Asthma Drug Flashcards
(41 cards)
What are the short-acting beta-agonists used for asthma & COPD
salbutamol
What are the long-acting beta-agonists used for asthma & COPD?
Fomoterol (New drug for relive & control)
Salmeterol
Name the LABA for asthma
Fomoterol (New drug for relive & control)
Salmeterol
Name the SABA for asthma
salbutamol
Name the drug to use in Beta 2 - emergency asthma
Epinephrine
How beta agonists work?
They work on Gs protein receptors –> increase of AC –> increased cAMP –> bronchodilation
Name the SAMA ?
Ipratropium
Name the LAMA?
Tiotropium
Name the Methyxanthines drug
Theophylline
Name the list of corticosteroids
Budesonide
Ciclesonide
Name the Leukotriene inhibitors
Montelukast
Zileuton
What is Mast cell stabilisers
Cromoglicic acid
What is drug use for allergic asthma
Ig-E Omalizumab
(IL4 - Dupilumab) help allegic
What is drug use for eosinophilic asthma
IL5 - Reslizumab
What drug will reduce B2 adrenoceptor down regulation ?
LABA + ICS
Below 12 , use formoterol + budesonide
What will B2 adrenoceptor agonists do?
- Bronchodilation ( Airway smoothen muscle)
- Mast cell stabilisation( used to control inflammation in asthma and to prevent exercise-induced bronchospasm
- Increase mucociliary clearance
- decrease microvascular leakiness
How long does SABA take to activate ?
3-6H
How long does LABA take to activate ?
12H
How long does Epinephrine take to activate ?
1-3H
What the adverse effect of B2 agonist/ adrenoceptor ? (SABA/LABA)
- Tremor
- Peripheral vasodilatation
- Palpitations & Tachycardia
- Hyperglycaemia/ Hypokalaemia
Ipratropium (SAMA)
Mechanisms of Action:
•Inhibit M3receptor-mediated bronchoconstrictions
•Reverses vagal nerve–mediated bronchospasm & mucus secretion
Use and Efficacy
- Use with B2 agonist + ICS +
- Use when not tolerant of B2 agonist
Adverse Effects:
- Limited systemic side effect
- Dry mouth
- Urinary retention ( esp elder)
Theophylline
Use & Efficacy
- Lest strong than B2 agonist
- Can use IV
Adverse Effect
•Narrow therapeutic window (therapeutic range: 5-20 mg/L)
•Many drug-drug interactions: Caution for potential drug interactions
Gastro : abdominal discomfort, anorexia, Nausea, Vomit
CNS : Nervous, tremor, anxiety, insomnia, seizures
Cardio - Arrhythmias
Magnesium Sulphate (MgSO4)
For treatment of acute asthma which can use as IV or nebulized
No Adverse effect
List the inhaled Corticosteroids (ICS)
- Budesonide
- Ciclesonide
- Fluticasone (risk of adrenal suppression)