Exam 1 Pcol 2 Flashcards

(98 cards)

1
Q

Morphine

Ms

A

Mu Agonist

Ms Cotin, Kadian

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2
Q

Codeine

A

Mu Agonist

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3
Q

Meperidine

D

A

Mu receptor agonist

Demerol

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4
Q

Hydrocodone extended release

z

A

Mu receptor agonist

Zohydro

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5
Q

Hydrocodone + Acetaminophen

v

A

Mu receptor agonist

Vicodin

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6
Q

Hydrocodone + homatropine

h

A

Mu receptor agonist + muscarinic antagonist

Hycodan

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7
Q

Tramadol

u

A

Mu receptor agonist
Can also directly activate a2 receptors and will inhibit the reuptake of 5-HT and norepinephrine
can lead to serotonin syndrome–> tweaking

Ultram

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8
Q

Tapentadol

n

A

Mu receptor agonist
will also inhibit the reuptake of norepinephrine

Nucynta

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9
Q

Oxycodone ER

O

A

Mu receptor agonist

Oxycotin

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10
Q

Oxycodone + acetaminophen

P

A

Mu receptor agonist

Percocet

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11
Q

Oxycodone + aspirin

P

A

Mu receptor agonist

Percodan

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12
Q

Methadone

phenyl propyl amine nuclei
A

Mu receptor agonist

Dolophine

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13
Q

Hydromorphone

D

A

Mu receptor agonist

Dilaudid

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14
Q

Oxymorphone

A

Mu receptor agonist

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15
Q

Levorphanol

Levo-d

A

Mu receptor agonist

levo-dromoran

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16
Q

Fentanyl

4-analino piperidine nuclei
A

Mu receptor agonist

Duragesic, actiq

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17
Q

Alfentanil

A

Mu receptor agonist

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18
Q

Remifentanil

A

Mu receptor agonist

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19
Q

Sufentanil

Ds

A

Mu receptor agonist

Dsuvia

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20
Q

Oliceridine

oli

A

Mu receptor agonist
Biased ligand

Olinvyk

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21
Q

Diphenoxylate + atropine

4-phenylpiperidine nuclei

lom-

A

periphery Mu receptor agonist

lomotil

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22
Q

Loperamide

im-

A

periphery Mu receptor agonist

imodium

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23
Q

DTO

A

Periphery Mu agonist

Deoderize tincture of opium

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24
Q

Naloxone

A

Mu antagonist

Narcan

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25
Nalmefene | rev
Mu antagonist | Revex
26
Naltrexone | Viv-
Mu antagonist | vivitrol
27
Methylnaltrexone | re
Periphery Mu antagonist | relistor
28
Naloxegol | Mova think movan (muevan)
periphery Mu antagonist | movantik
29
Naldemedine | symp
Periphery Mu antagonist | Symproic
30
Alvimopan | ent
Periphery Mu antagonist | Entereg
31
Nalbuphine | Nub-
Kappa agonist/Mu antagonist | Nubian
32
Butorphanol
Kappa agonist/Mu antagonist
33
Pentazocine
Kappa agonist/Mu antagonist
34
Buprenorphine | sub
Mu partial agonist / Kappa antagonist has hugh affinity to Mu receptors but very little intrinsic activity so less withdrawal symptoms | Subutex
35
Buprenorphine + Naloxone
Partial mu Agonist / Mu antagonist | Suboxone
36
Ziconotide | pri
Conotoxin peptide drug cause the closing of the N-type Ca2+ channels in the dorsal horn / spinal cord so no activation of the ascending neurons Can treat chronic pain | Prialt
37
Sumatriptan | im-
Triptans Activate 5-HT 1B and 5-HT 1D | Imitrex
38
Almotriptan | Ax-
Triptan Activate 5-HT 1B and 5-HT 1D | Axert
39
Zolmitriptan | Zo-
Triptans Activate 5-HT 1B and 5-HT 1D | Zomig
40
Naratriptan | Amer-
Triptan Activate 5-HT 1B and 5-HT 1D | Amerge
41
Rizatriptan | Max-
Triptans Activates 5-HT 1B and 5-HT 1D | Maxalt
