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Flashcards in Respiratory PHARM Deck (6)
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1

what are the 2nd generation anti-histamines / anticholinergic

loratidine (claritin)
cetirizine (zyrtec)
fexofenadine (allegra)


*H1 blocker: seasonal allergies

2

what are the 1st generation anti-histamines

diphenhydramine
hydroxyzine
promethazine (also in nausea/vomiting)

3

steroids for inhalation

Fluticasone, Flonase (nasal), Flovent [HFA] (oral)
Mometasone, Nasonex (nasal), Asmanex (oral)
Beclomethasone, Beclovent (nasal), Qvar (oral)
Budesonide, Rhinocort (nasal), Pulmicort (oral)

4

Muscarinic M3 blockers

tiotropium
ipotropium bromide


Muscarinic receptors in lung: M1, M2, M3, M4; M3 receptor is most important in mediating smooth muscle contraction and mucus gland secretion in the airway

5

side effects of anti cholinergics

urinary retention

*make sure pt doesnt have urinary blockage like stones

6

Montelukast

leukotriene blocker (leukocytes inflammatory)

Produce immediate, small improvement in lung function


Useful in aspirin exacerbated respiratory disease (aspirin-sensitive asthma), asthma, exercise-induced bronchoconstriction, allergic rhinitis