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Partial and Generalized Tonic-Clonic Seizures,

Phenytoin Inhibits Na, high protein binding, gingival


hyperplasia

Partial and Generalized Tonic-Clonic Seizures,


Carbamazepine Inhibits Na, autometabolism, agranulocytosis, Liver
function test required

Oxcarbazepine Partial and Generalized Tonic-Clonic Seizures,


Inhibits Na, Ca; enhances K, Stevens-Johnson

Phenobarbital Partial and Generalized Tonic-Clonic Seizures,


modulates GABAa receptors, decreased glutamate

Gabapentin Partial and Generalized Tonic-Clonic Seizures,


Decreases Ca, increases GABA, no drug interactions

1
Partial and Generalized Tonic-Clonic Seizures, Gaba
Tiagabine uptake inhibitor, high protein binding, hepatic
metabolism

Partial and Generalized Tonic-Clonic Seizures,


Levetiracetam Inhibits delayed K, N-type Ca, negative mod of
GABAa, Free of drug-drug interactions

Partial and Generalized Tonic-Clonic Seizures,


Felbamate Inhibits NMDA, enhances GABA, Aplastic anemia,
Liver function test required

Ethosuximide Absence Seizures, Inhibits T-type Ca

Variety of seizure types, Inhibits Na, T-type Ca,


Valproic acid/ Sodium Valproate GABA transaminase, Idiosyncratic hepatoxicity (liver
function test required)

2
Variety of seizure types, Inhibits Na, glutamate
Lamotrigine release, Partial, Absence, Lennox-Gastaut, Can cause
Stevens-Johnson syndrome

Variety of seizure types, Inhibits Na; enhances


Topiramate GABA, K; AMPA/KA antagonist, Can inhibit
carbonic anhydrase, Can cause metabolic acidosis

Variety of seizure types, Also for migraine,


Zonisamide manic-depression, neuropathic pain, Inhibits Na,
T-type Ca, weak carbonic anhydrase

iv Lorazepam Status epilepticus

iv Diazepam Status epilepticus

3
iv Fosphenytoin Status epilepticus

Vigabatrin Infantile spasms

Corticotropin Infantile spasms

Prednisone Infantile spasms

Trazodone Antidepressants, Inhibit reuptake of 5-HT, block


post-synaptic 5-HT2 receptors, causes priapism

4
Nefazodone Antidepressants, Inhibit reuptake of 5-HT, block
post-synaptic 5-HT2 receptors, inhibits P-450

Bupropion Antidepressants, Inhibits DA, 5-HT, and NE uptake


also smoking cessation, OCD; Seizures

Antidepressants, α2 antagonist (increased NE and


Mirtazapine 5-HT), H1 receptor antagonist, causes appetite
stimulation

Fluoxetine Antidepressants, SSRIs (can inhibit P-450s,


anorgasmia) can cause akathisia

Antidepressants, SSRIs (can inhibit P-450s,


Sertraline anorgasmia), weakly blocks DA uptake, few
drug-drug interactions

5
Antidepressants, SNRIs, can
Venlafaxine increase blood pressure

Antidepressants,
Duloxetine SNRIs

Amitriptyline Antidepressants, TCAs, also neuropathic pain,


migraines; Blocks 5-HT then NE. Also blocks D2

Antidepressants, TCAs; Secondary


Nortriptyline TCA

Imipramine Antidepressants, TCAs, also pediatric nocturnal


enuresis; Blocks 5-HT then NE

6
Antidepressants, TCAs, inhibits NE
Desipramine uptake; Secondary TCA

Antidepressants, MAOI
Tranylcypromine (nonselective)—Atypical depression

Antidepressants, MAOI
Phenelzine (nonselective)—Atypical depression

Antidepressants, MAOI
Isocarboxazid (nonselective)—Atypical depression

Selegiline Antidepressants, MAOI type b

7
Lithium Antidepressants, for Bipolar

Valproic acid Antidepressants, for Bipolar

Carbamazepine Antidepressants, for Bipolar

Lamotrigine Antidepressants, for Bipolar

Asthma, Bronchodilators,
Terbutaline β-adrenergic agonists

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Asthma, Bronchodilators,
Albuterol β-adrenergic agonists

