Pharm 3 Flashcards
(15 cards)
Drug that is active and has an active metabolite
Flurazepam (a benzo)
2 examples of pro drugs (other than codeine)
Carbamazepine
PPIs
Drugs that can be given orally, but usually aren’t
Nitroglycerin (sublingually)
Morphine (IV)
Drug that’s never given orally
Fentanyl (opioid)
Drugs that are absorbed more in intestine than liver
Chlorpromazine
Cyclosporine
Midazolam
Drug that undergoes phase 2 then 1
Isoniazid
Example of 2 drugs that bind to same active site on an enzyme
Codeine and paroxetine both bind 2D6
What drug era conjugated to sulfate
Acetaminophen
Influence of age on metabolism (young and old)
Phase 1 and 2 enzymes increase after birth
Phase 1 decreases in elderly
3 common polymorphisms for CYP genes
2C9
2C19
2D6
Tamoxifen and CYP polymorphisms
Bad to be 2D6 poor metabolizer
Good to be 2C19 poor metabolizer
Dihydropyrimidine dehydrogenase involved in what reaction
Deactivated 5FU
N acetyltransferaae acetylates what drugs
Isoniazid
Procainamide
Caffeine
UGT metabolizes what drug and polymorphism leads to what?
Irinotecan (prodrug)
Myelosuppression and diarrhea
People who suffer respiratory paralysis caused by
Patients deficient in BCHE, which metabolizes succinylcholine (relaxes muscles for endotracheal tubing)