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1 1. Diphenhydramine (Benadryl) Prototype, think allergy (Antihistamine) Sleep 2. Dimenhydrinate (Gravol) Nausea and sedative (Antihistamine) 3.

Cetirizine Hydrochloride (Reactine) sedating potential (Antihistamine) 4. Loratadine (Claritin) sedating potential (antihistamine) 5. Pseudoephedrine (Sudafed) Ingredient in crystal methamphetamine 6. Dexthromethorphan (DM) (Cough Suppresant) 7. Guaifenesin (Robitussin) (Expectorant) 8. Salbutamol (Ventolin)Short acting Beta 2 Agonist (Asthma, COPD) 9. Salmeterol (Serevent)Long acting Beta 2 Agonist (Asthma COPD) 10. Formoterol (Oxeze) Long acting beta-2 agonist (Asthma, COPD) 11. Ipratropium + Salbutamol = (Combivent) 12. Fluticasone + Salmeterol = Advair 13. Budesonide + Formoterol = Symbicort 14. Ipratropium (atrovent) (Anticholinergic COPD) 15. Tiotropium (Spiriva) (Anticholinergic COPD) 16. Fluticasone (Flovent, Flonase) -- Inhaled 17. Beclomethasone (Beclovent, Beconase) Inhaled 18. Prednisone/Deltasone turns off bodiescortisol production, mimics cortisol, suppresses immune response. Only used for crisis point. Affects most cellular activity. Used only in severe cases of Asthma 19. Alprazolam (Xanax) (Benzodiazepine) (Anxiolytic) 20. Clonazepam (Rivotril) (Benzodiazepine) (Anxiolytic, Anticonvulsant) 21. Lorazepam (Ativan) (Benzodiazepine) (Anxiolytic) 22. Oxazepam (Serax) (Benzodiazepine) (Hypnotic) 23. Temazepam (Restoril) (Benzodiazepine) (Hypnotic) 24. Triazolam (Halcion) (Benzodiazepine) (Anxiolytic) 25. Diazepam (Valium) (Hypnotic, Anticonvulsant) 26. Flunitrazepam (Rohypnol) date rape drug (Hypnotic) 27. Zopiclone (Imovane) Shouldn t be used every night, sedative, hypnotic, newer may have less dependence potential than Benzodiazepines 28. Propranolol (Inderal) B-Adrenergic blocking agent blocks effects of adrenaline used to prevent physical symptoms of fear, no effect on emotions. 29. Fluoxetine (Prozac) Depression, OCD, Bulimia, Anorexia (SSRI) 30. Paroxetine (Paxal) Depression (SSRI) Selective Serotonin Reuptake Inhibitor 31. Citalopram (Celexa) Depression (SSRI) 32. Zoloft (Sertraline) Depression (SSRI) 33. Amitriptyline (Elavil) Depression (SNRI) Selective Noradrenalin reuptake Inhibitor 34. Levodopa L-Dopa only symptom control, does not cure, levodopa is converted to Dopamine in the brain usually used in combo with carbidopa (blocksdecarboxylase) to increase CNS concentration of Levodopa and decreases side effects. (Parkinsons Disease) 35. Levodopa + Carbidopa = (Sinemet) (Parkinsons Disease)

2 36. Bromocriptine (Parlodel) Stimulates Dopamine Receptors, assists with symptom control when Levo/carbidopa are wearing off. May help decrease cravings involving cocaine withdrawal, lowers prolactin levels-decreases lactation, gynecomastia (Parkinson s Disease). 37. Pergolide and Permax were both taken off the market because they were found to have caused heart valve disease in some patients. (Parkinsons) 38. Selegline many generic brands, eldeperyl Monoamine oxidase type B Inhibitor Slows degradation of dopamine in the brain, metabolized to amphetamine and methamphetamine in the body. also used for Narcolepsy, ADHD, Depression and Alzheimer s. (Parkinson s Disease) 38. ASA Aspirin Daily low dose of 81 mg (1/4 adult dose), possible to have bruising, cheap and effective. (CVA, TIA) 39. Ticlopidine (Ticlid), Clopidogrel (Plavix) decreases platelet aggregation, 2nd choice, very expensive, will use only if ASA fails, there is a risk of bleeding. (CVA, TIA) 40. Warfarin (Coumadin) anticoagulant dangerous but life saving. Very Narrow Therapeutic Index. Blocks formation of blood clotting factors to decrease formation by inhibiting action of Vitamin K. Recommended if atrial fibrillation exists. INR must be between 2-3 or will take 2-3 times before blood can clot. INR = International Normalization Rate time to clot compared to normal value. 