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MD4001 Drugs

50 cards·by MVeen123
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Insulin Lispro
short acting, penultimate lysine- proline swap, cant make dimers and hexamers
Insulin Aspart
short acting, proline-28--> aspartic acid on the beta chain, can't make hexamers and dimers
Neutral Protamine Hagedorn Insulin
Medium acting Insulin, Polypeptide complexes, forms aggregates
Insulin Zinc Complex
Insulin complexed with zinc, makes hexamers
Insulin Glargine
Long acting, glycine for asparagine N21 and 2 arganine acids added to the end of the beta chain, not soluble at neutral pH
Tolbutamide
Sulphonurea (K+ channel)
Chlorpropamide
Sulphonurea (K+ channel)
Glibenclamide
Sulphonurea (K+ channel)
Glipizide
Sulphonurea (K+ channel)
Natiglinide
K+ channel blocker with less weight gain
Repaglinide
K+ channel blocker with less weight gain
Metformin
Increases the ATP/AMP ratio within the cell, increasing AMPK which increases the cells sensitivity to insulin
Pioglitazone
PPAR receptor activator whih increases insulin sensitivity by about 30%
Rosiglitazone
Glitazone
Acarbose
alpha glucosidase inhibitor which reduces absorption of carbohydrate
Exenatide
GLP-1 analogue
Exenatide LAR
LAR form of exenatide
Liraglutide
GLP-1 analogue with albumin binding and slow renal clearance
Sitagliptin
DPP-4 inhibitor
Vildagliptin
DPP-4 inhibitor not used in the USA
Vildagliptin
DPP-4 inhibitor not used in the USA
Lamotrigine
1st line Epilepsy, Inhibits sodium channels, (hypersensitivity reactions),
Sodium Valproate
Old 1st line for epilepsy, GABA increase, Hair loss and foetal syndrome
Carbemazepine
epilepsyDerivative of tricyclic antidepressants, partial seizures and trigeminal neuralgia,enzyme inducing, blocks Na channels use dependent
Oxcarbazepine
epilepsy closely related to carbazepine, less side effects, Na+ channels, K+ channels
Liveracetam
epilepsy Presynptic Ca, psychiactric side effects
Topiramate
epilepsy GABA uptake inhibitor, dizziness and confusion, partial seizures
Zonisamide
epilepsy Blocks Na channels, anorexia, Ca2+ channels
Phenytoin
epilepsy Use dependent block Na+ channels not absence seizures, 0 order kinetics
Ethosuxamide
epilepsy Absence seizures in children
Phenobarbitone
epilepsy enzyme inducing, very long half life, osteoporosis
Felbamate
epilepsy severe hypersensitivity- aplastic anaemia
Vigabatrin
epilepsy Inhibits GABA transaminase, bad side effects
Levodopa
Parkinsons, combine with DOPA decarboxylase inhibitor, involuntary writhing after 2 years,
Bromocriptine
Dopamine agonist, D1 and D2 receptors
Cabergoline
Dopamine agonist, D1 and D2 receptors
Pergolide
Dopamine agonist, D1 and D2 receptors
Pramipexole
Dopamine agonist, D2/3 selective receptors
Roprinole
Dopamine agonist , D2/3 selective receptors
Rotigotine
Dopamine agonist delivered via transdermal patch
Apomorphine
Dopamine agonist, given by injection to control on/off effect of Levodopa
Selegiline
MAO-B inhibitor(selective), protects dopamine from extraneural degredation,
Rasagiline
MAO inhibitor, may retard disease progression
Carbidopa
Dopa decarboxylase inhibitor
Benserazide
Dopa decarboxylase inhibitor
Amantidine
antiviral shown to be beneficial to PD, increased dopamine release,
Benzhexol
Acetylcholine antagonist, ACh usually inhibits dopamine release
Orphenadrine
ACh receptor antagonist, ACh usually inhibits dopamine release
Procyclidine
ACh receptor antagonist, ACh usually inhibits dopamine release, these drugs all have anticholinergic side effects
Entecapone
COMT inhibitor (degrades catecholamines)