42
Frovatriptan
Triptan Activate 5-HT 1B and 5-HT 1D | Frova
43
Eletriptan | Rel-
Triptan activate 5-HT 1B and 5-HT 1D | Relpax
44
Ergotamine
Ergots Activate 5-HT 1B , 5-HT 1D, can directly activate A1 receptors that are Gq, activate 5-HT 2a receptors in the uterus
45
Dihydroergotamine
Ergots Activate 5-HT 1B receptor in the blood vessles , 5-HT 1D receptor in the presynaptic, 5-HT 2a receptor in the uterus smooth muscle And directly activates A1 receptor
46
Methylergonovine
Ergot Activate 5-HT 2a receptor in the uterus and is use to stop post-partum bleeding | methergine
47
Lasmiditan | rey-
Ditans Activate 5-HT 1F and reduces the release of CGRP | Reyvow
48
Ubrogepant | u-
Gepants CGRP Competitive antagonist | Ubrelvy
49
Rimegepant | nu-
Gepans CGRP competitive antagonist | Nurtec ODT
50
Atogepant | qui-
Gepans CGRP competitive antagonist | Quilipta
51
Zavegepant | Zav-
Gepans CGRP competitive antagonist | Zavzpret
52
Aimovig
Monoclonal antibody CGRP antagonist
53
Ajovy
Monoclonal antibody CGRP antagonist
54
Emgality
Monoclonal antibody CGRP antagonist
55
Vyepti
Monoclonal antibody CGRP antagonist
56
Treximet
Sumatriptan (imitrex) + Naproxen (naprosyn)
57
Fiorinal | A B C
Aspirin + Butalbital + Caffeine
58
Fioricet | A B C
Acetaminophen + Butalbital + Caffeine
59
# Benzo's -am Midazolam | Ve- ## Footnote MIDA VE REMI BY TRI HALCON
Benzodiazepine Positive allosteric modulator enhances GABA by binding to the intercept between Y2 and A1 Short Acting Use for: -Anxiety provoking events -Produces brief sedation for short procedure and calms the pt -Use hypnotic effect--> Pt has trouble falling asleep | Versed
60
Remimazolam | MIDA VE REMI BY TRI HALCON
Benzo Positive allosteric modulation --> Enhances GABA Binds to the intercept between Y2 and A1 Use for: -Anxiety provoking events -Produces brief sedation for short procedure and calms the pt -Use hypnotic effect--> Pt has trouble falling asleep | Byfavo
61
Triazolam | MIDA VE REMI BY TRI HALCON
Benzo = -am Positive allosteric modulator enhances GABA by binding to the intercept between Y2 and A1 Short acting Use for: -Anxiety provoking events -Produces brief sedation for short procedure and calms the pt -Use hypnotic effect--> Pt has trouble falling asleep | Halcion
62
Alprazolam | X
Benzo --> Intermediate acting Postiive allosteric modulator binds in between the Y2 and A1 intercept and enhances GABA activity -Use for anxiety | Xanax
63
Estazolam | p-
Benzo --> Intermediate acting Positive allosteric modulator enhances GABA by binding in between the Y2 and A1 intercept -Use for anxiety | Prosom
64
Lorazepam
Benzo --> Intermediate acting Positive allosteric modulator --> bind in between the Y2 and A1 intercept and enhances GABA activity -Use for anxiety | Ativan
65
Oxazepam | Se- think Sera
Benzodiazepine--> Intermediate acting Positive allosteric modulator it binds in between the Y2 and A1 intercept and enhances GABA -Use for anxiety | Serax
66
Temazepam | Re-
Benzodiazepine--> intermediate acting Positive allosteric modulator --> Binds in between the Y2 and A1 intercept and enhances GABA -Use for anxiety | Restoril
67
Flunitrazepam | Roh-
Benzodiazepine --> Intermediate acting Positive allosteric modulator binds in between the Y2 and A1 intercept enhacing GABA Use for anxiety | Rohypnol
68
Chlordiazepoxide | li-
Benzo--> Long acting Positive allosteric modulator binds in between the Y2 and A1 intercept and will enhance GABA Use for: Anxiolytic Hypnotic--> Trouble maintaining sleep Myorelaxant Anticonvulsant | librium
69
Clobazam | o-
Benzo --> Long acting Binds inbetween the A1 and Y2 intercept and enhances GABA is a positive allosteric Use for: Anxiolytic Hypnotic--> Trouble maintaining sleep Myorelaxant Anticonvulsant | Onfi
70
Clonazepam | K
Benzo--> Long acting It binds inbetween the y2 and A1 intercept and enhances GABA activity is a positive allosteric modulation Use for: Anxiolytic Hypnotic--> Trouble maintaining sleep Myorelaxant Anticonvulsant | Klonopin
71
Clorazepate | T-
Benz--> Long acting Positive allosteric modulator binds next to the intercet of Y2 and A1 and enhances GABA activity Use for: Anxiolytic Hypnotic--> Trouble maintaining sleep Myorelaxant Anticonvulsant | Tranxene
72