41. Heparin Injectable Anticoagulant, requires constant monitoring, can be used 1 time per day subcutaneously. Before or after surgery as blood thinner, usually 5-10 days before Warfarin is stabilized 42. Lithium(Lithane, Carbolith, Duralith) --MOOD STABILIZERS 43. Haloperidol (Haldol) D2-receptor antagonists, not specific d2 blocker, = many side effects effective versus positive symptoms (schizophrenia, antipsychotic) 44. Clozapine (Clozaril) used as last resort, lots of side effects, decreases WBC, Neutrophils) (schizophrenia, antipsychotic) 45. Quetiapine (Seroquel) most commonly prescribed, bedtime sleep. (schizophrenia, antipsychotic) 46. Risperidone (Risperdal) dissolves in the mouth. (schizophrenia, antipsychotic) 47. Acetylsalicyclic Acid (ASA), Aspirin mild to moderate pain, Analgesic, antiinflammatory, anti-pyretic (decrease fever), Inhibits PG production. (Analgesic) 48. Acetaminophen, Tylenol (Relatively safe and innocuous) mild to moderate pain, analgesic, anti-pyretic, NO ANTI-INFLAMMATORY, easier on stomach (Analgesic) 49. Diclofenac (Voltaren, generics)(Cox 1 & 2 inhibitors) (NSAID) 50. Ibuprofen (Motrin, Advil, generics)(Cox 1 & 2 inhibitors) (NSAID) 51. Naproxen (Naprosyn, Anaprox)(Cox 1 & 2 inhibitors) (NSAID) 52. Celecoxib (Celebrex) Less stomach damage but decreased inflammation (Cox 2 inhibitor) (NSAID)

3 53. Vioxx Cardiac Side Effects have taken off the market (Cox 2 inhibitor) (NSAID) 54. Codeine (combo, 222, 292, Tylenol 1,2,3) (Narcotic) 55. Hydromorphone (Dilaudid) (Narcotic) 56. Morphine (Narcotic) 57. Oxycodone (Supeudol, Oxycontin, Percocet, Percodan, Endocet) (Narcotic) 58. Pentacozine (Talwin) (Narcotic) 59. Methadone (Narcotic) 60. Fentanyl (Duragesic) patch, transdermal absorption (Narcotic) 61. Naloxone Narcotic Antagonist 62. Naltrexone Narcotic Antagonist 63. Phenytoin (Dilantin) Red Flag, red letter drug stabilizes membranes, must watch blood levels due to toxicity. Dental hygiene is a big issue, red, swollen and overgrown gums interacts with liver (Anticonvulsant, Epilepsy) 64. Carbamazepine (Tegretol) inhibits action potential at foci, used for shingles, tic daru (Trigeminal Neuralgia), mood stabilizer, good for bipolar disorder. (Anticonvulsant, Epilepsy) 65. Phenobarbitol Barbiturate (highly addictive) May increase effects of GABA, 66. sort of decreases nerve firing rate, good for seizures. (Anticonvulsant, Epilepsy) 67. Valproic acid (Epival) Main mood stabilizer, may enhance GABA, interacts with drugs containing cytochrome p450 (Cimetidine) (Anticonvulsant, Epilepsy) 68. Gabapentin (Neurontin) analogie of GABA, moa = Unknown, very few interactions. (Anticonvulsant, Epilepsy) 69. Iamotrigine (Lamictal) commonly used in psychiatric disorders verses seizure, prevents repetitive firing of neuron. (Anticonvulsant, Epilepsy) 70. Benzodiazepine Clonazepam, Diazepam (Anticonvulsant, Epilepsy) 71. Topiramate (Topamax) Enhance GABA, block glutamate (Anticonvulsant, Epilepsy) 72. Levitiracem (Keppra) now becoming popular, anticonvulsant, pretty safe, less side effects Strictly related to seizure disorders. (Anticonvulsant) 73. Sumatriptan (Imitrex DF) (Nasal spray and injection is the oldest and least expensive. (Migraine) All Triptans 74. ERGOTS: Ergotamine, dihydroergotamine (DHE), methysergide IV for severe migrainesm second choice after Triptans, but constricts blood vessels everywhere, not only in the head. Occasionally can become dependent. 75. Hydrochlorothiazide decreases potassium, increases Uric acid (Diuretic, Thiazide) 76. Furosemide (Loop Diuretic) (Lasix) very effective verses edema, causes urinary loss of sodium, potassium and calcium (Diuretic, Thiazide) 77. Amiloride (Potassium sparing diuretic) 78. Spironolactone (Potassium sparing diuretic) 79. Triamterene (Potassium sparing diuretic) 80. Propranolol (Inderal) (Beta-adrenergic blocking agent) (Hypertension, and coronary artery disease)

