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Medicinal Compounds Overview

This document summarizes various classes of drugs used in medicine, including: - Parasympathomimetics like muscarine, metacholine, and carbacol. - Parasympatholytics like atropine, scopolamine, and glycopyrrolate. - Sympathomimetics like epinephrine, dopamine, dobutamine, and terbutaline. - General anesthetics including inhaled agents like halothane and intravenous agents like propofol and ketamine. - Sedatives and hypnotics such as barbiturates, benzodiazepines, zolpidem, and propofol. - Analgesics including opioids

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0% found this document useful (0 votes)
342 views7 pages

Medicinal Compounds Overview

This document summarizes various classes of drugs used in medicine, including: - Parasympathomimetics like muscarine, metacholine, and carbacol. - Parasympatholytics like atropine, scopolamine, and glycopyrrolate. - Sympathomimetics like epinephrine, dopamine, dobutamine, and terbutaline. - General anesthetics including inhaled agents like halothane and intravenous agents like propofol and ketamine. - Sedatives and hypnotics such as barbiturates, benzodiazepines, zolpidem, and propofol. - Analgesics including opioids

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Ana-MariaBunea
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Acetilcolinomimetice Directe: Muscarina,Metacolina, Carbacol, Betanecol, Furtretoniul

Indirecte: Fizostigmina ,Neostigmina


Acetilcolinoliticele Muscarincolinolitice :
-Atropina ,Scopolamina, Glicopirolatul ;

Nicoticolinolitice:
-tetraetilamoniu, trimetafan ,trimetidiniu, hexametoniu
Adrenomimetice -directe : noradrenalina, adrenalina,dopamina
,dobutamina,izoprotenerol,metaprotenerol,fenilefrina,terbutalina,clonidina.
-indirecte: tiramina,amfetamina.
-mixte: efedrina,metaraminol
Narcotice -inhalatorii: eter etilic , halotan, enfluran, izofluran , metozifluran, desfluran,
sevofluran, oxid nitric , ciclopropan

-intravenoase : tiobarbiturice( pentotalul sodic, metohexitalul sodic) ,


benzodiazepine (diazepam, midazolam , lorazepam) , droperidol – analgetice
opioide (alfentanyl , remifentanil) , ketamina , etomidatul , propofol.
Hipnotice A. Barbiturice
6-8 h – fenobarbital ,mefobarbital
3-6 h – amobarbital
2-3 h – ciclobarbital, hexobarbital, secobarbital
B. Benzodiazepinice : diazepam, midazolam ,nitrazepam , flunitrazepam ,
triazolam
Stra diversa: zolpidemul, zolpiclona , zaleplonul, cloralhidratul , paraldehida
, glutetimida, bromizovalul

Anxiolitice Structura benzodiazepinica : alprazolam , flunitrazepam , triazolam , diazepam


,medazepam ,clordiazepoxid , oxazepam

Structura nonbenzodiazepinica: meprobamat , hidroxizin , buspirona


Sedativele Bromuri , sulfatul de magneziu
Anticonvulsivante -hidantoine – fenitoina, mefinitoina, etotoina
-barbiturice anticonvulsivante – fenobarbital, mefobarbital ,primidona
-iminostilbeni – carbamazepina
-succinimide – etosuximida , fensuximida , metsuximida
-benzodiazepine anticonvulsivante – diazepam,clonazepam , clorazepat
dipotasic
-oxazolidindionice – trimetadiona,parametadiona
-sulfamide inhibitoare de anhidraza carbonica – acetazolamida , sultiam
- alte – lamotrigina,gabapentin , acidul valproic , levetiracetam

Miorelaxante Baclofen, Dantrolen ,Clorzoxazona , Orfenadrina , Carisoprodolul , Diazepam


Analgetice Centrale Morfina , Codeina , Dionina , hidrocodona , Oxicodona , Meperidina , Fentanylul
(Opioide) (si altii) , Metadona , Propoxifen

Antagonisti ai morfinei:
Naloxona, Naltrexona

Neurolepticele A. Tipice
(Tranchilizante majore) -derivati fenotiazinici : clorpromazina,levomepromazina ,
promazina,prometazina
-derivati piperidilalchilici: periciazina , tioridazina , pipotiazina
- derivati tioxantenici : flupentixol , clopentixol
-butirofenone: baloperidol , droperidol
B. Atipice
-derivati dibenzodiazepinici : clozapine
-derivati benzamida : sulpirida ,tiaprida , olanzapina
Antiparkinsoniene A.Dopaminergice : levodopa
inhibitori : carbidopa ,benserazida
agonisti: amantadine , selegilina ,pergolidul

B. Anticolinergice: trihexifenidilul , benztropina , biperidenul , orfenadrina


,clorfenoxamina.
Analeptice corticale A. Metilxantinele: Teofilina, Cofeina ,Teobromina
B. Amfetaminele: Amfetamina , dexamfetamina, metilamfetamina,
fenfluramina, fentermina.