Diazepam ## Footnote Can give by injection as organic salt for anticonvulsion Give PO for Hypnolytic and anxiolytic
Benzo --> Long acting Positive allosteric modulator binds in between the Y2 and A1 intercept and enhances GABA Use for: Anxiolytic Hypnotic--> Trouble maintaining sleep Myorelaxant Anticonvulsant | Valium
73
Flurazepam | Dal-
Long acting benzo Positive allosteric modulator --> Binds in between the Y2 and A1 intercept and enhances GABA activity Use for: Anxiolytic Hypnotic--> Trouble maintaining sleep Myorelaxant Anticonvulsant | Dalmane
74
Quazepam | Think doral bank
Long acting Benzo Positive allosteric modulator binds in between the Y2 and A1 intercept and enhances GABA activity Use for: Anxiolytic Hypnotic--> Trouble maintaining sleep Myorelaxant Anticonvulsant | Doral
75
Flumazenil
Benzodiazepine receptor antagonist It binds in between the Y2 and A1 intercept and prevent the benzodiazepines from binding -Has no effect on GABA
76
Zolpidem | ZolA Zale Son Eszo Lunes
Z compound Is a positive allosteric modulator it binds to the GABA A receptor the one that has the A1 receptor that is found primarly in areas of the brain that produces Sedation and hypnotic effects | Ambien
77
Zaleplon | ZolA Zale-Son Eszo Lunes
Z-compound Positive Allosteric Modulator it binds to the GABA A receptor the one that has A1 receptor that is in areas of the brain that produces Sedation and Hypnotic effects | Sonata
78
Eszopiclone ## Footnote ZolA Zale Son Eszo Lunes
Z compound Is a positive allosteric modulator it binds to the GABA A receptor the one that has the A1 receptor so is use because of its hypnotic effects | Lunesta
79
Thiopental
Ultra-Short acting barbiturate Positive allosteric modulator --> Binds to the GABA A receptor that has any A and B subunit and enhances GABA a inhibitor N.S It can also bind to AMPA receptor and block Glutamate from binding (Glutamate is a excitatory N.S) Use IV as pre-anesthesia
80
Methohexital | -th-
Ultra-short acting barbiturates Positive allosteric modulator --> Binds to GABA A receptor the ones that contain any A and B subunit and enhances GABA activity (inhibitory n.s) Cl- enter hyperpolarize the cell -It can also bind to AMPA receptors and block Glutamate from binding (a excitatory n.s) -Use for anesthesia in surgery
81
Secobarbital | sec-
Short acting Barbiturate -Positive allosteric modulator --> Binds to GABA A receptor the ones that have A and B subunit and enhances GABA activity (inhibitory N.S and Cl- enter hyperpolarize the cell) -Can bind to AMPA receptors and block Glutamate from binding (excitatory n.s) -Use for physician assistant suicide | Seconal
82
Pentobarbital | nem-
Short acting Barbiturate Positive allosteric modulator--> Binds to GABA A receptor the ones that have any A and B subunit and enhances GABA activity (inhibitory n.s Cl- enters hyperpolarize the cell) -Can also bind to AMPA receptors and block Glutamate (excitatory n.s ) from binding -Use for pre-anesthesia -Was used for insonmnia | Nembutal
83
Butalbital
Intermediate Barbiturate -Positive allosteric modulator --> Binds to GABA A receptors the ones that have A and B subunit and enhaces GABA activity (a inhibitory n.s and Cl- enters hyperpolarize the cell) -Can also bind to AMPA receptors and will block Glutamate from binding -Use for sedating the pt -Was used for insomnia
84
Phenobarbital | Lu-
Long acting Barbiturate -Positive allosteric modulator --> Binds to GABA A receptors the ones that have A and B subunit and enhances GABA activity (inhibitory n.s) -Can also bind to AMPA receptors and prevent glutamate from binding (excitatory n.s) -Use as anticonvulsant as a Na+ salt injection -Used to be use for insonmnia by PO | Luminal
85
Melatonin
MT1 and MT2 receptor agonist MT1 --> Associated with hypnotic effects MT2--> Associated with reset of the circadiam rhythm -Melatonin is produce endogenous by the pineal gland in the bran and follows the circadiam rhythm High during night Low during day
86
Ramelteon (Roz-) | -melteon = think rozemos
MT1 and MT2 agonist But is somewhat more selective for MT1 MT1 receptor is associated with Hypnotic effects Use Ramelteon (Rozerem) for insomnia | Rozerem
87
Tasimelteon | -Melteon= Hetl-