4 81. Acebutolol(Beta-adrenergic blocking agent) (Hypertension, and coronary artery disease) 82. Atenolol (Tenormin) (Beta-adrenergic blocking agent) (Hypertension, and coronary artery disease) 83. Labetalol (Trandate) (Beta-adrenergic blocking agent)(Hypertension, and coronary artery disease) 84. Metoprolol (Beta-adrenergic blocking agent)(Hypertension, and coronary artery disease) 85. Pindolol (Beta-adrenergic blocking agent)(Hypertension, and coronary artery disease) 86. Timolol (Beta-adrenergic blocking agent)(Hypertension, and coronary artery disease) 87. Carvedilol (Coreg) (Beta-adrenergic blocking agent)(Hypertension, and coronary artery disease) 88. Benzepril (Lotensin) (Angiotension converting enzyme inhibitor, Ace)(Hypertension, Congestive heart failure) 89. Captopril (Angiotension converting enzyme inhibitor, Ace) (Hypertension, Congestive heart failure) 90. Enalpril (Vasotec) (Angiotension converting enzyme inhibitor, Ace) (Hypertension, Congestive heart failure) 91. Fosinopril (Monopril) (Angiotension converting enzyme inhibitor, Ace) (Hypertension, Congestive heart failure) 92. Lisinopril (Zestril) (Angiotension converting enzyme inhibitor, Ace) (Hypertension, Congestive heart failure) 93. Quinapril (Accupril) (Angiotension converting enzyme inhibitor, Ace) (Hypertension, Congestive heart failure) 94. Ramipril (Altace) (Angiotension converting enzyme inhibitor, Ace) (Hypertension, Congestive heart failure) 95. Candesartan (Angiotension II receptor Blockers = ARBS) (Hypertension, Congestive heart failure) 96. Irbesartan (Avapro) (Angiotension II receptor Blockers = ARBS) (Hypertension, Congestive heart failure) 97. Losartan (Cozaar) (Angiotension II receptor Blockers = ARBS) (Hypertension, Congestive heart failure) 98. Telmisartan (Micardis) (Angiotension II receptor Blockers = ARBS) (Hypertension, Congestive heart failure) 99. Valsartan (Diovan) (Angiotension II receptor Blockers = ARBS) (Hypertension, Congestive heart failure) 100. Dilitiazem (Cardizem) (Ca+ Channel blockers) (Coronary artery disease, Hypertension) 101. Nifedipine (Vasotec) (Ca+ Channel blockers) (Coronary artery disease, Hypertension) 102. Verapamil (Isoptin) = is greater than diltiazem and diltiazem is greater than Felodipine = Cardiac conduction. (Ca+ Channel blockers) (Coronary artery disease, Hypertension) 103. Felodipine = if diltiazem is greater than verpamil = Dilation of coronary vessels

5 (Ca+ Channel blockers) (Coronary artery disease, Hypertension) 104. Nitroglycerin (Emergency use) (Congestive Heart failure) 105. DIGITALIS GLYCOSIDES: DIGOXIN (LANOXIN) Positive inotropic agent = i ncreases cardiac muscle contractility, red flag, diuretics=potassium loss comes from fox glove, toxic, must monitor blood levels, narrow therapeutic window. 106. Niacin (Nicotinic acid) 500mg-1gm prevents lipolysis decreases triglyceride levels VLDL + LDL. Cutaneous flushing can be severe, may enhance gout (Hyperlipidemia) Fibrates -- decrease triglycerides 107. Fenofibrate (Lipidil, Micro, Supra) (Hyperlipidemia) 108. Gemfibrozil (Generics) (Hyperlipidemia) 109. Bezafibrate (Bezalip) (Hyperlipidemia) Statins Decreases cholesterol synthesis 110. Atorvastatin (Lipitor) (Hyperlipidemia) 111. luvastatin (Lescol) (Hyperlipidemia) 112. Lovastatin (Mevacor) (Hyperlipidemia) 113. Pravastatin (Pravachol) (Hyperlipidemia) 114. Simvastatin (Zocor) (Hyperlipidemia) 115. Ezetimbe (Ezetrol) Inhibits cholesterol absorption from GI tract (Hyperlipidemia) 116. Bile acid binding resins cholestyramine (Generic) binds bile so liver will