Pharm 203 Flashcards 3.3 and 3.4
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Questions and Answers

What is bromocriptine (Parlodel) used to treat?

Prolactinoma and Parkinson's disease

Which medications are older H1 antagonists? (Select all that apply)

  • Hydroxyzine (Atarax) (correct)
  • Meclizine (Bonine) (correct)
  • Cyproheptadine (Periactin) (correct)
  • Diphenhydramine (Benadryl) (correct)
  • What medication would you expect Mrs. M to receive for acute serotonin syndrome?

    Cyproheptadine (Periactin)

    Which of the following describes prostaglandins? (Select all that apply)

    <p>All of the above are correct</p> Signup and view all the answers

    What are serotonin agonists for migraines?

    <p>Naratriptan (Amerge), Almotriptan (Axert), Zolmitriptan (Zomig), Rizatriptan (Maxalt), and Eletriptan (Relpax)</p> Signup and view all the answers

    Which of the following statements about histamine is correct?

    <p>All of the above</p> Signup and view all the answers

    Which medication would Mr. C expect to receive for degenerative joint disease?

    <p>Celecoxib (Celebrex)</p> Signup and view all the answers

    What is serotonin?

    <p>Both of the above</p> Signup and view all the answers

    What impact do ergot alkaloids have?

    <p>A profound impact on social beliefs in satanism and witchcraft</p> Signup and view all the answers

    What risk do NSAIDs increase?

    <p>Both of the above</p> Signup and view all the answers

    What are H2 antagonists?

    <p>Famotidine (Pepcid)</p> Signup and view all the answers

    Which of the following describes ergot alkaloids? (Select all that apply)

    <p>Both of the above</p> Signup and view all the answers

    What are ibuprofen (Advil), naproxen (Naprosyn), and celecoxib (Celebrex)?

    <p>Both of the above</p> Signup and view all the answers

    What are ergotamine (Cafergot), bromocriptine (Parlodel), and methylergonovine (Methergine)?

    <p>Ergot alkaloids</p> Signup and view all the answers

    Which of the following OTC prostaglandin inhibitors is an NSAID?

    <p>Naproxen (Aleve)</p> Signup and view all the answers

    Which class of medication contributes to acute serotonin syndrome?

    <p>All of the above</p> Signup and view all the answers

    What medication would Mrs. B receive for acute dystonic reaction?

    <p>Diphenhydramine (Benadryl)</p> Signup and view all the answers

    What medication would Mrs. V receive for migraine headaches?

    <p>Sumatriptan (Immitrex)</p> Signup and view all the answers

    What are newer H1 antagonists?

    <p>Fexofenadine (Allegra), Loratadine (Claritin), and Ceririzine (Zyrtec)</p> Signup and view all the answers

    What is acetaminophen (Tylenol)?

    <p>A prostaglandin synthesis inhibitor</p> Signup and view all the answers

    Which drug is a leukotriene antagonist?

    <p>Montelukast (Singulair)</p> Signup and view all the answers

    What is Barrett's Esophagitis?

    <p>A precancerous change due to chronic gastroesophageal reflux disease (GERD)</p> Signup and view all the answers

    What is Zollinger-Ellison (ZE) syndrome?

    <p>A condition due to tumors of the pancreas that secrete gastrin, causing excess stomach acid.</p> Signup and view all the answers

    Which of the following is a bronchodilator? (Select all that apply)

    <p>All of the above</p> Signup and view all the answers

    Which antiemetics can cause acute dystonic reactions?

    <p>Prochlorperazine (Compazine)</p> Signup and view all the answers

    What class of medications do cimetidine (Tagamet), famotidine (Pepcid), nizatidine (Axid), and ranitidine (Zantac) fall into?

    <p>Histamine receptor 2 antagonists (H2 blockers)</p> Signup and view all the answers

    Study Notes

    Parkinson's Disease

    • Bromocriptine (Parlodel) is an ergotamine dopamine receptor agonist.
    • Used primarily to treat prolactinoma and manage symptoms of Parkinson's disease.

    Older H1 Antagonists

    • Hydroxyzine (Atarax), Meclizine (Bonine), Cyproheptadine (Periactin), and Diphenhydramine (Benadryl) are classified as older H1 antagonists.
    • Primarily used for allergic reactions and nausea.

    Cyproheptadine (Periactin)

    • Utilized for treating acute serotonin syndrome.
    • Acts as an antihistamine with serotonin antagonist properties.

    Prostaglandins

    • Mediate various physiological functions including pain, inflammation, gastric protection, and closure of ductus arteriosus.
    • Significant role in various inflammatory processes and pain modulation.

