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COPD/Asthma Drugs
COPD/Asthma Drugs
34
Pharmacology
Graduate
06/06/2011

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Cards

Term
Albuterol
Definition
Short acting beta agonist
Term
Albuterol
Definition
Most effective drug for acute bronchoconstriction
Term
Albuterol
Definition
Overuse of this asthma drug may lead to increased mortality because of receptor desensitization
Term
Salmeterol
Definition
Long acting beta2 selective agonist with a SLOW onset
Term
Formoterol
Definition
Long acting beta2 agonist with a RAPID onset
Term
Lipophilic tail
Definition
This allows the long acting beta2 agonists to repeatedly and persistantly activate the receptor
Term
Salmeterol
Definition
Used for maintanance therapy of pts w/ nocturnal sx
Term
Formoterol
Definition
Used for maintenance and prevention of exercise-induced bronchospasm and for COPD
Term
Theophylline
Definition
This drug inhibits phosphodiesterase, leading to increased cAMP
Term
Theophylline
Definition
This drug uses PDE4 as a critical isoenzyme
Term
Theophylline
Definition
This drug has antagonist action at bronchoconstrictor adenosine receptors
Term
Theophylline
Definition
This drug has effects on calcium release mechanisms involved in muscle contraction
Term
Theophylline
Definition
This drug induces histone deacetylase
Term
Theophylline
Definition
Plasma levels of this drug must be monitored because of many food/drug interactions that decrease its concentration, and also bc of hypokalemia
Term
Ipratropium bromide or Tiotropium
Definition
An anticholinergic agent that is a derivative of atropine, so blocks muscarinic receptors
Term
Ipratropium bromide
Definition
THis drug targets M3 receptors to reduce vagal-stimulated bronchoconstriction
Term
Tiotropium
Definition
This anticholinergic agent is approved for once daily COPD therapy
Term
Ipratropium or Tiotropium
Definition
This drug can cause dry mouth and pharynx and increased occular pressure
Term
Ipratropium
Definition
This drug is approved for use in COPD, but is not approved for use in asthma (though it is still used occasionaly)
Term
Prednisone
Definition
Patients on this can develop "steroid-resistant" asthma
Term
Glucocorticoids
Definition
Side effects include suppression of hypothalamic-pituitary-adrenal axis
Term
Glucocorticoids
Definition
Long term use leads to decreased bone density and osteoporosis
Term
Glucocorticoids
Definition
Caution must be used when tapering and switching forms (inhaled to systemic or vice versa)
Term
Montelukast
Definition
A selective and competitive antagonist of CYstTL3, the major leukotriene in D4
Term
Montelukast or Zileuton
Definition
Has an important role in ASA asthma
Term
Montelukast
Definition
Carries a risk of psychosis or depression
Term
Zileuton
Definition
A selective inhibitor of 5-lipoxygenase enzyme
Term
Zileuton
Definition
Blocks all leukotriene effects, so has more anti-inflamm activity than leukotriene
Term
Cromolyn sodium
Definition
Stabilizes mast cells to prevent release of mediators and alters chloride channel fx
Term
Cromolyn sodium
Definition
Used to decrease airway hyperresponsiveness
Term
Cromolyn sodium
Definition
Can lead to reflex wheezing
Term
Omalizumab
Definition
An antibody to IgE-prevents the IgE from binding to receptors on mast cells and causing degranulation
Term
Omalizumab
Definition
Possible cardiac, stroke, and anaphylactic rxns
Term
Omalizumab
Definition
Used in moderate to severe asthma with reactivity to allergens and whose sx are not controlled by inhaled steroids
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