ATI Pharm Drug list by Category (8-08) Drugs used to Treat infection (p. 32): Penicillins Penicillin G-infection Methicillin (staphcillin) & Nafcillin (Unipen) –Penicillinase-resistant penicillins Amoxicillin (Amoxil) & Ampillicin (Polycillin)—broad spectrum penicillins Piperacillin (Pipracil) & Carbenicillin (Geopen)—extended spectrum penicillins Amoxicillin + clavulanic acid (Augmentin)—combo drug to protect penicillins from enzymes Cephalosporins 1st generation Cefazolin Na (Ancef, Kefzol)—protype: IM or IV Cephalexin (Keflex)—oral preparation nd 2 generation Cefoxitin (Mefoxin), Cefotetan (Cefotan), IM/IV; Cefprozil (Cefzil), Cefaclor (Ceclor), PO; Cefuroxime (Zinacef) PO/IV/IM 3rd generation—able to penetrate the blood-brain barrier sufficiently to treat CNS infections Cefoperazone (Cefobid), Ceftriaxone Na (Rocephin), Cefotaxime (Claforan), Ceftazidime (Fortaz) IV/IM; Cefixime (Suprax) oral suspension or tablets th 4 generation—most stable and active against gram +/– Cefepime (Maxipime) Aminoglycosides—narrow spectrum, good for gram – Steptomycin Amikacin Gentamicin Neomycin Tetracyclines Achromycin Doxycycline (Vibramycin) Sulfonamides and Urinary Tract Antiseptic Agents Sulfisoxazole (Gantrisin), sulfadiazine (Microsulfon)—short acting drugs Trimethoprim/sulfamethoxazole (TMP/SMZ, Bactrim, Septra)—medium acting drugs Sulfadoxine (Fansidar), sulfamylon (treats burns) mixed with pyrimethamine (Daraprim) [antimalarial]–to treat malaria; both are ultra-long acting Nitrofurantoin(Furadantin)&Nitrofurantoin macrocrystals(Macrodantin)—treat UTIs Macrolides Erythromycin Azithromycin (Zithromax Lincosamides Clindamyhcin (Cleocin) Fluoroquinolones Norfloxacin (Noroxin)—UTIs Ciprofoxacin (Cipro) –UTIs Enoxacin (Penetrex)—UTIs Lomefloxacin (Maxaquin) –UTIs Levofloxacin (Levaquin) –UTIs and pneumonia Antitubercular drugs Isoniazid (INH)—1st line—most effective with least toxicity Ethambutol— 1st line Rifampin— 1st line Pyrazinamide— 1st line Ethionamide (Trecator-SC) —2nd line—very toxic Para-aminosalicylic acid (PAS) —2nd line Cycloserine (Seromycin)—2nd line Streptomycin (an aminoglycoside used to increase activity of ethambutol and isoiazid) Special Antibiotics: Chloramphenicol (chloromycetin)—life threatening infections that are resistant to other antibiotics Vancomycin (Vancocin)—severe infections from penicillin-resistant Staphylococci Antivirals Acyclovir (Zovirax)—Herpes simplex type I & II, varicella-zoster virus (VZV) Amantadine (symmetrel)— respiratory syncytial virus Foscarnet (Foscavir)— tx cytomegalovirus retinits (CMV) in persons w/immune deficiency Ganciclovir (Cytovene)—tx CMV retinits in persons w/immune def & herpes virus Interferons (alsph, beta, gamma)—tx leukemias, renal cell carcinoma, hepatitis, Kaposi's sarcoma For treatment of AIDS Azidothymidine (AZT, Zidovudine, Retrovir)— (NRTI)—most important drug Zalcitabine (Hivid), Stavudine (Zerit/d4T), Didanosine (Videx) — NRTI Antiviral— Delavirdine mesylate (Rescriptor), Nevirapine (Viramune)--NNRTI Saquinavir (Invirase), Ritonavir (Norvir), Indinavir (Crixivan) —protease inhibitor Antifungals Amphotericin B (Fungizone)— one of most toxic—for life threatening infections Flucytosine (Ancobon)— tx serious systemic fungal Nystatin (Mycostatin)—orally, topically, vaginally Fluconazole (Diflucan)—several uses—well tolerated Ketoconazole (Nizoral)— cutaneous fungal infections Miconazole (Monistat)— tx vaginal candidiasis Antiparasitics Paromomycin (Humatin)— amebicide Metronidazole (Flagyl)—tx anaerobic organisms (Helicobacter pylori, Clostridium difficile, amebiasis, giardiasis, trichomoniasis) Antimalarial drugs: Chloroquine (Aralen)— Quinine sulfate (Quinamm)— Hydroxychloroquine (Plaquenil)— Mebendazole (vernox)— anthelmintic—tx— roundworms, hookworms, pinworms Pyrantel Pamoate (Pin-X)— anthelmintic—tx pinworms Pentamindine –antiprotozoal—tx lung infections from parasite protozoa Gamma Benzin Hexachloride (Kwell)— scabicide Lindane (Nix) –pediculicide Drugs affecting the immune system (p. 68): Active Immunizing agents Bacterial vaccines bacillus calmette-guerin (BCG) pneumococcal polysaccharide Haemophilus B Cholera typhoid anthrax Viral vaccines Hepatitis A & B poliovirus influenza mixed respiratory Measles/Mumps/Rubella (MMR) Varicella Smallpox Toxoids tetanus diphtheria diphtheria/tetanus/pertussis (DTP), Diphtheria/tetanus/acellular pertussis (DtaP) Passive Immunizing agents Immune globulins tetanus hepatitis B cytomegalovirus Varicella-zoster RhoD (RhoGam) rabies vaccinia (VIG) RSV Antitoxins tetanus diphtheria Immunostimulants colony-stimulating factors Epoetin Alfa (Epogen)— Granulocyte colony-stimulating factor, Filgrastim (Neupogen) Interferons Interferon-alpha (Roferon-A)— Interferon-beta (Betaseron) Interferon-gamma (Actimmune) Interleukins Interleukin-2 (aldesleukin) (IL-2) Immunosuppressants Cytotoxic agents Azathioprine Methotrexate Conventional antirejection agents Cyclosporin—prevent rejection reaction for inhibiting T & B lymphocytes Mycophenolate—prevent rejection of cardiac and renal transplants Tacrolimus—prevent rejection reactions and treat autoimmune disease Corticosteroids—suppress growth of all lymphoid tissue fxn of antibodies and T cells Antibody preparations Polyclonal antibodies, Monoclonal antibodies, Muromonab-CD3 (Orthoclone OKT3) Other Etanercept (Enbrel)—(DMARD)—antirheumatic agent Leflunomide (Arava) —(DMARD)—antirheumatic agent Drugs used to treat HIV and AIDS—see drugs to treat infection/antiviral/used to treat AIDS Drugs for Pain and Inflammation (p. 87): Narcotic (opiate) Agonist Morphine sulfate—natural opium alkaloid—— Codeine sulfate—natural opium alkaloid Semisynthetic analog—narcotic (opiate) Agonist Hydromorphone (Dilaudid) Oxycodone (Percocet [w/acetaminophen] & Percodan [w/ aspirin] Synthetic compound narcotic (opiate) Agonist Meperidine (Demerol) Fentanyl (Sublimaze) Methadone Hydrochloride (Dolophine) Mixtures o Brompton's cocktail—mix of morphine, cocaine, dextroamphetamine, & alcohol Narcotic (opiate) Agonist-Antagonist Pentazocine (Talwin, Talwin-Nx) Nalbuphine Hydrochloride (Nubain) Dezocine (Dalgan) Butorphanol (Stadol) Buprenorphine (Buprenex) Narcotic antagonist Naloxone (Narcan) ANTIDOTE Nalmefene Hydrochloride (Revex) Non-Narcotic analgesic Acteaminophen (Tylenol) [antidote-acetylcysteine (Mucomyst)] Antiinflammatory/antipyretic Acetylsalicylic acid (aspirin)—— NSAIDS (nonsteroidal anti-inflammatory drugs) o Ibuprofen (Advil, Motrin)— o Naproxen (Naproxyn, Advil) o Ketorolac (Toradol) o Piroxicam (Feldene) o Phenylbutazone (Butazolidin) Selective COX-2 inhibitor o Valdecoxib (Bextra) Anti-inflammatory Corticosteroids Systemic Cortisone (Cortone)— Prednisone (Deltasone) Betamethasone (Celestone) Fludrocortisone (Florinef Acetate) Topical Hydrocortisone (Cortaid) Inhaled Beclomethasone (Vanceril) Opthalmic Prednisolone (AK-Pred) Anti-migraine Ergotamine tartrate (Ergostat) Triptan o Sumatriptan (Imitrex) o Zolmitriptan (Zomig) o Rizatriptan (Maxalt) Serotonin antagonist o Methysergide (Sansert) Anti-gout drugs o Colchicine o Ibuprofen (Advil, Motrin, Nuprin) o Naproxen (Naprosyn) o Allopurinol (Zyloprim) o Probenecid (Benemid) o Sulfinpyrazone (Anturane) Disease-Modifying Antirheumatic Drugs (DMARDs) o Gold compounds o Gold Sodium Thiomalate (Myochrysine) o Aurothioglucose (Solganal) o Auranofin (Ridaura) o Organic gold compounds o D-penicillamine (Cuprimine) —chelating agent o Chloroquine hydrochloride (Aralen)—anti-malarial drug— o