    Serotonin Agonists for Migraines

    • Naratriptan (Amerge), Almotriptan (Axert), Zolmitriptan (Zomig), Rizatriptan (Maxalt), and Eletriptan (Relpax) are used for treating migraine headaches.
    • These medications specifically target serotonin receptors to alleviate symptoms.

    Histamine Functions

    • Acts as a neurotransmitter in gastric acid secretion and mediates allergic reactions.
    • Also responsible for symptoms in scombroid poisoning infections.

    Celecoxib (Celebrex)

    • Common medication prescribed for managing inflammation and pain associated with degenerative joint disease.
    • A selective COX-2 inhibitor that reduces gastrointestinal side effects compared to traditional NSAIDs.

    Serotonin

    • Functions as both a vasoconstrictor released by platelets and a neurotransmitter involved in mood regulation.
    • Plays a crucial role in various physiological and psychological processes.

    Ergot Alkaloids

    • Have influenced societal beliefs regarding satanism and witchcraft historically.
    • Derived from fungi and have applications in various medical treatments, especially for migraines.

    NSAIDs Risks

    • Nonsteroidal anti-inflammatory drugs are associated with an increased risk of peptic ulcer disease and bleeding.
    • Patients using NSAIDs should be monitored for gastrointestinal complications.

    H2 Antagonists

    • Cimetidine (Tagamet), Famotidine (Pepcid), Nizatidine (Axid), and Ranitidine (Zantac) are examples of H2 blockers.
    • Used to reduce gastric acid secretion and treat conditions like GERD.

    Ergot Alkaloids Overview

    • Effective in treating migraines and Parkinson’s disease.
    • Include medications like ergotamine and bromocriptine, highlighting their dual therapeutic roles.

    Prostaglandin Synthesis Inhibitors

    • Ibuprofen (Advil, Motrin), Naproxen (Naprosyn, Aleve), and Celecoxib (Celebrex) are classified as NSAIDs and inhibit prostaglandin synthesis.
    • Important for pain relief and inflammation management.

    Ergotamine

    • This medication belongs to the category of ergot alkaloids.
    • Effective in treating migraine and managing certain obstetric conditions.

    Acetaminophen and NSAIDs

    • Naproxen (Aleve) is identified as an NSAID, while Acetaminophen (Tylenol) is a non-NSAID pain reliever.
    • They both serve different roles in pain management and inflammation.

    Acute Serotonin Syndrome Medications

    • MAO inhibitors, serotonin reuptake inhibitors, and triptans can contribute to serotonin syndrome.
    • Awareness and careful management are crucial in treating patients at risk.

    Diphenhydramine (Benadryl)

    • Administered for acute dystonic reactions caused by neuroleptic drug therapy.
    • Functions as an antihistamine that also alleviates such side effects.

    Sumatriptan (Immitrex)

    • Commonly prescribed medication for treating migraine headaches.
    • Acts as a specific agonist for serotonin receptors to mitigate migraine symptoms.

    Newer H1 Antagonists

    • Fexofenadine (Allegra), Loratadine (Claritin), and Cetirizine (Zyrtec) are categorized as newer H1 antagonists.
    • Used mostly for allergy relief with fewer side effects than older H1 antagonists.

    Acetaminophen (Tylenol)

    • Functions as a non-opioid analgesic and antipyretic.
    • Not classified as an NSAID despite being a common pain reliever.

    Montelukast (Singulair)

    • Identified as a leukotriene antagonist.
    • Used primarily for asthma management and allergic rhinitis.

    Barrett's Esophagitis

    • A precancerous change resulting from chronic gastroesophageal reflux disease (GERD).
    • Associated with long-term damage to the esophagus due to stomach acid.

    Zollinger-Ellison Syndrome

    • Caused by tumors of the pancreas that secrete gastrin, leading to excessive gastric acid production.
    • Results in severe gastric and duodenal ulcers, increasing patient morbidity.

    Bronchodilators

    • Include Albuterol (Proventil, Ventolin), Salmeterol (Serevent), and Ipratropium (Atrovent).
    • Utilized in treating asthma and other obstructive airway diseases.

    Prochlorperazine (Compazine)

    • An antiemetic that can lead to acute dystonic reactions.
    • Requires careful monitoring when prescribed, especially in patients taking antipsychotics.

    H2 Blockers

    • Cimetidine (Tagamet), Famotidine (Pepcid), Nizatidine (Axid), and Ranitidine (Zantac) are part of the H2 antihistamine class.
    • Important in managing conditions related to excessive stomach acid.

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    Test your knowledge with these flashcards covering key pharmacological terms and definitions related to Parkinson's treatment and older H1 antagonists. Perfect for students in Pharm 203 looking to solidify their understanding of important medications and their uses.

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