs).
AV block
Asthma
HTN, esp. w/ renal dz, b/c does not decrease renal blood flow.
Pheochromocytoma
impotence (controversial)
1 1 1 1 0 0 4
Toxicity
SLUDE
SLUDE
Red as a beet, blind as a bat, mad as a hatter, dry as a bone, hot as hell
Impotence, sedation
Inactivated Diagnosis
Activated Diagnosis
Unactivated Symptom
Activated Symptom
Pharm III
Drug
100%
Class
75%
Mechanism
50%
Use
25%
0%
Toxicity
Topic Order Sequential Random Items to Quiz All items in range Marked items in range Info topic count: range start: range stop: 40 current #: 1 complete: 2% marked: 0
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Lithium
Trazodone
Buproprion
Venlafaxine
Mirtazapine
Phenelzine, tranylcypromine
Selegiline
L-dopa
Morphine/fentanyl/codeine/heroin/meperidine
Sumatriptan
Ondansetron
Phenytoin
Valproate
Ethosuximide
Lamotrigine
Carbamazepine
Halothane; en-/iso-/sevo-/methoxy-flurane, NO
Bromocriptine
Benztropine
Ketamine
Pro-/co-/tetra-/lido-/bupivi- caine
Hydralazine
Capto-/elana-/lisino- pril
Acetazolamide
Losartan
Furosemide
Ethacrinic acid
Hydrochlorothiazide
Spironolactone
Triamterine, amiloride
Mannitol
Nitroglycerin
Digoxin, digitoxin
Class
barbituates
benzos
antipsychotics (neuroleptics)
atypical antipsychotics
mood stabilizer
tricyclic antidepressants
SSRIs
heterocyclic antidepressant
heterocyclic antidepressant
heterocyclic antidepressant
heterocyclic antidepressant
MAOI
MAOI
NT precursor
opioid analgesics
antiepileptic
antiepileptic
antiepileptic
antiepileptic
antiepileptic
inhalational anesthetics
antimuscarinic
arylcyclohexylamine
local anesthetics
antihypertensive
ACE inhibitors
CA inhibitor
ARB
thiazide diuretic
K+-sparing diuretic
K+-sparing diuretic
osmotic diuretic
vasodilator
cardiac glycosides
Mechanism
Increase duration of Cl- channel opening on GABAA neurons, decreasing neuron firing.
Increase frequency of Cl- channel opening on GABAA neurons, decreasing neuron firing.
mech unknown.
Crosses BBB, gets converted to dopamine. Use with carbidopa to prevent peripheral metabolism by dopa-decarboxylase.
Agonists at opioid receptors, modulate synaptic transmissions mu: morphine (analgesia, euphoria, resp. depr., miosis, GI decr.) delta: enkephalin kappa: dynorphin (analgesia, disphoria) 5HT1D agonist -> vasoconstrix of cerebral & meningeal aa., inhibit release of neuropeptides & neurotransmitters.
5HT3 antagonist
PCP analog
Block Na+ channels by binding to specific receptors on inner portion of channel. Epinephrine increases duration of effect by constricting local vasculature.
Vasodilation by incr. cGMP --> smooth mm. relaxation. Dilates arterioles > veins, lowering afterload.
Block voltage-dependent L-type Ca++ channels of cardiac & smooth m., reducing contractility. Nifedipine: vasculature Verapamil, diltiazem: heart AV node, decr. veloc., incr. ERP, PR.
Inhibit ACE (duh), decr. Ang II & prevent inactivation of bradykinin (vasodilator). Compensatory incr. in renin fr. loss of feedback cntrl.
Inhibits CA, causing self-limited NaHCO3 diuresis & decr. total-body HCO3- stores. Acts at proximal convoluted tubule.
Inhibits cotransport system (Na+, K+, 2Cl-) of thick ascending limb of loop. Abolishes hypertonicity of medulla, preventing concentration of urine. Increases Ca++ excretion.
Inhibits cotransport system (Na+, K+, 2Cl-) of thick ascending limb of loop. Abolishes hypertonicity of medulla, preventing concentration of urine. Increases Ca++ excretion.
Inhibits NaCl reabsorbtion in early distal tubule, reducing diluting capacity of the nephron. Decreases Ca++ excretion.