Methotrexate (Rheumatrex)—cytotoxic drug o Azathioprine (Imuran)—cytotoxic drug o Cyclophosphamide (Cytoxan) o Cyclosporine (Neoral)—immunosuppressant Drugs affecting the Nervous System (p. 115): Adrenergic (sympathomimetic) drugs Catecholamine drugs o Ephinephrine hydrochloride (Adrenalin chloride)—prototype of adrenergics o Norephinephrine (Levophed)—potent vasoconstrictor (for hypotension & cardiac arrest) o Dopamine hydrochloride (Intropin)—effects related to dosage level o Dobutamine hydrochloride (Dobutrex)—increases force of contraction of heart muscle Isoproterenol hydrochloride (Isuprel)—used for shock & some dysrhythmias Non-catecholamine drug Ephedrine Pseudoephedrine (Sudafed) Phenylephrine HCl (Neo-Synephrine) Aubuterol (Proventil) Alpha-adrenergic blocking agent o Phentolamine mesylate (Regitine) o Ergotamine tartrate (Ergostat) and w/caffeine (Cafergot) o Doxazosin (Cardura) o Prazosin (Minipress) o Terazosin (Hytrin) o Sumatriptan (Imitrex) Beta-adrenergic blocking agent o Propranolol Hydrochloride (Inderal) o Metoprolol tartrate (Lopressor) o Atenolol (Tenormin) o Sotalol (Betapace) o Timolol maleate (Timoptic) Ganglionic blocking agents o Mecamylamine HCl (Inversine) Drugs that affect Parasympathetic Nervous System (PNS) o Direct-acting cholinomimetic agents o Acetylcholine o Bethanechol Cl (Urecholine) –used for urinary retention/atony & open-angle glaucoma o Pilocarpine HCl (Miostat)—used to lower intraocular pressure o Carbachol intraocular (Miostat)—simple and open-angle glaucoma o Metoclopraminde HCl (Reglan)—prevent nausea/vomiting o Indirect-acting cholinomimetic agent o Neostigmine bromide (Prostigmin) o Edrophonium Cl (Tensilon) o Pyridostigmine bromide (Mestinon) o Atropine sulfate (ANTIDOTE) for cholinergic Agents Anticholinergic drugs o Atropine sulfate—dries secretions, treat bradycardia, antidote for cholinergic drugs & insecticide poisoning o Belladonna tincture—treat GI disorders o Homatropine (Spectro-Homatropine)—produces mydriasis & cycloplegia o Trihexyphenidyl (Artane)—treat parkinson's disease o Oxybutynin Cl (Ditropan)— bladder capacity & frequency of voiding o Scopolamine hydrobromide (Hyoscine)—treat Nausea/Vomiting Drugs that Affect the Neuromuscular System o Central Skeletal Muscle Relaxants o Carisoprodol (Soma)— o Cyclobenzaprine HCl (Flexeril) o Baclofen (Lioresal) o Orphenadrine (Norflex) o Direct-acting skeletal muscle relaxant o Dantrolene Na (Dantrium) Nondepolarizing neuromuscular blocking agent o Pancuronium bromide(Pavulon)—— o Vecuronium Br (Norcuron) o Tubocurarine Cl (Tubarine) o Atracurium (Tracrium) o Rocuronium (Zemuron) o Mivacurium (Mivacron) Depolarizing neuromuscular blocking agent— o Succinylcholine (Anectine) Drugs that stimulate the Central Nervous System (CNS) o Analeptic stimulant o Caffeine o Doxapram HCl (Dopram) o Theophylline—a methylxanthine o Psychomotor stimulant o Methylphenidate (Ritalin)—for narcolepsy and ADHD o Premoline (Cylert)—ADHD o Amphetamine sulfate—narcolepsy and ADHD o Methamphetamine HCl (Desoxyn)—ADHD and obesity o Dextroamphetaminhe sulfate (Dexedrine)—narcolepsy and ADHD o Nonamphetamine anorexiant o Phentermine HCl (Fastin) o Phenmetrazine (Preludin) o Diethylpropion HCl (Tenuate) Drugs that depress the Central Nervous System (CNS) o Barbiturates o Thiopental Na (Pentothal) o Phenobarbital Na (Luminal, Nembutal) o Secobarbital Na (Seconal) o Amobarbital (Amytal) o Non-barbiturates o Buspirone (BuSpar)— anxiolytic o Chloral hydrate (Noctec) o Zolpidem tartrate (Ambien) o Paraldehyde (Paral) o Hydroxyzine (Vistaril) o Diphenhydramine HCl (Benadryl) o Benzodiazepines--- Flumazenil Romazicon—ANTIDOTE—Benzodiazepine antagonist o Temazepam (Restoril)— o Diazepam (Valium) o Clonazepam (Klonopin) o Flurazepam HCl (Dalmane) o Estazolam (ProSom) o Quazepam (Doral) o Triazolam (Halcion) o Anxiolytic o Benzodiazepines—Diazepam (Valium), Chlordiazepoxide (Librium), Halazepam (Paxipam), Lorazepam (Ativan), Prazepam (Centrax) o Buspirone (BuSpar)— anxiolytic o Chloral hydrate (Noctec) o Zolpidem tartrate (Ambien) o Diphenhydramine HCl (Benadryl) Mood disorder drugs o Cyclic antidepressant o Imipramine HCl (Tofranil)—— o Amitriptyline HCl (Elavil) o Doxepin HCl (Sinequan) o Maprotiline (Ludiomil) o Selective serotonin reuptake inhibitor (SSRI) o Fluoxetine (Prozac) o Sertraline (Zoloft) o Paroxetine (Paxil) o Monoamine Oxidase inhibit. (MAOI) o Phenelzine sulfatge (Nardil) o Tranylcypromise sulfate (Parnate) o Mood stabilizing drugs o Lithium carbonate (Eskalith, Lithane, Lithonate)—normal serum levels (0.6-1.2) o Lithium citrate syrup (Cibalith-S) Psychiatric disorder Drugs o Phenothiazines o Chlorpromazine (Thorazine, Ormazine)—— o Fluphenazine (Permitil, Prolixin) o Trifluoperazine (Stelazine, Suprazine) o Non-Phenothiazines o Thiothixene (Navane) o Haloperidol (Haldol) o Clozapine (Clozaril) o Molindone (Moban) o Loxapine (Loxitane) o Risperidone (Risperdal) o Olanzapine (Zyprexa) Drugs that treat seizures o Barbiturates o Phenobarbital Na (Luminal) o Primidone (Mysoline) o Hydantoins o Phenytoin (Dilantin) o Fosphenytoin (Cerebyx) o Mephenytoin (Mesantoin) o Benzodiazepine o Clonazepam (Klonopin), Diazepam (Valium), Lorazepam (Ativan, Alzapam), Clorazepate (Tranxene) o Other anti-convulsants o Carbamazepine (Tegretol) o Ethosuximide (Zarontin) o Felbamate (Felbatol) o Gabapentin (Neurontin) o Lamotrigine (Lamictal) o Phensuximide (Milontin) o Primidone (Mysoline) o Trimethadione (Tridione) o Valproic acid (Depakene) Neurological Disorder Drugs o dopaminergic drugs o Levodopa (Dopar, Larodopa)—— Parkinson's disease o Carbidopa-levodopa (Sinemet) —Parkinson's disease o Anticholinergic/antimuscarinic o Trihexyphenidyl (Artane) o Benztropine (Cogentin) o Antiparkinson Drugs o Amantadine (Symmetrel) —dopamine receptor agonist o Pergolide (Permax) —dopamine receptor agonist o Pramipexole (Mirapex) —nonergot dopamine receptor agonist o Ropinirole HCl (Requip) —nonergot dopamine receptor agonist o Bromocriptine (Parlodel) —dopamine receptor agonist o Selegiline HCl (Eldepryl)—MAOI—type B o Entacapone (Comtan)—inhibits an enzyme that breaks down levodopa Myasthenia Gravis Drugs Atropine Sulfate is ANTIDOTE o Neostigmine Br (Prostigmin)—Cholinergic/anti-cholinesterase — o Edrophonium Cl (Tensilon) —Cholinergic/anti-cholinesterase o Pyridostigmine Br (Mestinon) —Cholinergic/anti-cholinesterase Inhalation anesthesia o Nitrous oxide (N2O) o Halothane (Fluothane) o Methoxyflurane (Penthrane) o Enflurance (Ethrane) Intravenous anesthesia— o Fentanyl citrate (Sublimaze) —opioid— o Thiopental sodium (Pentothal)—barbiturate o Methohexital Na (Brevital) —barbiturate o Ketamine (Ketalar) —Non-barbiturate o Propofol (Diprivan Local/regional anesthesia o Esters o Procaine (Novocaine) o Benzocaine—Ester o Tetracaine HCl (Pontocaine) o Amides o Lidocaine (Xylocaine) o Prilocaine (Citanest) o Mepivacaine (Carbocaine) o Drugs affecting the Cardiovascular System (p. 197): Heart failure drugs o adrenergic (sympathomimetic drug) o Digoxin—caridac glycoside— o Digitoxin (Crystodigin) —adrenergic (sympathomimetic drug)—heart failure o Digoxin Immune Fab (Digibind)—ANTIDOTE for digoxin o cardiotonic-inotropic agent o Amrinone (Inocor)—bipyridine derivative o Milrinone (Primacor) —bipyridine derivative—cardiotonic-inotropic agent o Nesiritide (Natrecor)—vasodilator—brain natriuretic peptide (BNP) Angina Drugs o Organic nitrates o Nitroglycerine (NTG) (Nitro-bid, Nitrostat, Nitrodisc, Nitrogard, Nitro-Dur) o