52 träffar

DrugUroselektiv α₁A-receptorblockerare
🇸🇪 Tamsulosin

…därför inte sjukdomsförloppet, vilket 5α-reduktashämmare gör. Uroselektiviteten för α₁A gör blodtryckseffekten mindre än hos de äldre alfablockerarna, men den är inte borta.

DrugKortverkande bensodiazepin, GABA-A-modulerare
🇸🇪 Midazolam

…Buccolam Nayzilam Kortverkande bensodiazepin, GABA-A-modulerare Den vattenlösliga bensodiazepinen — det är just vattenlösligheten som gör att den kan ges buckalt, intranasalt och intramuskulärt med…

DrugIntravenöst anestetikum, GABA-A-potentierare
🇸🇪 Propofol

…Propolipid Propofol-Lipuro Profast Intravenöst anestetikum, GABA-A-potentierare Standardpreparatet för anestesiinduktion och för sedering av respiratorpatienter — snabbt anslag, snabb uppvaknande även efter dygn av…

DrugCyklopyrrolon, icke-bensodiazepin med bensodiazepinliknande verkan på GABA-A
🇸🇪 Zopiclone

…Mylan Zopiklon Pilum Zopiclone Orion Cyklopyrrolon, icke-bensodiazepin med bensodiazepinliknande verkan på GABA-A Det mest förskrivna sömnmedlet i Sverige, och det som oftast blir…

DrugClass IC antiarrhythmic
Flecainide

Tambocor Class IC antiarrhythmic A potent sodium channel blocker with marked efficacy on atrial arrhythmias in structurally normal hearts. The CAST trial showed increased mortality…

DrugTricyclic antidepressant
Amitriptyline

Saroten Amitriptylin Abcur Amitriptylin Orifarm Tricyclic antidepressant A tricyclic antidepressant that is rarely used for depression in contemporary practice — its role today is neuropathic pain…

DrugSGLT2 inhibitor
Empagliflozin

Jardiance Synjardy Glyxambi SGLT2 inhibitor A diabetes drug now used mostly for reasons other than glucose control. Empagliflozin reduced cardiovascular death in type 2 diabetes…

DrugLong-acting dihydropyridine calcium channel blocker
Amlodipine

…blocker A cornerstone drug for hypertension and stable angina, and the easiest calcium channel blocker to use: once-daily dosing, a half-life of almost…

DrugHMG-CoA reductase inhibitor
Atorvastatin

…Krka HMG-CoA reductase inhibitor High-intensity statin with a long half-life, allowing it to be taken at any time of day unlike simvastatin…

DrugHigh-potency glucocorticoid with long duration
Betamethasone

…receive a full steroid dose without an injection, and the long biological duration means a single dose suffices. Potency is approximately 25 times that of…

DrugVascular-selective dihydropyridine calcium channel blocker
Felodipine

…as a modified-release tablet once daily for hypertension and stable angina. The selectivity for vascular smooth muscle means felodipine lacks the nodal effects of…

DrugIrreversible COX-1 inhibitor
Acetylsalicylic acid

…thromboxane synthesis in platelets for their entire lifespan. This is why a low once-daily dose is sufficient, and why the effect persists for 7…

DrugClass III antiarrhythmic
Amiodarone

…intravenous use with properties from classes I–IV. Extensive tissue distribution and a half-life measured in weeks — initiation and discontinuation have consequences for months.

DrugDirect thrombin inhibitor (factor IIa)
Dabigatran

Pradaxa Direct thrombin inhibitor (factor IIa) The only DOAC that directly inhibits thrombin and the only one with a specific, rapidly acting antidote — idarucizumab achieves…

DrugLong-acting benzodiazepine with active metabolite
Diazepam

…two faces. As a single dose in seizures it is fast and reliable — high lipid solubility gives onset within a couple of minutes intravenously, and…

DrugUltra-short-acting β₁-selective blocker
Esmolol

…choose when reversibility matters. With a half-life of 9 minutes and the effect gone 20–30 minutes after the infusion ends, it is useful…

DrugSelective dopamine-1 receptor agonist
Fenoldopam

…that increases renal perfusion while blood pressure falls. A selective D1 agonist without alpha or beta effects, with onset within minutes and duration under one…

DrugLoop diuretic
Furosemide

…Na⁺/K⁺/2Cl⁻ transporter in the loop of Henle. The dose–response relationship is a threshold curve, not a line: below the threshold nothing happens…

DrugConcentrated carbohydrate solution for acute hypoglycaemia
Glucose (concentrated, IV)

…particular sulphonylurea require follow-up infusion and hours of monitoring, whereas a missed meal in a type 1 diabetic can be managed with a sandwich.