Asthma, Bronchodilators,
Salmeterol β-adrenergic agonists

Asthma, Bronchodilators,
Ipratropium Muscarinic antagonists

Asthma, Bronchodilators,
Theophylline Methylxanthines

Asthma, Bronchodilators,
Aminophylline Methylxanthines

9
Asthma, Anti-inflammatory agents,
Beclomethasone Corticosteroids

Asthma, Anti-inflammatory agents,


Fluticasone Corticosteroids

Asthma, Anti-inflammatory agents,


Budesonide Corticosteroids

Asthma, Anti-inflammatory agents,


Prednisone Corticosteroids

Zileuton Asthma, Anti-inflammatory agents, Leukotriene


pathway modifiers

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Zafirlukast Asthma, Anti-inflammatory agents, Leukotriene
pathway modifiers

Montelukast Asthma, Anti-inflammatory agents, Leukotriene


pathway modifiers

Asthma, Anti-inflammatory agents,


Cromolyn Release inhibitors

Asthma, Anti-inflammatory agents,


Nedocromil Release inhibitors

Asthma, Anti-inflammatory agents,


Omalizumab anti-IgE therapy

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Phenobarbital Sedative-Hypnotics, Barbiturates

Pentobarbital Sedative-Hypnotics, Barbiturates

Thiopental Sedative-Hypnotics, Barbiturates

Sedative-Hypnotics, Benzodiazepines (GABAa


Chlordiazepoxide receptors), alcohol withdrawal

Sedative-Hypnotics, Benzodiazepines (GABAa


Diazepam receptors), anticonvulsant, alcohol withdrawal,
anxiolytic

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Flurazepam Sedative-Hypnotics, Benzodiazepines (GABAa
receptors), sleep aid

Sedative-Hypnotics, Benzodiazepines (GABAa


Lorazepam receptors), phase II metabolism, alcohol withdrawal,
anxiolytic

Temazapam Sedative-Hypnotics, Benzodiazepines (GABAa


receptors), phase II metabolism, sleep aid

Alprazolam Sedative-Hypnotics, Benzodiazepines (GABAa


receptors), anxiolytic, short half life

Midazolam Sedative-Hypnotics, Benzodiazepines (GABAa


receptors), anterograde amnesia

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Flunitrazepam Sedative-Hypnotics, Benzodiazepines (GABAa
receptors), Rohypnol

Clonazepam Sedative-Hypnotics, Benzodiazepines (GABAa


receptors), Anticonvulsant, Spasmolytic

Zaleplon Sedative-Hypnotics, Non-benzodiazepines (z-drugs),


bind to BZ1 subtype of benzodiazepine sites

Zolpidem Sedative-Hypnotics, Non-benzodiazepines (z-drugs),


bind to BZ1 subtype of benzodiazepine sites

Eszopiclone Sedative-Hypnotics, Non-benzodiazepines (z-drugs),


bind to BZ1 subtype of benzodiazepine sites

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Flumazenil Sedative-Hypnotics, Non-benzodiazepines (z-drugs),
benzodiazepine site antagonist

Sedative-Hypnotics, Older
Chloral Hydrate sedative/Hypnotics

Sedative-Hypnotics, Older
Meprobamate sedative/Hypnotics

Sedative-Hypnotics, Melatonin receptor agonists,


Melatonin serotonin derivative synthesized and secrected by the
pineal gland

Ramelteon Sedative-Hypnotics, Melatonin receptor agonists,


MT1 (sleepiness) and MT2 (circadian rhythm)

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Sedative-Hypnotics, Serotonergic
Buspirone Agents, agonist at 5-HT1a

Sedative-Hypnotics, Over the counter sleep aids,


Diphenhydramine Antihistamines

Doxylamine Sedative-Hypnotics, Over the counter sleep aids,


Antihistamines

Sedative-Hypnotics, Spasmolytics,
Baclofen GABAb receptor agonist

Tizanidine Sedative-Hypnotics, Spasmolytics, central α2


adrenergic receptor agonist

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Dantrolene Sedative-Hypnotics, Spasmolytics, decreased release
of Ca from sarcoplasmic reticulum

Chlorpromazine Typical Antipsychotics

Haloperidol Typical Antipsychotics

Risperidone Atypical antipsychotics, Elevation of prolacting,


extrapyramidal side effects

Clozapine Atypical antipsychotics, Agranulocytosis, improves


cognitive function

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Olanzapine Atypical antipsychotics, Similar to cloxapine, binds
5-HT2a and D4, improves cognitive function

Quetiapine Atypical antipsychotics, Binds 5-HT2a more than


D2, antagonizes H1, α1, α2

Ziprasidone Atypical antipsychotics, Binds 5-HT2a more than


D2, antagonizes H1, α1, α3

Antipsychotics; Dopamine system stabilizer, Partial


Aripiprazole agonist at D2 and 5HT1a serotonin receptors,
antagonist 5HT2a

Opiates, Synthetic Drugs, more


Hydromorphone potent than morphine

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Opiates, Synthetic Drugs, treatment
Methadone for heroin addiction

Meperidine Opiates, Synthetic Drugs, less potent and shorter


duration than morphine

Opiates, Synthetic Drugs, very


Fentanyl potent, short duration

Oxycodone Opiates, Synthetic Drugs, weak like codeine, orally as


analgesic for mild pain

Loperamide Opiates, Synthetic Drugs, highly potent meperidine


analog, controls diarrhea, no CNS penetration

19
Opiates, Synthetic Drugs,
Naloxone antagonizes all opiates

Opiates, Synthetic Drugs, longer


Naltrexone acting antagonist

Buprenorphine Opiates, Synthetic Drugs, partial agonist at opiate


receptors, antagonizes morphine and heroin

Opiates, Synthetic Drugs, cough


Dextromethorphan suppressant

Parkinson's treatments, direct


L-dopa precursor of dopamine

20
Carbiodopa Parkinson's treatments, peripheral L-aromatic
decarboxylase inhibitor

Parkinson's treatments, 1
Simemet Carbidopa: 10 L-dopa

Selegiline Parkinson's treatments, MOA B inhibitors, does not


cause hypertensive crisis; Deprenyl

Parkinson's treatments, MOA B


Rasagiline inhibitors

Parkinson's treatments, COMT Inhibitors (prevent


Tolcapone L-dopa breakdown in peripheral tissues), may cause
liver damage

21
Entacapone Parkinson's treatments, COMT Inhibitors (prevent
L-dopa breakdown in peripheral tissues)

Parkinson's treatments, Dopamine agonists (can


Bromocriptine cause nausea, hypotension, dyskinesia,
hallucinations, delusions)

Parkinson's treatments, Dopamine agonists (can


Pergolide cause nausea, hypotension, dyskinesia,
hallucinations, delusions)

Parkinson's treatments, Dopamine agonists (can


Ropinirole cause nausea, hypotension, dyskinesia,
hallucinations, delusions)

Parkinson's treatments, Dopamine agonists (can


Pramipexole cause nausea, hypotension, dyskinesia,
hallucinations, delusions)

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Parkinson's treatments, Centrally acting
Benztropine antimuscarinic agents (block muscarinics within the
striatum)

Parkinson's treatments, Centrally acting


Trihexyphenidyl antimuscarinic agents (block muscarinics within the
striatum)

Parkinson's treatments, Dopamine


Amantadine releasing agent

Alzheimer's treatment,
Donepezil Acetylcholinesterase inhibitors

Alzheimer's treatment,
Rivastigmine Acetylcholinesterase inhibitors

23
Alzheimer's treatment,
Galantamine Acetylcholinesterase inhibitors

Alzheimer's treatment,
Tacrine Acetylcholinesterase inhibitors

Alzheimer's treatment, NMDA


Memantine receptor agonist

Methotrexate Inflammation, Disease-modifying anti-rheumatic


drugs (DMARDs), Immunosuppressive agents

Inflammation, Disease-modifying anti-rheumatic


Gold preparations drugs (DMARDs), Immunosuppresive agents;
Depresses macrophage activity

24
Gold sodium Inflammation, Disease-modifying anti-rheumatic
drugs (DMARDs), Immunosuppresive agents;
thiomalate Depresses macrophage activity