Isosorbide dinitrate (Isordil) —organic nitrate o Beta-Adrenergic blockers o Propranolol HCl (Inderal) o Atenolol (Tenormin) o Pindolol (Visken) Calcium channel blockers o Verapamil HCl (Calan, Covera-HS, Isoptin,k Verelan) o Nefedipine (Adalat, Nifedical, Procardia) o Diltiazem HCl (Cardizem) o Amlodipine (Norvasc) o Nicardinine HCl (Cardene SR) Lipid lowering drugs o Bile acid sequestrants o Colestipol (Colestid)—bile acid sequestrant o Cholestyramine (Questran, Prevalite Powder) o HMG-CoA reductase inhibitor (statins) o Atorvastatin (Lipitor) o Simvastatin (Zocor) o Fluvastatin (Lescol) o Pravastatin (Pravachol) o Lovastatin (Mevacor) o Fibric Acid derivative o Gemfibrozil (Lopid) o Fenofibrate (Lipidil) Dysrhythmia drugs o Group 1A—Na channel blocker o Quinidine sulfate (Cin-Quin, Quinora o Procainamide HCl (Pronestyl) o Disopyramide phosphate (Norpace) o Group 1B—decreases action potential o Lidocaine HCl (Xylocaine) o Mexiletine HCl (Mexitil) o Tocainide HCl (Tonocard) o Group 1C—cell membrane stabilizer o Propafenone HCl (Rythmol) o Flecainide acetate (Tambocor) o Group II—Beta-adrenergic blockers o Propranolol HCl (Inderal)—— o Esmolol HCl (Brevibloc)— o Sotalol (Betapace) o Metoprolol (Lopressor) o Acebutolol (Monitan) o Group III—potassium channel blocker o Bretylium tosylate (Bretylol) o Amiodarone (Cardarone) o Ibutilide (Covert) o Group IV—Calcium Channel blockers (CCB) o Verapamil HCl (Calan, Isoptin) o Diltiazem HCl (Cardizem) Hypertension Drugs o Angiotension-Converting Enzyme (ACE) Inhibitors o Captopril (Capoten)— o Lisinopril (Prinivil) o Enalapril maleate (Vasotec) o Quinapril HCl (Accupril) o Moexipril HCl (Univasc) o Ramipril (Altace) o Fosinopril (Monopril) o angiotensin-II receptor antagonist o Losartan potassium (Cozaar) o Beta adrenergic blocker o Propranolol HCl (Inderal)—— o Atenolol (Tenormin) o Acebutolol (Monitan) o Metoprolol tartrate (Lopressor) o Labetalol (Normodyne, Trandate) o Calcium channel blocker (CCB) o Nifedipine (Procardia) o Amlodipine besylate (Norvasc) o Diltiazem HCL (Cardizem) o Verapamil HCL (Isoptin) o Felodipine (Plendil) Other Anti-hypertensive Agents o Alpha-adrenergic blocking agent o Prazosin HCl (Minipress)—— o Reserpine (Serpasil, Sandril) o Sympathetic NS inhibitor o Clonidine HCl (Catapres)—— o Direct-acting vasodilator o Hydralazine (Apresoline)—— o Minoxidil (Loniten) o Diazoxide (Hyperstat) o mixed arterial/venous vasodilator o Sodium Nitroprusside (Nipride)—— Hypotension/shock drugs o Adrenergic drugs o Epinephrine HCl (Adrenalin) o Norephinephrine (Levophed) o Dopamine HCl (Intropin) o Dobutamine HCl (Dobutrex) o Isoproterenol HCl (Isuprel) Drugs affecting the Blood (p.256): Anticoagulants o Heparin sodium (Protamine sulfate—ANTIDOTE) o Low molecular weight heparin (LMWH) Enoxaparin (Lovenox) Dalteparin (Fragmin) Danaparoid (Orgaran) Ardeparin (Normiflo) o Warfarin (Coumadin) (ANTIDOTE is Vit K) o Anti-anemics o Epoetin Alpha (Epogen, EPO, Procrit)—erthropoietin— o thrombolytic o Alteplase (Activase)—— o Anistreplase (Eminase) o Streptokinase (Streptase) o Urokinase (Abbokinase) o antiplatelet o Acetylsalicylic acid (Aspirin) o Dipyridamole (Persantine) o Ticlopidine (Ticlid) o Abciximab (ReoPro) o Clopidogrel (Plavix) o Eptifibatide (Integrillin) o Tirofiban ( Aggrastat) Blood Chelation (to reduce Iron levels in the bloodstream) o Ethylenediaminetetraacetic acid aka Ca disodium edentate [EDTA]— o Succimer (Chemet) Drugs affecting the Respiratory System (p. 283): Antihistamines o Fexofenadine (Allegra)——rhinitis o Loratadine (Claritin)—seasonal allergies o Cetirizine (Zyrtec)—allergic rhinitis & urticaria o Dimenhydrinate (Dramamine)—motion sickness o Meclizine (Antivert)—motion sickness o Promethazine (Phenergan) —N/V, increase CNS depression o Hydroxyzine (Vistaril)—N/V, increase CNS depression o Diphenhydramine HCl (Benadryl)—allergic response, promote sleep Antitussive o Codeine—opioid o Dextromethorphan—Non-opioid Bronchodilators—adrenergic o Albuterol (Proventil)—adrenergic o Salmeterol (Serevent Diskus)—adrenergic o Terbutaline (Berethine) —adrenergic bronchodilator o Levalbuterol (Xopenex) —adrenergic bronchodilator o Epinephrine—acute bronchoconstriction o Theophylline (Theo-Dur)—xanthine bronchodilator o Aminophylline (Phyllocontin) —xanthine bronchodilator o Ipratropium (Atrovent)—anticholinergic bronchodilator Decongestants o Pseudoephedrine (Sudafed, novafed, Afrinol Repetabs) o Oxymetazoline (Afrin) o Phenylephreine (Neo-synephrine) Expectorants o Guaifenesin (Robitussin) Inhaled corticosteroid o Belcomethasone o Budesonide (Pulmicort) o Triamcinolone (Azmacort) o Fluticasone (Flovent) o Flunisolide (AeroBid) Leukotriene Modifiers o Zafirkulast (Accolate) o Montelukast (Singulair) Mast Cell Stabilizer o Cromolyn Sodium (Intal) Mucolytic o Acetylcysteine (Mucomyst) Drugs affecting the Renal System (p.303): Carbonic Anhydrase Inhibitor o Acedtazolamide (Diamox, Daxamide)——diuretic o Dorzolamide (Trusopt)—diuretic o Brinzolamide (Azopt)—diuretic Loop (high ceiling) Diuretics o Furosemide (Lasix)——Renal System o Ethacrynic acid (Edecrin) —Loop diuretic —Renal System o Bumetanide (Bumex) —Loop diuretic —Renal System o Torsemide (Demadex) —Loop diuretic —Renal System Osmotic diuretic o Mannitol (Osmitrol) Potassium-sparing diuretics o Spironolactone (Aldactone) o Triamterene (Dyrenium) o Amiloride (Midamor) Thiazide and related diuretics o Hydrochlorothiazide (HydroDIURIL)--thiazide o Chlorothiazaide (Diuril) —Thiazide o Bendroflumethiazide (Naturetin) —Thiazide o Methyclothiazide (Enduron) —Thiazide o Chlorthilidone (Hygroton, Thalitone) — diuretic o Indapamide (Lozol) — diuretic o Metolazone (Zaroxolyn, Mykrox)—diuretic o Quinethazone (Hydromox)—diuretic Drugs that affect the Digestive System (p. 316): Antiacids o Aluminum hydroxide o Magnesium hydroxide o Calcium Carbonate o Sodium Bicarbonate Antidiarrheals o Lomotil (diphenoxylate)—opiate o Loperamide (Imodium) o Psyllium (Fiberall) aka Metemucil Antiemetics o Ondansetron (Zofran)—selective serotonin antagonist o Granisetron (Kytril) —selective serotonin antagonist o Dolasetron (Anzemet) —selective serotonin antagonist o Chlorpromazine (thorazine)—phenothiazine —dopamine antagonist o Prochlorperazine (Compazine) —phenothiazine —dopamine antagonist o Promethazine (Phenergan) —phenothiazine —dopamine antagonist o Meclizine (Antivert) —antihistamine—motion sickness/vertigo o Dimenhydrinate (Dramine) —antihistamine—motion sickness/vertigo o Methylprednisolone (Solu-Medrol) —glucocorticoid o Dexamethasone (Decadron) —glucocorticoid o Lorazepam (Ativan)—benzodiazepine Antiflatulent o Simethicone (Mylicon)—— Antiulcer Drugs o Histamine2-receptor antagonist o Ranitidine (Zantac) o Ranitidine Bismuth citrate (Tritec) o Famotidine (Pepcid) o Nizatidine (Axid Pulvules, Axid AR) o Cimetidine (Tagamet) o Proton Pump Inhibitor o Omeprazole (Prilosec) o Lansoprazole (Prevacid) o Rabeprazole (Aciphex) o Pantoprazole (Protonix) o Sucralfate o Sucralfate (Carafate) o prostaglandin o Misoprostol (Cytotec) Emetics o Syrup of Ipecac Gastrointestional (GI) stimulants o Metoclopramide (Reglan)—— Laxatives o Metamucil—bulk-forming laxative o Bran cereals—bulk-forming laxative o Docusate Sodium—surfactant laxative o Milk of Magnesia (MOM)—saline cathartic o Magnesium Citrate—saline cathartic o Bisocodyl (Dulcolax)—stimulant laxative o Castor Oil—stimulant laxative o Ex-Lax—stimulant laxative o Glycerin suppository—hyperosmotic agent—laxative