Analeptice bulbare Nicetamida,Doxapramul , Bemegridul , Pimeclonul


Antidepresivele - Antidepresive tri- si tetraciclice:
imipramina,clomipramina,trimipramina,amitriptilina ,doxepina
- Inhibitori de monoaminoxidaza: iproniazida , moclobemida
- Inhibitori selectivi ai r. Serotoninergici: fluoxetina,fluvoxamina ,
sertralina
- Sarurile de litiu
Anestezice locale 3-4 h – tetracaina,bupivacaina,mepivacaina,etidocaina,benzocaina
1-3h – lidocaina(xilina) , prilocaina , mepivacaina ,articaina
½-1 h – procaina ,cocaina
Antihistaminice A. Antihisaminice H1 : prometazina, cloropiramina ,
clorfeniramina(Tavegyl) , clemastina , astemizol , loratadina ,
desloratadina , terfenadina.
Antitusive - Centrale (inhibitoare ale centrului tusei) :
Opiu,morfina, metilmorfina (codeina) , etilmorfina ,
dextrometorfanul,levopropoxifen , noscapina , falcodina ,
difenhidramina, clofedanol ,benzonatatul
- Periferice (reduc sensibilitatea receptorilor p/u tuse de la nivel traheo-
bronsic)
Mucilaginoase : infuzii,decocturi ,siropuri sau ceaiuri pe baza de plante
medicinale
Anestezice locale : xilina 5% , 10% sub forma de spray
Expectorante 1. Secretostimulante
-Saruri de amoniu
-benzoat de sodiu
-Ioduri
-Guiafenezina
-Ipeca
-Oleurile volatile( oleum anisi ,eucalypti ,menthol,pineol,borneol)
2. Mucosecretolitice
-Acetilcisteina
-Bromhexinul
-Mesna
-Tiloxapolul
-Enzime proteolitice(tripsina , streptokinaza, dezoxiribonucleaza)
Analgeto-atipireto-antiinflamatoare A. Derivati ai acidului salicilic:
-Acidul salicilic
-Acidul acetilsalicilic
-Sulfasalazina
-Diflunisal
B. Derivati de paraaminofenol
-Fenilbutazona
-Oxifenbutazona
-Aminofenazona
-Noraminofenazona
C. Derivati de acid propionic
-Ibuprofen
-Ketoprofen
-Naproxen
D. Derivatii de acid acetic
-Diclofenac
-Ketorolac
-Etodolac
E. Derivatii de indol
-Indometacin
-Sulindac
F. Derivati de acid oxamic
-Piroxicamul
-Tenoxicamul
-Meloxicamul
G. Derivatii de acid fenamic
-Acidul mefenamic
-Acidul flufenamic
-Acidul niflumic
H. Inhibitori selectivi de ciclooxigenaza 2
-Nimesulid
-Rofecoxibul
-Colecoxib
-Parecoxib
-Etoricoxibul
-Nabumetona

Bronhodilatatoare 1. Adrenomimetice
Adrenalina, Efedrina , Izoprenalina , Orciprenalina , Fenoterolul ,
Salbutamol , Salmeterol.
2. Metilxantinice
Teofilinetilendiamina( aminofilina), Proxifilina , diprofilina, oxrifilina
3. Muscarincolinolitice
Atropina, Bromura de ipatropium , bromura de oxitropium
4. Inhibitorii degranularii mastocitare
Cromoglicatul disodic ,Ketotifen
Corticoterapia Sistemica
Hemisuccinat de hidrocortizon(HHC) , prednison, prednisolon ,
dexametazona ,betametazona
Inhalatorie
Beclometazona dipropionat , budesonid
Antileucotriene -antagonisti ai receptorilor leucotrienelor: montelukast, zafirlukast
-inhibitori ai sintezei leucotrienelor: zileuton
Diuretice tiazidice Durata efectului 6-12 h:
Clorotiazida , hidroclorotiazida , butizida
Durata efectului 12-24 h:
Ciclopentiazida ,Politiazida
Peste 24 h :
clopamida , indapamida , meticlotiazida ,quinetazona
Diuretice de ansa Furosemid,torasemid,acidul etacrinic, bumetanid, piretanid