Leflunomide Inflammation, Disease-modifying anti-rheumatic


drugs (DMARDs), Immunosuppresive agents

Etanercept Inflammation, Disease-modifying anti-rheumatic


drugs (DMARDs), TNF-alpha blockers

Infliximab Inflammation, Disease-modifying anti-rheumatic


drugs (DMARDs) TNF-alpha blockers

Inflammation, Disease-modifying anti-rheumatic


Abatacept drugs (DMARDs), others; Reduces production of
TNF-alpha

25
Inflammation, Disease-modifying anti-rheumatic
Rituximab drugs (DMARDs), others; Depletion of CD20
positive B cells

Anakinra Inflammation, Disease-modifying anti-rheumatic


drugs (DMARDs); IL-1 receptor antagonist

Aspirin NSAIDs

Ibuprofen NSAIDs

Naproxen NSAIDs

26
Salicylate NSAIDs

Celecoxib NSAIDs

Acetaminophen Inflammation, Others

Glucocorticoids Inflammation, Others

Indomethacin Gout, Anti-inflammatory, NSAID

27
Gout, Anti-inflammatory, binds to
Colchicine tubulin in microtubules

Gout,
Phenylbutazone Anti-inflammatory

Gout, Decreased urate production


Allopurinol (inhibit xanthine oxidase)

Gout, Decreased urate production


Febuxostat (inhibit xanthine oxidase)

Probenecid Gout, Uricosuric drugs

28
Sulfinpyrazone Gout, Uricosuric drugs

Cyclosporine Immunomodulators, Calcineurin inhibitors, inhibits


activation and proliferation of T-cells through IL-2

Tacrolimus Immunomodulators, Calcineurin inhibitors, binds


FKBP-12 more than cyclophilin

Pimecrolimus Immunomodulators, Calcineurin inhibitors, binds


FKBP-12 and inhibits calcineurin

Sirolimus Immunomodulators, Regulators of Cytokine


response, does not inhibit calcineurin

29
Immunomodulators, Regulators of
Mycophenolate mofetil Cytokine response

Leflunomide Immunomodulators, Regulators of Cytokine


response, inhibits dihydroorotate dehydrogenase

Immunomodulators, Regulators of
Thalidomide Cytokine response

Immunomodulators, Monoclonal antibodies used to


Daclizumab treat inflammatory disorders, blocks IL-2, prevents
T-cell activation, transplant rejection

Immunomodulators, Monoclonal antibodies used to


Basiliximab treat inflammatory disorders, blocks IL-2, prevents
T-cell activation, transplant rejection

30
Immunomodulators, Monoclonal antibodies used to
Muromonab treat inflammatory disorders, transplant rejection;
works against epsilon portion of CD3

Immunomodulators, Monoclonal antibodies used to


Infliximab treat inflammatory disorders, anti TNFα for Crohns,
UC, RA, ankylosing spondylitis

Etanercept Immunomodulators, Monoclonal antibodies used to


treat inflammatory disorders, soaks up free TNF

Immunomodulators, Monoclonal antibodies used to


Abatacept treat inflammatory disorders, binds CD80, 86,
blocking their binding to CD28; for RA

Azathioprine Immunomodulators, Purine analog

31
Immunomodulators, Autoimmune
Methotrexate diseases

Glatiramer Immunomodulators, Similar to myelin basic protein,


used for MS

Immunomodulators, Cytokine
Anakinra antagonist

Immunomodulators, cytokines and


Imiquimod growth factors

Colony stimulating factor eopetin Immunomodulators, cytokines and


alfa growth factors

32
Reduces amphetamine withdrawal
Bupropion symptoms

Amphetamine treatment, DA
Bromocriptine receptor agonist

Desipramine Amphetamine treatment, TCA

Cocaine Stimulants, CNS sympathomimetics

Amphetamines Stimulants, CNS sympathomimetics

33
Phenethylamine Stimulants, CNS sympathomimetics;
Phenethylamines; Decongestant, weight loss

Kathionine Stimulants, CNS sympathomimetics

Stimulants, ADHD treatments,


Methylphenidate Ritalin

Atomoxetine Stimulants, ADHD treatments

Modafinil Stimulants, Narcolepsy treatments

34
Gamma Stimulants, Narcolepsy treatments,
also a date-rape drug
hydroxybutyrate

Dronabinol Marijuana analog

Rimonabant Marijuana analog

GI drugs, Mucosal protective agents,


Bismuth subsalicylate Pepto-Bismol

Cimetidine GI drugs, H2-receptor antagonists

35
Ranitidine GI drugs, H2-receptor antagonists

Omeprazole GI drugs, Proton pump inhibitors

Esomeprazole GI drugs, Proton pump inhibitors

Rabeprazole GI drugs, Proton pump inhibitors

Misoprostol GI drugs, Prostaglandin E1 analog

36
Metoclopramide GI drugs, Prokinetic agent (D2 antagonist, 5-HT3
antagonists, 5-HT-4 agonist)

GI drugs, Antiemetics, D2 receptor


Metoclopramide antagonists

GI drugs, Antiemetics, D2 receptor


Chlorpromazine antagonists

GI drugs, Antiemetics, D2 receptor


Prochlorperazine antagonists

GI drugs, Antiemetics, D2 receptor


Promethazine antagonists

37
GI drugs, Antiemetics, D2 receptor antagonists,
Droperidol postoperative nausea and vomiting; can cause
hypotension, fatal cardiac arrhythmias