o Lactulose (Constulose)—hyperosmotic agent—laxative o Mineral oil—Lubricant laxative o Polyethylene glycol-electrolyte solution (GlLYTELY, CoLyte) Vitamins o Fat-soluble—A, D, E, & K o Water-soluble—B1 (Thiamin), B2 (Riboflavin), B3 (Niacin) ,B5 (Pantothenic acid), B6 (Pyridoxine) ,B9 (Folic acid), B12 (Cyanocobalamin), Biotin Drugs affecting the Endocrine System (p. 338): Antiglycemics o Biguanides ( hepatic production of glucose) o Metformin (Glucophage) o Alpha-Glucosidase inhibitor ( rate of complex CHO metabolism glucose absorption following meals) o Acarbose (Precose) o Miglitol (Glyset) o Thiazolidinediones ( insulin resistance & enhances insulin action) o Pioglitazone (Actos) o Rosiglitazone (Avandia) o Sulfonylurea (stimulates pancreas to release more insulin)—see hyperglycemic hormones for list Anti-thyroid o Thioamides o Radioactive iodine 131I Corticosteroids o Cortisone (Cortone)—systemic o Prednisone (Deltasone) —systemic o Betamethasone (Celestone) —systemic o Fludrocortisone (Florinef Acetate) —systemic o Dexamethasone (Decadron) —systemic o Hydrocortisone—topical o Beclomethasone (Vanceril) —inhaled o Prednisolone (AK-Pred) —ophthalmic Hormones o Estrogen o Conjugated (equine, synthetic), DES (diethylstilbestrol), Estradiol, Estrone, Estropipate, Ethinyl estradiol o Progesterone o Progesterone injectable (IM) o Prometrium micronized capsules o Norethindrone (w/ estradiol) transdermal o Medroxprogesterone acetate (Provera) o Crinone micronized vaginal cream o Androgens o Testosterone cypionate (Depo-Testosterone) o Testosterone enanthate (Andro LA) o Testosterone ppropionate (Testex) o Danazol (Danoccrine) o Nandrolone decanoate (Deca-Durabolin)—anabolic steroid o Stanozolol (Winstrol)—anabolic steroid o Antiandrogens o Flutamide (Eulexin) o Bicalutamide (Casodex) o Nilutamide (Nilandron) Hyperglycemic hormones o Glucogon o Sulfonlureas ( insulin release from the pancreas) o 1st generation: Tolbutamide (Orinase), Acetohexamide (Dymelor), Tolazamide (Tolinase), Chlorpropamide (Diabinese)— rarely used o 2nd generation: Glipizide (Glucotrol), Glyburide (DiaBeta, Glynase PresTab, Micronase) Glimepiride (Amaryl) o Meglitinides ( insulin release from the pancreas right after a meal) o Repaglinide (Prandin) o D-phenylalanine derivative ( insulin release from the pancreas right after a meal) o Nateglinide (Starlix) o Combination Oral Drugs o Glyburide/Metformin (Glucovance) —sulfonylurea/biguanide Hypoglycemics (agents that aim at lowering blood glucose levels) o Insulin o Rapid-acting—onset 10-20 min.; Peak ½ to 3 hrs; Duration 3-5 hrs Insulin Lispro (Humalog) Insulin Aspart (NovoLog) o Short-acting —onset ½ -1 hr.; Peak 1-5 hrs; Duration 6-10 hrs Regular R o Intermediate-acting —onset 1-3 hrs.; Peak 6-10 hrs; Duration up to 24 hrs NPH (Humulin N) Lente o Long-acting Ultralente—onset 4-6 hrs.; Peak 18-20 hrs; Duration 24-28 hrs Glargine (Lantus) —onset 5 hrs.; No Peak; Duration > 24hrs Immunosuppressants o Azathioprine (Rheumatrex, Trexall)—rheumatoid arthritis, antirejection—cytotoxic-o Methotrexate (Imuran)—rheumatoid arthritis, psoriasis, cancer—cytotoxic agent o Cyclosporin (Sandimmune)—antirejection-- conventional antirejection agents o Mycophenolate (CellCept)—antirejection (cardiac/Renal)—conventional antirejection agents o Tacrolimus (Prograf)—antirejection—conventional antirejection agents o Polycolon antibody—antibody preparations o Monoclonal antibodies o Etanercept (Enbrel) o Leflunomide (Arava) Immunizations—see immune system drugs Thyroid agents o Levothyroxine (Synthroid, Levoxyl, Levothroid)— o Liothyronine (Cytomel) Drugs affecting Reproduction (p. 374): Ovulation suppressants o Lestrin o Lo-Ovral o Nordette o Ovral, o Ortho-Novum o Micronor Ovulation