Diuretice antialdosteronice Spironalactona , canrenona, amilorid , triamteren

Diuretice de osmoza Manitolul , glucoza hipertona , izosorbidul , ureea 30%

Diuretice ale anhidrazei carbonice Acetazolamida, metazolamida , etoxzolamida

Tonicardiace( subst. inotrope A. Glicoizi cardiotonici(digitalice)


positive) – in insuficienta cardiaca Digitoxina, digitala ,digoxin ,lanatosid C ,deslanozid , strofantina G,
strofantina K
B. Nonglicozidice
-Amine simpatomimetice: dopamina,dobutamina , izoprenalina
,adrenalina
-Inhibitorii fosfodiesterazei : amrinona, milrinona

Antihipertensive inhibitoare ale - Prin actiune centrala: clonidina , metildopa , guanfacina , guanabenz
functiei simpatice - Prin paralizia term. Simpatice periferice (neurosimpatolitice) : rezerpina
,guanetidina
- Inhibitoare ale gg. Simpatici(ganglioblocante): trimetafan
- Blocante ale receptorilor alfa adrenergici (alfaadrenoblocante):
Fentolamina, Fenoxibenzamina , prazosin
- Blocante ale receptorilor beta adrenergici (beta adrenoblocante):
Propanolol, Oxprenolol, Pindolol , Metoprolol , Atenolol , Labeetalol ,
Esmolol
Vasodilatatoare Vasodilatatoare directe(musculotrope):
-Hidralazina, Minoxidil, Diazoxid , Nitroprusiatul de sodiu
Blocantele canalelor de calciu:
Nifedipina , Amlodipina , lacidipina , felodipina , nicardipina , verapamil ,
diltiazem
Diuretice indicate in HTA Hidroclorotiazida , ciclotiazida , furosemid , indapamida
Antihipertensive care actioneaza prin Inhibitorii enzimei de conversie a angiotensinei:
inhibarea sistemului renina- Captopril ,Enalapril , Lisinopril , Quinapril , Trandolapril
angiotensina - aldosteron Antagonisti ai receptorilor pentru angiotensina:
Losartan , valsartan , candesartan
Antiaritmicele din clasa I Clasa I A: chinidina,procainamide , disopiramida;
Clasa I B: lidocaine , mexiletina ,tocainida , fenitoina
Clasa I C: Flecainida , Encainida , Tocainida, propafenona
Antiaritmice din clasa II Propranolol , Esmolol
(beta-adrenoblocante)
Antiaritmice din clasa III Amiodarona , Sotalol , Bretiliu

Antiaritmice din clasa IV Verapamil, Diltiazem, Bepridil


(blocante de calciu)
Antiaritmice neclasificabile Digoxinul, Adenozina

Antianginoase A. Nitratii si nitritii


NItroglicerina, Nitritul de amil , isosorbid dinitrat , eritritil tetranitrat ,
pentaeritritil tetranitrat
B. Beta adrenoblocante
C. Calciu- blocante
D. Alte Antianginoase
Amiodarona, trimetazidina
Antiulceroase 1. Antisecretorii gastrice:
-antihistaminice H2 : cimetidine , ranitidine , famotidine ,nizatidina;
-antisecretoare muscarincolinolitice: atropine , oxiferoniu ,
oxifenciclimina , propantelina, pirenzepina ;
-antigastrinice: proglumid
-inhibitoare ale anhidrazei carbonice: acetazolamide
-blocante ale pompei de protoni H+/K+ ATP-aza : omeprazole ,
lansoprazole , esomeprazole , pantoprazol, rabeprazol;
2. Antiacidele:
Bicarbonatul de sodiu , carbnatul de calciu , compusii de aluminiu si
magneziu.
3. Citoprotectoarele:
Sulcralfatul , carbenoxolona , analogii de prostaglandine , compusii de
bismut , misoprostolul
4. Anti H. Pylori:
Administrare asociata de omeprazole + claritromicina +
amoxicilina/metronidazol
Antiemetice 1. Antagonisti I receptorilor dopaminergici:
-Derivati fenotiazinici: prometazina , tietilperazina;
-butirofenone: haloperidol , droperidol
-benzamide: metoclopramide ,trimetobenzamida
-benzimidazoli: domperidon
2. Antagonisti ai receptorilor 5-HT(serotoninergici):
Ondasteron, granisteron, trapisetron
3. Antagonisti ai receptorior histaminergici H1:
Prometazina, difenhidramina
4. Anticolinergice centrale: atropine, copolamina
5. Alte antiemetice: benzodiazepine(alprazolam) , corticoizi (dxametazon),
canabinoizi
Stimulante si substituenti ai Pepsina, HCl diluat 10%, Tincturi amare( de Cola, China, Nux vomica,portocle) ,
secretiilor gastrice pentagastrina, pancreatina
Laxative si purgative A. Purgative saline:
sulfat de magneziu = sare amara
sulfat de sodiu= sare Glauber
citrate de magneziu = limonada Roge
tartratul de sodiu si potasiu = sare Rochelle
B. Purgative iritante:
Oleul de ricin , purgative antrachinonice (frangula = crusin ,
aloe,sena,revent) , fenolftaleina ,bisacodil
C. Laxative emoliente:
Oleul de parafina , docusatul de sodiu
D. Laxative de volum:
Agar-agar , metilceluloza , carboximetilceluloza
Antidiareice -Care incetinesc tranzitul intestinal:
*opioide – loperamid , difenoxilatul
*muscarincolinolitice – atropine