MT1/MT2 agonist Tasimelteon is more selective for MT2 receptor that is associated with reset of circadiam rhythm Is use to treat non-24 sleep wake disorder in a pt that is blind | Hetlioz
88
# -Oxerant= Suvorexant | (Bels-
DORA's Dual Orexin Receptor Antagonist -Suvorexant (Belsomra) will block oxerin from binding to its receptor --> Therefore Oxerin won't be able to produce its wakefulness effects -Use for hypnotic --> Help pt fall asleep | Belsomra
89
# -OREXANT = Lemborexant | (Day-
DORA= Dual Orexin Receptor Antagonist Orexin is peptide in the brain that is associated with Wakefulness But Lemborexant (Dayvigo) will prevent orexin from binding -Use for Hypnotic effect--> Help pt fall asleep | Dayvigo
90
# -OREXANT = Daridorexant | (Quvi-
DORA's Dual Oxerin Receptor Antagonist Oxerin is peptide in the brain that is associated with wakefulness But Daridoxerant (Quviviq) will block oxerin from binding and produces hypnotic effect -Use to help pt fall asleep | Quviviq
91
Buspirone | Bus-
5-HT1A Partial agonist It will activate 5-HT1A receptors that are in the pre-synaptic and will cause less release of 5-HT onto post synaptic 5-HT receptors (Serotonin causes anxiety) -By reducing the release of 5-HT from the presynaptic it causes Anxiolytic effects but it takes time weeks to develop the anxiolytic effects -Only use for chronic anxiety not for acute anxiety (event provoking anxiety) -Can also be use in pt that have substance abuse behavior and want to stay away from Benzodiazepines and Z drugs (Zola Zale Son Eszo Lunes) -Does not produce sedation and no hypnotic effects | Buspar
92
Baclofen | Lio-
Centrally acting muscle relaxant works in the spinal cord -Work as a GABA B receptor agonist (GABA B is link to Gi) -Use for chronic muscle spasm -Can cause physical dependence so need to tapper down the dose because if the pt suddenly stop can suffer from withdrawals hallucinations | Lioresal
93
Tizanidine | Zana-
Is a Centrally Acting Muscle relaxant Is a A2 agonist Activates A2 receptors in the pre-synapse --> K+ Channels open K+ leaves and cause hyperpolarization --> Less release of glutamate Activates A2 receptors in the post-synapse motor neuron--> K+ channels open K+ leaves causes the motor neuron to be more negative and wont be able to generate impulses to the skeletal muscle | Zanaflex
94
Cyclobenzaprine | Flex-
Centrally acting muscle relaxant -Works by a indirect mechanism --> Inhibit the reuptake of Norepinephrine at the A2 receptors therefore indirectly causes increase activation of the A2 receptors in the presynaptic neuron --> So less release of glutamate In the postsynaptic--> K+ leaves so the post-synaptic motor neuron wont be able to generate impulses down to the skeletal muscle -Block Histamine H-1 receptors -Block Muscarinic receptors | Flexeril
95
Carisoprodol | Think Soma the bras brand
Centrally acting muscle relaxant -Carisoprodol (Soma) is converted into is active metabolite that is Meprobamate Meprobamate will have similar effects like barbiturates --> Binds to the GABA A receptor and enhances GABA activity at the GABA A so Cl entry --> The post synaptic motor neuron is hyperpolarize and cannot generate impulses to the skeletal muscle -Use as muscle relaxant | Soma
96
Orphenadrine | Nor-
Centrally acting Muscle relaxant -It blocks the NMDA receptor (A ligand gated receptor in the post synaptic motor neuron) and prevent Glutamate from binding so no Na+ entry --> The motor neuron won't be able to generate impulses to the skeletal muscle -Block Histamine-H1 receptors -Block Muscarinic receptors | Norflex
97
Methocarbamol | Roba-
Centrally acting muscle relaxant It blocks NMDA receptors (Ligand gated) in the post-synaptic motor neuron so Block glutamate from binding so no Na+ entry --> No generation of impulses to the skeletal muscle -Block Histamine H1 receptors Block Muscarinic receptors | Robaxin
98
Dantrolene | D-
Direct acting muscle relaxant --> Does not work in the CNS it works directly in the Skeletal muscle -Inhibits the release of Ca2+ from the sarcoplasmic reticulum --> So no Ca2+ to work on the skeletal muscle --> No muscle contraction -Is also use as a antidote when someone uses succinylcholine and the pt has a genetic polymorphism and suffers from malignant hyperthermia | Dantrium