Inhibit Na+/K+/ATPase --> incr. intracellular Na+ --> decr. Na+/Ca++ antiport --> incr. intracellular Ca++
Use
Axiolytic, seizures, insomnia, induction of anesthesia (thiopental). Anesthetic effect terminated by redistribution fr. CNS.
Anxiolysis, spasticity, detox. Diazepam: status epilepticus Midazolam: IV anesthetic, esp. endoscopy. Amnestic.
Schizophrenia, psychosis positive symptoms. Haloperidol used for PCP overdose. Chorpromazine also used in tx of nausea & vomitting.
Schizophrenia, both positive and negative symptoms. Olanzapine: also OCD, anxiety, depression
Endogenous depression Imipramine: bedwetting Clomipramine: OCD Endogenous depression 2-3 weeks to onset of effect, like most antidepressants.
Major depression.
Major depression
Parkinsons
Parkinsons
General: pain, acute pulmonary edema Dextrometh: cough Loperamide & diphenoxylate: diarrhea Fentanyl: parenteral only!
Powerful central-acting antiemetic. Postoperative & for pts. on chemotherapy for cancer.
Absence seizures
Parkinsonism
Edematous states (CHF, cirrhosis, nephrotic synd, pulmonary edema), HTN, hypercalcemia.
CHF, atrial fibrillation. Digitoxin: Longer name, Longer action, Liver metabolization.
1 1 1 1 0 0 4
Toxicity
Dependence, additive CNS depressive fx w/ alcohol, deadly respiratory & cardio depression. Contraindicated in porphyria. Induce P450! Dependence, additive CNS depressive fx w/ alcohol. Due to specificity of action, little/no risk of deadly respiratory depression. Tx overdose w/ flumazenil, competitive GABA antagonist. EPS: dystonia, akinesia, akathisia (restlessness), tardive diskinesia (facial movements) Neuroleptic Malignant Synd: rigidity, hyperpyrexia, autonomic fx Much less EPS & NMS than regular antipsychotics. Clozapine can cause agranulocytosis. Tremor, hypothyroidism, polyuria (ADH antagonist- remember the swimming baby on Nirvana album?), teratogenic, weight gain. Watch for OD if given w/ NSAIDs, which incr. renal reabsorb. Narrow therapeutic window! Sedation, a-blocking, tachycardia, urinary retention. Mania in bipolar depressives. ANTIMUSCARINIC Tri-Cs: Convusions, Coma, Cardiotoxicity. Also resp.depress., hyperpyrexia, confusion. Much safer than TCAs. CNS stimulation, nausea & vomitting. Serotonine synd w/ MAOIs: hyperthermia, rigidity, CV collapse.
CNS stim
HTN crisis w/ tyramine ingestion & meperidine (an opioid); CNS stim. Contraindicated w/ SSRIs or beta-agonists!
Arhythmias if given w/o carbidopa fr. peripheral dopamine conversion. Dyskinesias. Addiction, resp. depression, miosis, constipation. No tolerance develops to miosis & constipation. Tx OD w/ naloxone or naltrexone, opioid receptor antagonists. Chest discomfort, mild tingling. Contraindicated w/ CAD or Prinzmetal's.
Headache, diarrhea.
Gingival hyperplasia, hirsutism, nystagmus, ataxia, lethargy. Rarely, cause malignant hyperthermia. Teratogenic.
Stevens-Johnson syndrome!
Cardio/resp. depress., nausea/emesis, incr. cerebral blood flow. Halothane: hepatotoxic, malignant hyperthermia Methoxyflurane: nephrotoxic Enflurane: proconvusant.
Amides metab'd in liver --> toxic if in liver failure Esters metab'd in blood Bupivicaine: severe cardiovasc. toxicity Compensatory tachycardia, fluid retention. Lupus-like syndrome!
CAPTOPRIL: Cough, Angioedema, Proteinuria, Taste, hypOtension, Pregnancy probs, Rash, Increased renin, Lower angiotensin II. Oh, and hyperkalemia.
OH DANG! Ototoxicity, Hypokalemia, Dehydration, Allergy to sulfa, Nephritis, Gout (hyperuricemia). "Loops lose calcium."