stimulants o Clomiphene citrate (Clomid)— o Bromocriptine mesylate (Parlodel) o Leuprolide (Lupron) Estrogens o Steroidal Conjugated estrogens (Premarin) Estradiol (Estrace) Estropipate (Ogen) o Non-steroidal Chlorotrianisene (TACE) Diethylstibestrol (DES) Progestins Medroxyprogesterone injections (Provera, Depo-Provera) Progesterone intrauterine (Progestasert) Megestrol acetate (Megace) Levonorgestrel implants (Norplant) Androgens o Fluoxymesterone (Halotestin) o Testosterone (Depo—Testosterone) o Danazol (Danocrine) Drugs affecting the Integumentary System (p. 386): Antiseptics & Disinfectants o Iodine tincture, Iodine topical o Betadine solution o Triclosan (Septi-soft, Septisol) o Benzalkonium Chloride (Benza) o Chlorhexidine Gluconate (Hibiclens, Peridex) o Hexachlorophene (pHisoHex, Septisol) o Glutaraldehyde (Cidex) o Formaldehyde o Silver Nitrate o Hydrogen Peroxide o Thimerosal (Mersol) Soaps & Cleaners o Neutrogena, Zest, Dove, Cold Cream, Lanolin, Caress, Ivory, pHisoderm, Aveeno, Nivea Emollients and Protectants (excluding sunscreen) o Aluminum Sulfate (Domeboro) o Tucks o Aquaphor o Eucerin Cream o Lubriderm o A&D Opintment o Lanoline o Pedtroleum Jelly o Benzoin o Destine & KY Products Wet Dressings, Soaks, Rubs & Liniments o Calamine Lotion or Calamine with phenol o Diphenhydramine hydrochloride (Benadryl) lotion and cream o Aluminum acetate solution (Burow's Solution) o Aluminum sulfate (Domeboro) o Vlemasquie, Aspercreme, Bengay ointments, and Vicks Prophylactic Agents o Benzoin, Kerodex, Hawaiinb Tropic, Coppertone, Sundown, Kipkote by Coppertone, PreSun Lip Portector Anti-infectives o Bacitracin (Baciguent) o Polymyxin (Polysporin) o Chlortetracycline hydrochloride (Aureomycin) o Clindamycin phosphate (Cleocin T) o Erythromycin (Erygel, EryDerm) o Mafedide acetate (Sulfamylon) o Mupirocin (Bactroban) o Neomycin sulfate (Mycifradin Sulfate Topical) o Silver sulfadiazine (Silvadene) Antivirals o Acyclovir (Zovirax) o Docosanol (Abreva) o Penciclovir (Denavir) Antifungals o Amphotericin B (Fungizone) o Butoconazole (Femstat) o Ciclopirox olamine (Loprox) o Clioquinol (Vioform) o Clotrimazole (Gyne-Lotrimin, Mycelex) o Haloprogin (Halotex) o Miconazole nitrate (Micatin, Monistat Derm) o Nystatin (Nilstat, Mycostatin) o Terbinafine HCL (Lamisil) o Tolnaftate (Tinactin) Antiparasitics o Lindane (Kwell, Scabene, G-Well: in cream, lotion, or shampoo) o Permethrin (Elimite, Nix) o Malathion (Ovide) o Crotamiton (Eurax: lotion and cream) Topical Corticosteroids o Dexamethasone (Topicort) o Fluocinolone Acetonide (Derma-Smoother) o Hydrocortisone (Cortaid, Lanacort) o Betamethasone (Valisone) o Mometasone (Elocon) Debriding Agents and Keratolytics o Salicylic acid (Occlusal) o Tretinoin (Retin-A) o Anthralin (Dithocreme) o Sulfer (sebulex) o Granulex o Collagenase (Santyl) o Tazarotene (Avage) Acne Agents o Benzolyl peroxide o Tretinoin (Retin-A) o Isotretinoihn (Accutane) o Tetracycline (Acfhromycin V, Actisite) o Erythromycin (E-mycin, Ilotycin) o Clindamycin (Cleocin) Burn Agents o Silver Sulfadiazine (Silvadene) o Mafenide acetate (Sulfamylon) o Mupirocin (Bactroban) o Gentamycin sulfate (Garamycin) Antipruritics o Antipruritic o Diphenhydramine hydrochloride (Benadryl) o Doxepin (Zonalon) o Anti-inflammatory o Dexamethasone (Topicort) o Fluocinolone acetonide (Derma-Smoothe / FS) o Hydrocortisone (Cortaid, Lanocort) o Betamethasone (Valisone) o Wet dressings, soaks, rubs, and liniment agents o Calamine lotion or Calamine with phenol Diphenhydramine hydrochloride (Benadryl) lotion and cream o Aluminum acetate solution ( Burow's Solution) o Aluminum Sulfate (Domeboro) o Aspercrene, Bengay ointments, Vicks, Banalg liniment o Other o Cornstarch o Oatmeal baths (Aveeno)