increase its production of bile acids using up the cholesterol. (Hyperlipidemia) 117. Methocarbamol (Robaxin) Moa unclear, in sync with ibuprofen, ASA, Acetaminophen (Muscle relaxant) 118. Cyclobenzaprine (Flexeril) Moa unknown (Muscle relaxant) 119. Diazepam Increase GABA effects (Muscle relaxant) 120. NSAIDs (Osteoarthritis) 121. Glucosamine sulfate 500mg QID (Osteoarthritis) 122. Chondroitin for stiffness and pain (Osteoarthritis) 123. MSM Methyl sulphonyl methyl anti-inflammatory (Osteoarthritis) 124. Abatacept (Orencia) (Rheumatoid Arthritis) 125. Adalimumab (Humira) (Rheumatoid Arthritis) 126. Calcium Carbonate (Tums) (Antacid) (PUD) 127. Aluminium and Magnesium hydroxide (Maalox) (Antacid) (PUD) 128. Sodium bicarbonate (Eno) (Antacid) (PUD) 129. Cimetidine (Tagamet) many interactions due to involvement of the liver (H2 receptor anatgonists) (PUD) 130. Ranitidine (Zantac) (H2 receptor anatgonists) (PUD) 131. Famotidine (Pepcid) (H2 receptor anatgonists) (PUD) 132. Omeprazole (Losec) (PPI) (PUD) 133. Pantorazole (Pantaloc) (PPI) (PUD) 134. Esomeprazole (Nexium) (PPI) (PUD) 135. Rabeprazole (Pariet) (PPI) (PUD) 136. Lansoprazole (Prevacid) (PPI) (PUD)

6 HELICOBACTER PYLORI (H. PYLORI) INFECTION TREATMENT HP PAC INCLUDES: 137. Clarithromycin (Biaxin) + Amoxcillin (Amoxil) + Lansoprazole (Prevacid) Genreally a 7 day treatment process 138. Domperidone (Motilium) (GERD) motility drug 139. Metoclopramide (Maxeran) (GERD) motility drug 140. Corticosteroids anti-inflammatory does not eliminate cause (IFD) 141.5-ASA Sulfasalazine, Mesalamine (Pentasa, Asacol) don t know how it works, adverse effect = anorexia (IFD) Immunosuppressives control immune response to decrease symptoms 142. Azathioprine (Imuran) (Immunosuppressant IFD) 143. Methotrexate, cyclopsporine (Immunosuppressant IFD) 144. Mycophenolate (Immunosuppressant IFD) 145. Tacrolimus (Immunosuppressant IFD) Severe side effects Leukopenia, thrombocytopenia, alopecia, liver damage These are last resort type of drugs 146. Loperamide (Imodium) fast acting, decreases gut peristalsis opiate Derivative (Diarrhea). 147. Bran, Psyllium bulk forming agent (Constipation) 148. Lactulose osmotic laxative (Constipation) 149. Bisacodyl (Dulcolax) Stimulant (Contact) laxative (constipation) (Occasional use) 150. Docusate (Colace) combined with Senokot-S Emollient Laxative , stool softener (Constipation) (Prevention). 151. Dimenhydrinate (Gravol) antihistamine drowsiness, dry mouth, dry eyes (Nausea anti-emetic) 152. Scoplomaine patches (Transderm V) anticholinergic, CI for Glaucoma, intestinal obstruction, bladder rentention (Nausea anti-emetic) 153. 5HT3 (serotonin) antagonists ondansetron (Zofran) (Nausea anti-emetic) 154. Dopamine (D2) Antagonists phenothiazines :Prochlorperazine (Stemetil) (Antipsychotic) (Nausea anti-emetic) 155. Butryophenones: Haloperidol (Haldol) (Antipsychotics) (Nausea anti-emetic) Cannabinoids useful for severe nausea, ie. After chemo 156. Nabilone (Cesamet) (Nausea anti-emetic) 157. Delta-9-tetrahydrocannabinol (Marinol) (Nausea anti-emetic) 158. Ondansetron (Zofran) very effective (Cancer) 159. Metoclopramide blocks DA in CRTZ and GI tract (Cancer) 160. Prochlorperazine blocks dopamine (Cancer) Insulin Types: 161. Rapid acting Humalog (Lispro) 15 min start, lasts 3-5hrs 162. Short acting Humulin R 30-60min, lasts 5-8hrs 163. ntermediate acting Humulin N, 1-3hrs start, lasts 20 hrs. 164. Intermediate and short acting Humulin 50/50, 70/30, etc., 165. Long acting Lantus (Glargine) 1 hour, lasts 24 hours