OH DN! (No A or G)
Hyperkalemia, acidosis
NVD, blurry yellow vision, arrhythmia. Toxicity incr. by hypokalemia, renal failure, quinidine (displaces fr. binding sites). Tx: digibind, normalize K+, lidocaine.
Inactivated Diagnosis
Activated Diagnosis
Unactivated Symptom
Activated Symptom
Pharm IV
Drug
100%
Class
75%
Mechanism
50%
Use
25%
0%
Toxicity
Topic Order Sequential Random Items to Quiz All items in range Marked items in range Info topic count: range start: range stop: 40 current #: 1 complete: 2% marked: 0
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Adenosine
Cholestyramine, cholestipol
Lova-/prava-/simva-/atorva- statin
Niacin
Gemfibrozil, clofibrate
Methotrexate
5-Flourouracil
6-Mercaptopurine
Busulfan
Cyclophosphamide
Cisplatin
Doxorubicin (Adriamycin)
Bleomycin
Etoposide
Prednisone
Tamoxifen/raloxifene
Vincristine / Vinblastine
Paclitaxel
Dactinomycin
Levamisole
Sildenafil
Clomiphene
Mifepristone (RU486)
Cime-/rani-/famo-/niza-tidine
Omeprazole, lansoprazole
Sucralfate
Misoprostol
Heparin
Warfarin
Clopidogrel, ticlopidine
Indomethacin
Celecoxib, rofecoxib
Acetaminophen
Class
Class IA antiarrhythmics
Class IB antiarrhythmics
Class IC antiarrhythmics
Class II antiarrhythmics
vitamin
cancer chemo
cancer chemo
cancer chemo
cancer chemo
cancer chemo
cancer chemo
cancer chemo
cancer chemo
cancer chemo
cancer chemo
cancer chemo
cancer chemo
H2 blockers
anticoagulant
anticoagulant
thrombolytics
anticoagulant
NSAID
NSAID
Mechanism
State-dependent Na+ channel block. Decrease slope of phase 4, incr. firing threshold in pacemaker cells. Increase AP duration.
State-dependent Na+ channel block. Decrease slope of phase 4, incr. firing threshold in pacemaker cells. Decrease AP duration.
State-dependent Na+ channel block. Decrease slope of phase 4, incr. firing threshold in pacemaker cells. No effect on AP duration.
Beta-blockers, lower cAMP and Ca++ currents. AV node particularily sensitive. Increase PR.
S-phase specific antimetabolite. Folic acid analog the inhibits dihydrofolate reductase--> decr. dTMP-->decr. DNA & protein synth.
S-phase specific antimetabolite. Pyrimidine analog bioactivated to 5FdUMP-->covalently complexes folic acid-->inhibits thymidilate synthase ->decr. dTMP-->decr. DNA & protein synth.
Alkylating agent. X-links via hydrolysis of Cl- groups & rexn w/ platinum.
Intercalates in DNA
M-phase specific alkaloid that binds tubulin, blocking formation of mitotic spindle.
M-phase specific sap that binds tubulin, preventing breakdown of mitotic spindle, preventing anaphase.
S-phase specific.
Inhibits cGMP phosphodiesterase --> incr. cGMP, smooth m. relaxation in corpus cavernosum, incr. blood flow
Partial agonist @ estrogen receptors in pituitary gland. Prevents feedback inhibition on LH & FSH, stimulating ovulation.
Polymerizes in acid environment, selectively binds necrotic ulcer tissue. Requires acidic environment!
Interferes w/ synth of vit K-dependent factors II, VII, IX, X, C & S. WEPT: Warfarin affects the Extrinsic pathway & prolongs the PT.
Use
Last resorts.
Hyperlipidemia
Hyperlipidemia
Hyperlipidemia
Hyperlipidemia
Leukemia, lymphoma, choriocarcinoma, sarcoma. Also: abortion, ectopic preg., rheumatoid arthritis, psoriasis.
Colon cancer & other solid tumors, basal cell carcinoma (topical). Synergistic with MTX.
CML
Brain tumors. The mustines are mustangs, charging across the BBB.
Part of ABVD for Hodgkin's & myelomas, sarcomas, & solid tumors (breast, ovary, lung)
Testicular, lymphomas
Breast cancer.
Erectile dysfunction
Infertility
Abortifacient
Peptic ulcer
Chronic anticoag.
Early MI
Closing a PDA.
1 1 1 1 0 0 4
Toxicity
Quinidine: cinchonism, torsades de pointes due to incr. QT Procainamide: SLE-like syndrome
Proarrhythmic.
Impotence, exacerbate asthma, bradycardia, AV block, CHF, CNS fx. May mask hypoglycemia.
Sotalol: torsades de points, beta-block fx. Amiodarone: pulmonary fibrosis, hepatotoxicity, hypothyroidism/hyperthyroidism.
GI discomfort
Pulmonary fibrosis: Need to blow air into the fibrosed lungs. Skin changes, myelosuppression.
Cushing-like symptoms, cataracts, acne, osteoporosis, HTN, peptic ulcers, hyperglycemia, psychosis
Headache, flushing, dyspepsia, blue-green color vision. Life-threatening hyptotension in pts. taking nitrates.
Heavy bleeding, GI fx
Diarrhea, abortifacient
Follow the PTT. Safe in pregnant women. Bleeding, thrombocytopenia. Tx OD w/ protamine sulfate.
Bleeding
Inactivated Diagnosis
Activated Diagnosis
Unactivated Symptom
Activated Symptom
Pharm V
Drug
100%
Class
75%
Mechanism
50%
Use
25%
0%
Toxicity
Topic Order Sequential Random Items to Quiz All items in range Marked items in range Info topic count: range start: range stop: 21 current #: 1 complete: 5% marked: 0
1 21
all/marked: 1 dx order: 1
Change none of these values except for the name of the quiz maker and date the quiz was m total dx:
range start: range stop:
Item No
Sx Ct Seen
Marked
10
11
12
13
14
15
16
17
18
19
20
21
00:00 28:04
ues except for the name of the quiz maker and date the quiz was made. 21 1 21 0 21 1
5% 0
Drug Hydrocorti-/predni-/dexametha-sone
Salmeterol
Theophylline
Ipratropium
Cromolyn
Beclomethasone, prednisone
Zileuton, Zafirlukast
Colchicine, indomethacin
Prebenecid
Allopurinol
Metformin
Pioglitazone, rosiglitazone
Acarbose, miglitol
Leuprolide
Propylthiouracil
Finasteride
Flutamide
Cyclosporine
Azathioprine
Tacrolimus (FK506)
Class
glucocorticoids
beta blocker
methylxanthine
corticosteroids
antileukotrienes
sulfonylureas
glitazones
alpha-glucosidase inhibitors
antiandrogen
antiandrogen
immunosuppressant
immunosuppressant
immunosuppressant
Mechanism
Inhibit phospholipase A2 & expression of COX-2 --> decr. LTs & PGs
Close K+ channels in beta-cell membrane -->cell depolarizes --> Ca++ inflow -->insulin secreted
GnRH analog w/ both agonist properties (pulsatile) and antagonist properties (continuous).
Inhibits organification & coupling of thyroid hormone synthesis. Also decreases peripheral conversion of T4 to T3.
Binds cyclophilins (peptidyl proline cis-trans isomerase), blocking differentiation & activation of T cells by inhibiting production of IL-2 and its receptor.
Antimetabolite derivative of 6-mercaptopurine. Interferes w/ metab. & synth. of nucleic acid. Toxic to proliferating lymphocytes after antigenic stimulus.
Binds FK-binding protein, inhibiting secretion of IL-2 & other cytokines, and thus, activation & prolif of T cells.
Use
Asthma
Asthma
Asthma
Acute gout
Chronic gout
Chronic gout
T2DM
T2DM
T2DM
Hyperthyroidism
BPH
Prostate cancer
Organ transplant
1 1 1 1 0 0 4
Toxicity
Cushing's syndrome
Lactic acidosis
GI disturbance
Nephrotoxic, preventable w/ mannitol diuresis. Predisposes pts. to viral infex & lymphoma.
Inactivated Diagnosis
Activated Diagnosis
Unactivated Symptom
Activated Symptom