Contenu connexe Similaire à Pharmacology by category (20) Pharmacology by category2. Beta Adrenergic Blockers
• Acebutolol HTN, ventricular dsyrhythmias
• Atenolol HTN, angina after MI
• Betaxolol HTN
• Bisprolol HTN
• Carteolol HTN
• Carvedilol HTN, CHF, MI
• Esmolol SVT, HTN
• Labetalol HTN
• Metoprolol HTN, MI, angina, CHF
• Nadolol Angina, HTN
• Nebivolol HTN
• Pindaolol HTN
• Penbutolol HTN
• Propranolol HTN, ANGINA, MI, MIGRAINE, HSS, dysrhythmias
• Sotalol dysrhythmias
• Timolol HTN, MI, migraines
3. Anticholinergic Antagonist
• Atropine pre-surgery, GI, biliary,
intubation
• Belladonna indigestion, peptic ulcer,
nocturnal enuresis,
parkinsonism
• Dicyclomine IBS
• Glycopyrrolate PUD, pre-surgery
• Mepenzolate PUD
• Propantheline PUD
4. Adrenergic Agents
• Albuterol 2, 4 mg tab bronchodilator
• Dopamine IV 40, 80 160mg/mL vasopressor
• Dobutamine IV 250 mg/20mL cardiac stimulant/inotropic
• Isoetherine Inh. 1% sol bronchodilator
• Isoproterenol SQ, IM, IV 1:5000 shock, digitalis toxicity,
Metaproterenol Aerosol .65 mg/puff bronchodilator,
Neb 0.4%, ).0.6%, 5% sol
• Metaraminol SQ, IM, IV 10 mg/mL vasoconstrictor, shock
• Teburtaline 2.5, 5 mg tabs
• Epinephrine 1:1000 in 1 mL anaphylaxis, cardiac arrest
• Ephedrine SQ, IM, IV 50 mg/mL
• 25 mg cap
• Norepinephrine IV 1 mg/mL in 4 mL vasoconstrictor, shock, BP
• Phenylephrine
5. Cholinergic Agents
• Ambenonium Mytelase tab 10mg
• Bethanechol Urecholine
• Edrophonium Tensilon Inj. 10mg/mL
• Guanidine Guanidine tab 125 mg
• Neostigmine Prostigmin 15 mg tab Inj. .25-
.5 1mg/mL
• Physostigmine Antilirium Inj. 1mg/mL in
2mL amp
• Pilocarpine Isopto, Carpine, Pilcar
• Pyriodostigmine Mestinon 60 mg tab
Syrup 60mg/5mL
tab SR 180 mg
Inj. 5 mg/mL in 2mL
8. Barbiturates
• For Sleep Disturbances:
• Amobarbital Amytal Sedation, Hypnosis
• Butabarbital Butisol Sedation, Hypnosis
• Mephobarbital Mebaral Sedation
Anticonvulsant
• Pentobarbital Hypnosis, Sedation
• Phenobarbital Luminal Sedation, Hypnosis,
Anticonvulsant
• Secobarbital Seconal Hypnosis
9. Benzodiazepines
• Estazolam Hypnosis IA
• Flurazepam Dalmane Hypnosis LA
• Lorazepam Ativan Hypnosis, anxiety
status epilepticus
• Midazolam Apo-Mid.. Preop, induction of
SA anesthesia,
conscious sedation
• Quazepam Doral Hypnosis LA
• Temazepam Restoril Hypnosis IA
• Triazolam
10. Misc. Sedative Hypnotics
• Chloral hydrate Aquachloral Sedation
• Dexmedetomidine Precedex Sedation
• Diphenhydramine Benadryl Sedation
• Doxlamine Unisom Sedation
• Eszopiclone Lunesta Hypnosis
• Melatonin Hypnosis
• Ramelteon Rozerem Hypnosis
• Valerian
• Zaleplon Sonata Hypnosis
• Zolpidem Ambien Hypnosis
11. Parkinson Agents
• MAO B Inhibitors
• Dopamine Agonist
• COMT Inhibitors
• Anticholinergic Agents
12. Parkinson’s Agents
• MAO B Inhibitors:
• rasagiline Azliect Monotherapy,
0.5, 1 mg adjunct therapy
• Selegiline Eldepryl At breakfast & lunch
5 mg orally disintegrating
1.25 mg dissolved on tongue
16 max
2.5 max oral disintegrating!
