The angine drug _______ is typically administered for ______ because of the first pass effect.
nitroglycerin
sublingually
The angine drug nitroglycerin is converted in the active vasodilator molecule ______ by reaction with the amino acid cysteine.
nitric oxide
A drug family that is also used to tx angina:
calcium channel blockers
Use of angina drugs has dropped in the last decade due to increased use of ______.
angioplasty/stente
A drug for CHF that causes a positive inotropic effect:
digoxin
A common The ionic polysacchride anticoagulant that is administered IV:
heparin
Nitroglycerin reduces angina by causing primarily (venous/arterial) vasodilation.
venous
Another dug besides nitroglycerin that is metabolized into the active molecule nitric acid:
dinitrate
Two drug families besides organic nitrates that are used to stop angina attacks:
Beta 1 blockers
Calcium channel blockers
Anticoagulant the blocks vitamin K synthesis:
Warfarin (Coumadin)
Anticoagulant that must be given by injection:
heparin
Anticoagulant that is teratogenic:
warfarin (Coumadin)
A partially purified anticoagulant whose clotting times are reproducible:
enoxaparin
Oral anticoagulants measure their clotting times with a 3 letter abbrev. ___ which stand for _______
INR
International normalized ratio
If the INR of an anticoagulant is 1, the pt is at a higher risk of (bleeding/clotting/neither).
Neither
Names of 2 most commonly RX drugs in the "blockbuster" family that inhibits cholesterol synthesis:
simvastatin
atorvastatin
Statin drugs occasionally cause damage to two organs/tissue in the body:
liver
muscle
A drug which reduces serum triglycerides (as well as LDL) _______. This drug doesn't reduce the risk of MI/stroke. The lowering of lipids in this case is a _______ outcome which does not produce the desired ______ outcome.
fenofibrate (Tricor)
surrogate
clinical
A drug which lowers absorption dietary cholesterol:
Zetia
Zetia is commonly combined with a stain drug and sold as:
Vytorin
An anticoagulant from pig intestines that is given by injection:
heparin
An injection anticoagulant with more reproducible activity than heparin:
enoxaparin (Lovenox)
An anticoagulant with a very short half life:
heparin
The activity of the anticoagulant ________ is measured with an ___ number.
warfarin
INR
A patient with an INR = 1.2 is at the risk of having (hemorrhage/heart attack).
Heart attack
Drug used to inhibit platelet aggregation:
Plavix
A naturally ocurring enzyme which dissolves clots:
plasmin
The most commonly RX generic statin:
simvastatin
Best selling statin drug still under patent:
atorvastatin (Lipitor)
A drug which inhibits the absorption of dietary cholesterol:
Zetia
Sales of ____ dropped after a trial which showed that it did not reduce the risk of MI and stroke.
Zetia
A vitamin which lowers cholesterol when taken in megadoses:
niacin
Large doses of NSAIDs may cause ______ of renal a.
vasoconstriciton
NSAIDs are also often used to tx menstrual cramps, medically referred to as:
dysmenorrhea
An OTC NSAID that advertises is lasts the "whole day":
naproxen
A person with a total/HDL ratio of 10 is at ___ risk of MI and ischemic stroke
high
A person with a total/HDL ratio of 4 is at _____ risk of MI and ischemic stroke
average
NSAIDs work at a molecular level by inhibiting the enzyme COX which stand for _______. This enzyme synthesizes the inflammatory molecules:
cyclooxygenase
prostaglandins
Celecoxib (Celebrex) claimed to only inhibit the isozyme:
Cox - 2
The most common adverse effect of NSAIDs is:
MI
Stroke
The potent rx NSAID that should not be used for more than 5 days:
keto'rolac
Common OTC NSAID with a 6-8 hour half life:
naproxen
Major advantage of tylenol over other NSAIDs:
Doesn't cause gastric ulcers
A drug that is rx for RA as well as cancer:
methotrexate
An injectable drug that is inhibits tumor necrosis factor that is used for a variety of auto-immune disease: