Pulmonary Hypertension
Pulmonary Hypertension part 2
Allergic Rhinitis
Cough
Asthma/COPD
100

Riociguat directly stimulates this enzyme to increase cGMP. 

What is guanylate cyclase. 


100

In patients with pulmonary hypertension that are no vasoreactive use of this drug is contraindicated. 

What are calcium channel blockers. 

100

In allergic rhinitis, these histamine receptor subtypes are targeted. 

What are H1 receptors. 

100
Dextromorphan antagonizes this receptor. 

What is the NMDA receptor. (agonist at sigma 1 receptor). 

100

B2 agonists increase efflux of which ion? 

K+

200

Riociguat is contraindicated in patients taking this class of drugs. 

What are PDE-5 inhibitors --> too much vasodilation

200

Monthly labs should be order for endothelin receptor antagonists to check these two things. 

Liver function - drug is hepatotoxic

Pregnancy test. 

200
First-generation antihistamines have a greater propensity to do this which causes the adverse effect of drowsiness. 

What is cross the blood-brain-barrier. 

200

This drug thins and looses mucus secretions in the airways. 

What is guaifenesin. *do not use for persistent cough from long term problems)

300

Prostacyclin is derived from this arachidonic acid pathway. 

What is cyclooxygenase. 

300

This drug antagonizes the effects of acetylcholine. 

What is ipratropium bromide. 

400

Prostacyclin inhibits this. 

What is smooth muscle proliferation. 

400

This drug can cause nasal stinging. 

What is cromolyn (mast cell stabilizer). 

400

Severe COPD should be treated with a drug that acts by doing this. 

Roflumilast - inhibition of PDE-4 

500
This is a common side effect of prostacyclin agonists and can limit dose titration. 

What is jaw pain. 

500

This drug can cause rhinitis medicamentosa. 

What is oxymetazoline (Afrin) - alpha 1 agonist (vasoconstriction).