GI drugs, Antiemetics, 5-HT3


Ondansetron receptor antagonist

GI drugs, Antiemetics, 5-HT3


Granisetron receptor antagonist

GI drugs, Antiemetics, 5-HT3


Palonsetron receptor antagonist

GI drugs, Antiemetics, Substance P


Aprepitant antagonist

38
GI drugs, Antiemetics, H1
Dimenhydrinate antihistamine

Nabilone GI drugs, Antiemetics, Cannabinoid

Sulfasalazine GI drugs, IBD

Mesalamine GI drugs, IBD

Diphenoxylate GI drugs, Antidiarrheal

39
Loperamide GI drugs, Antidiarrheal, opioid

Bismuth subsalicylate GI drugs, Antidiarrheal

Alosetron GI drugs, Antidiarrheal, 5-HT3 antagonist, For IBS


whose primary manifestation is diarrhea; for women

GI drugs, Laxatives and stool


Tegaserod softeners

GI drugs, Laxatives and stool


Lubiprostone softeners

40
GI drugs, Laxatives and stool
Bran softeners, Bulk laxatives

GI drugs, Laxatives and stool


Psyllium preparations softeners, Bulk laxatives

GI drugs, Laxatives and stool


Methylcellulose softeners, Bulk laxatives

GI drugs, Laxatives and stool softeners, Osmotically


Milk of magnesia active agents

Sodium phosphate/sodium GI drugs, Laxatives and stool softeners, Osmotically


biphosphate active agents

41
Glycerin GI drugs, Laxatives and stool softeners, Osmotically
active agents

Lactulose GI drugs, Laxatives and stool softeners, Osmotically


active agents

GI drugs, Laxatives and stool softeners, Osmotically


Polyethylene glycol active agents

Ascorbic acid GI drugs, Laxatives and stool softeners, Osmotically


active agents

Bisacodyl GI drugs, Laxatives and stool softeners, Stimulant


laxatives

42
GI drugs, Laxatives and stool softeners, Stimulant
Cascara sagrada laxatives

Senna GI drugs, Laxatives and stool softeners, Stimulant


laxatives

Castor oil GI drugs, Laxatives and stool softeners, Stimulant


laxatives

Dimenhydrinate Autocoids, Biogenic Amines, Antihistamines,


Dramamine, Vertigo

Autocoids, Biogenic Amines, Antihistamines,


Diphenhydramine Benadryl, over the counter sleep aid

43
Meclizine Autocoids, Biogenic Amines, Antihistamines,
Antivert, Vertigo

Promethazine Autocoids, Biogenic Amines, Antihistamines,


Phenergan, Vertigo

Autocoids, Biogenic Amines,


Fexofenadine Antihistamines, Allegra

Autocoids, Biogenic Amines,


Loratadine Antihistamines, Claritin

Autocoids, Biogenic Amines,


Sumatriptan Triptans, Imirex

44
Alcohol treatment; Inhibits alcohol
Fomepizole dehydrogenase

Stimulants, CNS sympathomimetics;


Phenylpropanolamine Phenethylamines; Decongestant, weight loss

Alcohol treatment; inhibits aldehyde


Disulfiram dehydrogenase

Naltrexone Alcohol treatment; opiate antagonist; reduces


reinforcing effects of ethanol

Acamprosate Alcohol treatment; analog of GABA, impairs NMDA


receptor function; reduces alcohol cravings

45
Prophylactic Treatment for
Propranolol Migraines

Prophylactic Treatment for


Methysergide Migraines; Ergot alkaloid

Prophylactic Treatment for


Amitriptyline Migraines

Verapamil Prophylactic Treatment for Migraines; Calcium


channel blocker

Prophylactic Treatment for


Valproic acid Migraines

46
Prophylactic Treatment for
Topiramate Migraines

Prophylactic Treatment for


Gabapentin Migraines

Prophylactic Treatment for


Ibuprofen Migraines

47

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