7 Hypoglycemic Agents 166. Glyburide (Diabeta)Sulfonylureas(Diabetes) 167. Metformin (Glucophage) (Diabetes)Biguanides Thiazolidinediones with insulin can increase risk of heart failure 168. Pioglitozone (Actos) (Diabetes) 169. Rosiglitazone (Avandia) negative press. (Diabetes) 170. Dessicated thyroid (Porcine) Thyroid USP T4 and T3 (Thyroid Disease) 171. Levo-thyroxine, I-thyroxine Synthroid, Eltroxin T4 (Thyroid Disease) 172. Liothyronine, tri-iodothyronine Cytomel T3 (Thyroid Disease) 173. NSAIDS (PMS) 174. Calcium 1200mg per day decrease negative mood, edema, cravings (PMS) 175. Magnesium 200-400mg/day edema (PMS) 176. Vitamin B6 50-100mg/day may reduce depression cofactor in synthesis of 177. Dopamine and metabolism of tryptophan (PMS) 178. Oil of Evening Primrose (PMS) 179. Oral Contraceptives control cycle and decrease PMS (PMS) 180. Antidepressants: SSRI s Paroxetine, Fluoxetine (PMS) 181. Spironolactone fluid retention (PMS) 182. Bromocriptine breast pain (PMS) 183. ASA or Acetaminophen mild (Dysmennorhea) 184. NSAIDS Inhibit prostaglandin production start at first sign of cramps (Dysmennorhea) 185. Oral contraceptives suppress hormone fluctuation (Dysmennorhea) 186. Myedol (Pamprin) (Dysmennorhea) IUD s Intrauterine Devices device placed in the uterus to prevent pregnancy (Contraception) 187. Copper and levonogestrel (Progestin) Calms cramping (Contraception) OCP s Oral Contraceptive Inhibit ovulation, change endometrium, and thicken cervical mucus so little guys can t get through. (Contraception) 3 types of OCPS 1. Combined same does of estrogen and progestin in each tablet (Contraception) 2. Phasic amt. of estrogen and progestin vary in 2-3 phases (Contraception) 3. Progestin only Breast feeding moms, safe to use everyday. (Contraception) 188. Estrogen = Ethinylestradiol, mestranol (Contraception) 189. Progestin = Levonorgestrel, norgestimate, desogestrel, ethynodialdiacetate, norethindrone (Acetate) (Contraception) Estrogen in high doses can cause blood clots 190. Combined products = Alesse, Marvelon (Contraception) 191. Phasic = Tri-Cyclen, Triphasil (Contraception)

8 Injections Progestins only 192. Medroxyprogesterone (Depo-Provera) can t reverse irregular menstrual pattern common, may be prolonged or just spotting, may decrease after several cycles. 193. Vaginal Ring Nuvaring monthly insertion, estrogen 194. Ovral (High dose combination OCP) 2 talets stat, then 2 tablets in 12 hours 195. Plan B 1 tablet stat 196. Estrogen doses may be so high, throw up while trying to prevent pregnancy. 197. Metronidazole (Flagyl) oral or vaginal, (Bacterial Vaginosis, Trichomonas (STD)) 198. Clindamycin (Dalacin) (Vaginal) (Bacterial Vaginosis) 199. Boric acid (600mg capsules) intravaginally (Candidasis) 200. Clotrimazole (Canesten) (Candidasis, anti-fungal, vaginal) 201. Miconazole (Monistat) (Candidasis, anti-fungal, vaginal) 203. Terconazole (Terazol) (Candidasis, anti-fungal, vaginal) 204. Nystatin not as effective (Candidasis, anti-fungal, vaginal) 205. Flucanazole (Diflucan) 150 mg stat (Oral antifungal, candidiasis) 206. Progestins Progesterone, Prometrium oral or transdermal (Perimenopause) 207. Medroxyprogesterone (Provera) gold standard injection used for years (Perimenopause) 208. OCP low dose Minestrin decreases menstrual flow, evens out symptoms, provides contraception. (Perimenopause) 209. Estrogen oral or transdermal (Menopause) 210. Premarin, C.E.S., -- gold standard, Pregnant mare s urine (Menopause) 211. Progesterone (Progestins) added to decrease endometrial hyperplasia (Menopause) 212. Testosterone Small amounts in women to increase libido (Menopause) 213. Ca++ -- slow bone loss and enhance support (Osteoporosis) 214. Vitamin D Increases body s ability to use calcium (Osteoporosis) Drugs: Biphosphonates 215. Etidronate (Didrocal) (Osteoporosis) 216. Alendronate (Fosamax) (Osteoporosis) 217. Risedronate (Actonel) (Osteoporosis) All taken on empty stomach density drugs. Jaw necrosis can occur GI upset common within 5-7 years may be able to come off these bone