- Care cresc consistenta scaunului:


*caolin(silicat de aluminiu) , carbunele medicinal , diosmectita , pectinele (din
morovi , gutui , pastarnac)
Antispastice 1. Muscarincolinolitice:
Propantelina ,Butilscopolamina , Trimebutina
2. Musculotrope:
Papaverina , Drotaverina , Mebeverina
Coleretice Acidul chenodezoxicolic si ursodezoxicolic , extract de anghinara , rostopasca ,
terpene(pineol,borneol,mentol) ,acid dehidrocolic
Colecistokinetice Oleuri vegetalede floarea soarelui , masline , galbenus de ou , smantana ,
sulfatul de magneziu
Antianemice A. Preparatele de fier
Sulfat feros , Gluconat feros , Fumarat feros , Fierul polimaltozat ,
Complexul fier-dextran , Complexul fier- sorbitol , Complexul fier
sucroza
B. Vitamina B12 si acidul folic
Anticoagulante 1. Heparina nefractionata
Heparina , Nadroparina , Enoxaparina , Tinzaparina , Reviparina
2. Anticoagulante orale( cumarinice)
Acenocumarol , Biscumacetat de etil ,Warfarina , Difenadiona
Antiagrengante plachetare Aspirina , Sulfinpirazona , Dipiridamol , Ticlopidina , Dextranul 70 ,

Fibrinolitice Streptokinaza , Urokinaza

Hemostatice Vitaminele K , Protamina sulfat , Acidul epsilonaminocaproic , Acidul tranexamic


, Aprotinina , Carbazocroma , Rutosid , Troxerutina
HIpolipemiante Niacina(acidul nicotinic) , acizii fibrici , neomicina , colestiramina , colestipolul

Hipoglicemiante Insulina , Antidiabetice orale ( Tolbutamida , tolazamida , clorpropamida ,


glibenclamida, glipizide) , Metformin , fenformin , buformin
Hiperglicemiante Glucagonul
Hormoni tiroidieni Levotiroxina , Liotironina , Liotrix ,Tiroida desicata , Thyroglobulin

Antitiroidiene Propiltiouracil , metiltiouracil , iodotiouracil , metimazol , carbimazol ,


percloratul de potasiu , iodul
Acetilcolinomimetice A. Directe
Pilocarpina , Arecolina , Muscarina, Metacolina, Carbacol, betanecol,
furtretoniul
B. Indirecte
-reveresibile: Fizostigmina ( esterina) si neostigmine, piridostigmina ,
edrofoniul, benzipirnul , deccametoniu , distigmina
-ireversibile: compusi organofosforci si tiofosforici
Acetilcolinolitice 1. Muscarincolinolitice
Atropina , Scopolamina, Glicopirolatul , Butilscopolamina , oxifenoniul ,
propantelina,metantelina , ipratropium ,oxitropium ,homatropina ,
eucatropina , tropicamida , pirenzepina , telenzipina
2. NIcotincolinolitice
Ganglioplegice: tetraetilamoniu,pentametoniu , hexametoniu ,
pentoliniu, clorisondamina , trimetidiniu , mecamilamina,pempidina ,
trimetafan
Curare: Atracurium, mivacurium , Rocuronium , vecuronium ,
doxacurium,pancuronium ,piperacuronium,galamina ,decametoniu ,
succinilcolina,suxetoniul ,carboloniul
Adrenomimetice - Directe: noradrenalina, adrenalina , dopamine , dobutamina ,
izoprotenerol , metaprotenerol , metoxamina , fenilefrina , terbutaline ,
clonidine
- Indirecte: tiramina , amfetamina
- Mixte: efedrina , metaraminol

Agonisti alfa 1 adrenergici : fenilefrina , metoxamina , metaraminolul


Agonisti alfa 2 adrenergici : clonidine , alfa-metil DOPA ,guanfacina ,
guanabenzul
Agonisti beta 2 adrenomimetici selectivi: metaproterenolul ,fenoterolul
, salbutamol , terbutaline , salmeterol , clenbuterol

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