13. Parkinson’s Agents
• Dopamine Agonists:
• Apomorhine Apokyn SQ 10 mg/mL in 2
mL amp and 3 mL
cartridges
• Carbidopa Sinemet
• Levodopa Larodopa
• Pramipexole Mirapex
• Ropinirole Requip
14. Parkinson’s Agents
• COMT:
• Entacapone Comtan
– Inhibits metabolism of dopamine
– Reduce motor fluctuations
– Increases on time
– Reduces off time
– Always give with Carbidopa-Levodopa to reduce total daily
dosage needed
• Stalevo is a drug with all three agents
• Diarrhea, sedation, urine discolored, chorea, confusion,
hallucinations, orthostatic hypotension
15. Parkinson’s Agents
• Anticholinergics:
• Benztropine Cogentin
• Biperiden Akineton
• Diphenhydramine Benadryl
• Orphenadrine citrate Banflex, Norflex
• Procyclidine
• Trihexyphenidyl Trihexy
16. Antianxiety Agents
• Benzodiazepines
• Azaspirones
• SSRI
• Misc. Antianxiety Agents
• TCA
• Beta Blocker used too! For tachycardia, HTN
• SRNI
17. Antianxiety Agents
• Benzodiazepines:
• Alprazolam Xanax
• Chlordiazepoxide Librium
• Clorazepate Tranxene
• Diazepam Valium
• Lorazepam Ativan
• Oxazepam Serax
• CNS depressants
• Stimulating inhibitory neurotransmitter GABA:
• Improves sleep disturbances, tremor, muscle
tension!
18. Antianxiety Agents
• Azaspirones:
• Buspirone Buspar
• Partial serotonin & dopamine agonist
• Acts in midbrain modulator
• Doesn’t affect GABA receptors
• 7-10 days improvement
• PO initially 5 mg TID and increase 5 mg Q2-3 days
• Slurred speech, sedation, lethargy, dizziness
19. Antianxiety Agents
• SSRI:
• fluvxoamine Luvox
– Inhibit reuptake of serotonin
– Treat OCD w/marked distress
– Doesn't prevent obsessions & compulsions
– Decrease in level of anxiety
20. Misc. Antianxiety Agents
• Hydroxyzine Vistaril, Atarax
– Is an antihistamine
– Worry about slurred speech!
– Acts in CNS to produce sedation, antiemetic,
anticholinergic, antihistamine, antianxiety,
antispasmodic, antiprurtic
• Meprobamate Miltown
– CNS to produce sedation, antianxiety, muscle
relaxation, **decrease level of anxiety to manageable
– Worry about slurred speech, abuse, orthostatic
hypotension, paradoxical excitation (withhold)
22. Antidepressants
• MAOI:
• Phenelzine Nardil
• Tranylcypromine Parnate
• Isocarboxazid Marplan
• Selegiline Emsam
• HTN is a serious side effect food dye
tyramine—chocolate, cheese
23. Antidepressants
• TCA (block dopamine, serotonin, norepi.)
• Amtritriptyline
• Amoxapine
• Clomipramine Anafranil
• Desipramine Norpramin
• Doxepin Subequan
• Imipramine Tofranil
• Mortriptyline Aventyl
• Protriptyline Vivactil
• Trimipramine Surmontil
• Serious effects tremor, numbness, parkinson’s,
seizure, heart failure—higher the dose the lower
seizure threshold!
24. Antidepressants
• SSRI:
• citalopram Celexa
• Escitalopram Lexapro
• Fluoxetine Prozac
• Fluvoxamine Luvox
• Paroxetine Paxil
• Sertraline Zoloft
• OCD
• Suicidal ideation is serious don’t take MAOI or
Lithium, Warfarin
25. Antidepressants
• SNRI
• Desvenlafaxine Pristiq
• Duloxetine Cymbalta
• Venlafaxine Effexor big for Panic
26. Antidepressants
• Misc. Agents:
• Bupropion hydrochloride Wellbutrin
• Mirtazapine Remeron
• Nefazodone
• Trazodone hydrochloride
27. Anti-manic Agents
• Lithium fall under mood disorder Mood Stabilizer
– Eskalith
– Lithane
• Replaces intracellular & intra-neuronal sodium, stabilizing the
neuronal membrane
• Therapeutic Blood level
• Reduces release of norepinephrine
• Increase uptake of tryptophan (the precursor to serotonin)
• Treats acute mania
• Prophylaxis of recurrent manic & depressive episodes in Bipolar
• Maintain optimal level of functioning w/minimal exacerbations of
mood swings
• PO 300-600 mg TID or QID
• N/V, anorexia, excessive thirst & urination, fine hand tremor
• Persistent vomiting, profuse diarrhea, hyper-reflexia, weakness,
progressive fatigue, weight gain, Nephrotoxicity, Hyperglycemia
28. Antipsychotics
• Typical 1st Generation Phenothiazines
– Chlorpromazine Largactil
– Fluphenazine Moditen
– Perphenazine
– Prochlorperazine Compazine
– Thioridazine
– Trifluperazine
• Thioxanthenes
– Thiothixene Navane
• Nonphenothiazines
– Haloperidol Haldol
– Loxapine Loxitane
– Molindone Moban
• Atypical 2nd Generation APA
– Aripiprazole Abilify
– Clozapine Clozaril
– Olanzapine Zyprexa
– Quetiapine Seroquel
– Resperidone Risperdal
– Ziprasidone Geodon
29. Antiepileptic
• Tonic Clonic
• Absence
• Atonic, Myoclonic
• Partial Seizure
30. Seizures: Anticonvulsants
Misc. Anticonvulsants Benzodiazepines
Clonzapam Klonopin
Carbamazepine Tegretol Clorazepate Tranxene
Gabapentin Neurontin Diazepam Valium
Lorazepam Ativan
Lamotrigine Lamictal
Levetiracetam Keppra
Oxcarbazepine Trileptal Hydantions
Ethotoin Peganione
Phenobarbital Luminal Fosphenytion Cerebyx
Phenytion Dilantin
Pregabalin Lyrica
Primidone Mysoline
Tiagabie Gabitril Succinimides
Ethosuximide Sarontin
Topiramate Topamax Methsuximide Celontin
Valproic Acid Depakene
Zonisamide Zonergran
31. Pain: Opiate Agonists
• Opioid Agonists Merperidine-Like Derivatives
• Codeine Alfentanil Alfenta
• Hydrocodone Fentanyl Duragesic
• Hydromorphone Dilaudid Merperidine Demerol
• Levorphanol Levo- Sufentanil Sufenta
Dromoran
• Morphine Roxanol, Methadone-Like Derivatives
Oxycodone OxyContin Methadone Methadone
• Oxycodone w/ASA Percodan Dolophine
• Oxycodone w/tylenol
Other Opiate Agonists
• Oxymorphone Opana
Tramadol Ultram
Misc. Analgesics
Acetaminophen Tylenol
32. NSAID & Anti-inflammatory
• Salicylates
– Aspirin ASA
– Diflunisal Dolobid
– Magnesium S Doan’s
– Salsalate Salsitab
• NSAID COX-1 Inhibitors
– Diclofenac Cataflam
– Etodolac
– Fenoprofen Nalfon
– Flurbiprofen Ansaid
– Ibuprofen Motrin, Advil
– Indomethacin Indocin
– Ketoprofen Novi-Ketorolac
– Meclofenamate
– Mefenamic acid Ponstel
– Meloxican Mobic
– Nabumetone
– Naproxen Naprosyn
– Oxaparozin Daypro
– Piroxicam Feldene
– Sulindac Clinoril
– Tolmetin
• NSAID COX-2 Inhibitors
– Celecoxib Celebrex