Fast Pharm Facts Week 9 & 10
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Questions and Answers

What class of medication is Dramamine?

  • Antihistamine
  • Antiemetic
  • Antivertigo agent
  • All of the above (correct)
  • What are the major side effects of Hydroxyzine?

    Drowsiness, dizziness, involuntary motor activity, dry mouth, respiratory depression

    Dramamine is used for prevention and relief of ________ associated with motion sickness.

    nausea and vomiting

    Phenergan has a strong dopamine receptor antagonism.

    <p>False</p> Signup and view all the answers

    What indication is Scopolamine used for?

    <p>Postoperative nausea and vomiting</p> Signup and view all the answers

    What should be avoided when using Scopolamine?

    <p>Driving, water sports, or operating machinery</p> Signup and view all the answers

    Match the following medications with their classes:

    <p>Dramamine = Antihistamine Hydroxyzine = Piperazine Derivative Phenergan = Antiemetic Scopolamine = Antiemetic Agents</p> Signup and view all the answers

    Elderly patients with dementia-related psychosis treated with Prochlorperazine are at increased risk for death.

    <p>True</p> Signup and view all the answers

    The prototype for Hydroxyzine is _________.

    <p>Hydroxyzine Hydrochloride</p> Signup and view all the answers

    Study Notes

    Dramamine

    • Class: Antihistamine (H1-receptor antagonist), antiemetic, and antivertigo agent.
    • Major side effects: Drowsiness, constipation, blurred vision, dry mouth/nose/throat, urinary issues.
    • Rare side effects: Blood dyscrasias with prolonged use, fixed drug eruption.
    • Caution: Small amounts excreted in breast milk; contraindicated for breastfeeding mothers.
    • Indications: Used for nausea and vomiting prevention associated with motion sickness, vertigo, electroshock therapy, anesthesia, labyrinthitis, and radiation sickness.

    Hydroxyzine

    • Class: Antihistamine, piperazine derivative.
    • Mechanism: Competes with histamine at H1-receptor sites; sedative effects result from brain region suppression.
    • Major side effects: Drowsiness, dizziness, dry mouth, respiratory depression, pain at IM injection site.
    • Critical information: Risk of CNS depression; epinephrine may counteract its effects; contraindicated in early pregnancy and for breastfeeding.
    • Indications: Suppresses activity in essential subcortical areas of the CNS.

    Phenergan

    • Class: Antiemetic and antivertigo agent.
    • Mechanism: Weak dopamine receptor antagonist that also blocks H1 receptors; provides anti-emetic and sedative effects.
    • Major side effects: Dizziness, anxiety, blurred vision, weight gain, respiratory depression, severe nervous reaction.
    • Critical information: IV administration risks severe tissue injury; immediate discontinuation required if pain occurs during injection; respiratory fatalities noted in children.
    • Indications: Prevents and treats nausea/vomiting, allergy symptoms like rashes, itching, and runny nose.

    Scopolamine

    • Class: Antiemetic agents.
    • Mechanism: Muscarinic receptor antagonist reducing responses to cholinergic nerve stimulation.
    • Major side effects: Anxiety, blurred vision, changes in consciousness, altered urination patterns.
    • Critical information: Contraindicated in narrow-angle glaucoma and during pregnancy; avoid activities like driving until effects are known.
    • Indications: Address postoperative nausea and vomiting associated with anesthesia recovery.

    Prochlorperazine Maleate

    • Class: Antiemetics, dopamine antagonists, psychotherapeutic.
    • Mechanism: Blocks D2 dopamine receptors in the brain; also affects histaminergic, cholinergic, and noradrenergic receptors.
    • Major side effects: Pseudoparkinsonism, motor restlessness, orthostatic hypotension, tachycardia.
    • Critical information: Increased mortality risk for elderly dementia-related psychosis patients treated with antipsychotics; risk of potentially irreversible tardive dyskinesia.

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    Explore essential pharmacology concepts in this quiz covering Dramamine and its classifications. Learn about antihistamines, antiemetics, and vertigo agents through flashcards. Enhance your understanding of drug mechanisms and prototypes.

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