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Respiratory Pharm
Stack #175401
Drug | MOA/Use | Toxicity/adverse effects |
---|---|---|
H1 blockers, 2nd generation: loratadine, fexofenadine, desloratadine, cetirizine | reversible inhibitors of H1 receptors; use: allergy | far less sedating than 1st generation because of decreased entry into CNS |
isoproterenol | nonspecific beta-agonists: relaxes bronchial smooth muscle (beta2) | tachycardia (beta1) |
albeterol | (beta2 agonist)relaxes bronchial smooth muscle (beta2); use: acute asthma exascerbation | |
salmeterol | beta2 agonist; long acting agent for asthma prophylaxis | tremor and arrhythmia |
Methylxanthines: theophylline | likely causes bronchodilation by inhibiting phosphodiesterase, thereby decreasing cAMP hydrolysis. Usage is limited because of narrow therapeutic index; metabolized by P450; Use: asthma | cardiotoxicity, neurotoxicity |
Muscarinic antagonists: Ipratroprium | competative block of muscarinic recptors, preventing bronchoconstriction; use:asthma, COPD | |
cromolyln | prevents release of mediators from mast cells. effective only for prophylaxes of asthma. not effective for acute asthma attack. | toxicity is rare |
corticosteroids: beclomethasone, prednisone | inhibit sythesis f virtually all cytokines. Inactivate NF-kB, the transcription factor that induces the production of TNF-alpha, among other inflammatory agents. 1st-line therapy for chronic asthma. | |
zileuton | antileukotriene: a 5-lipoxygenase pathway inhibitor. blocks conversion of arachidonic acid to leukotrienes. | |
zafirlukast, montelukast | antileukotrienes; block leukotriene receptors. especially good for aspirin-induced asthma. | |
guaifenesin (robitussin) | expectorants; removes excess sputum but large doses necessary; does not suppress cough reflex. | |
N-acetylcysteine | expectorant: mucolytic->can loosen mucous plugs in CF patients. also used as an antidote for acetaminophen overdose. | |
H1 blockers, 1st generation: diphenhydramine, dimenhydrinate, chlorpheniramine | reversible inhibitors of H1 receptors; use: allergy, motion sickness, sleep aid | sedation, antimuscarinic, anti-alpha-adrenergic |