DrugLong-acting basal insulin
Insulin glargine

…meals and overnight, with a largely flat profile over 24 hours and therefore a lower risk of nocturnal hypoglycaemia than NPH insulin. It is titrated…

DrugNon-selective α-adrenergic blocker
Phentolamine

…under half an hour. A niche drug: catecholamine-induced hypertensive crisis — phaeochromocytoma, cocaine and amphetamine intoxication, MAO inhibitor crisis — and local treatment of skin necrosis…

DrugEndogenous purine nucleoside, AV-nodal blocking agent
Adenosine

…is slowed. The half-life of a few seconds means both the effect and side effects are over before one can regret it, but requires…

Drugα- and β-agonist
Adrenaline

…components of anaphylaxis, and the cornerstone of cardiac arrest treatment. The most clinically dangerous property is not pharmacological but practical: two concentrations with a tenfold…

DrugXanthine oxidase inhibitor
Allopurinol

…gout, with the goal of titrating upward until serum urate is stably below 360 μmol/l — not setting a fixed dose and leaving it…

DrugRecombinant tissue plasminogen activator (rt-PA)
Alteplase

…and haemodynamically significant pulmonary embolism. The dosing regimens differ entirely between indications — stroke is weight-based, pulmonary embolism and myocardial infarction use a fixed 100…

DrugAminopenicillin with extended Gram-negative spectrum
Amoxicillin

…otitis with concurrent purulent conjunctivitis, and as a suspension alternative in pneumonia in young children. Oral bioavailability is substantially better than phenoxymethylpenicillin and is not…

DrugDirect factor Xa inhibitor
Apixaban

…dosing and no routine monitoring. Lower risk of intracranial haemorrhage than warfarin — but the short half-life means a missed dose has consequences within hours.

DrugHighly selective β₁-blocker
Bisoprolol

…giving a predictable dose–effect relationship without the CYP2D6-dependent variability that makes metoprolol response unpredictable. The half-life of 10–12 hours is sufficient…

DrugInhaled corticosteroid in fixed combination with long-acting β₂-agonist
Budesonide/formoterol

…Spiromax Inhaled corticosteroid in fixed combination with long-acting β₂-agonist Formoterol is the only long-acting β₂-agonist with onset within a few minutes…

DrugCalcium salt for intravenous membrane stabilisation and calcium supplementation
Calcium gluconate

…resting membrane potential and threshold potential and protects the myocardium against arrhythmia within minutes — but does not lower potassium by a tenth of a millimole…

DrugThird-generation cephalosporin
Cefotaxime

…cephalosporins are one of the strongest drivers of Clostridioides difficile and ESBL-producing enteric bacteria, and should therefore be stepped down to a narrower alternative…

DrugSecond-generation H₁-antihistamine
Cetirizine

…the blood-brain barrier poorly, but it is not entirely free of sedation: a distinct minority of patients become drowsy, and this should be asked…

DrugLinkosamid med proteinsynteshämmande effekt
🇸🇪 Clindamycin

…nästan full biotillgänglighet peroralt, och en hämning av bakteriell proteinsyntes som stänger av toxinproduktionen hos grupp A-streptokocker och Staphylococcus aureus. Därför standardtillägg vid nekrotiserande…

DrugSynthetic vasopressin analogue (V2 agonist)
Desmopressin

…differing up to a hundredfold — antidiuretic substitution in central diabetes insipidus, symptom relief in nocturia and nocturnal enuresis, and haemostatic release of von Willebrand factor…

DrugCardiac glycoside
Digoxin

…AV-node slowing. Rate control fails under adrenergic stress — making it a poor choice for the active patient and a reasonable one for the bedridden.

DrugNon-dihydropyridine calcium channel blocker (benzothiazepine)
Diltiazem

…in 2025 — only a rectal ointment remains registered — so oral and intravenous diltiazem require a named-patient licence. Verapamil or a beta-blocker is therefore…

DrugBroad-spectrum tetracycline
Doxycycline

…and Borrelia. Near-complete oral absorption and a long half-life make once-daily dosing possible. It is the standard choice in pneumonia in penicillin…

DrugSelective serotonin reuptake inhibitor (SSRI)
Escitalopram

…of the SSRIs and one of the best tolerated for depression and generalised anxiety disorder. What governs dosing is not efficacy but the heart: a…

DrugSelective cholesterol absorption inhibitor
Ezetimibe

…target is still not reached — a fixed dose of 10 mg, no titration, essentially no interactions, and an adverse effect profile barely distinguishable from placebo…

DrugIsoxazolylpenicillin, staphylococcal penicillin
Flucloxacillin

…Absorption is destroyed by food, making the timing of administration a genuine treatment variable and not a formality. The most clinically important adverse effect is…

DrugGabapentinoid, ligand to the α2δ subunit of voltage-gated calcium channels
Gabapentin

…subunit of voltage-gated calcium channels The same mechanism as pregabalin — binding to the α2δ subunit of voltage-gated calcium channels — but with a critical…

DrugPancreatic hormone, glycogenolytic agent and inotrope
Glucagon

…1 mg intramuscularly is the treatment that a family member can give when the patient cannot swallow and intravenous access is unavailable — the effect arrives…

DrugHigh-potency first-generation antipsychotic (butyrophenone)
Haloperidol

…two entirely different dosing worlds: a few milligrams in acute psychotic agitation in younger patients, and tenths of a milligram in delirium in the elderly…

DrugDirect-acting arteriolar vasodilator
Hydralazine

…unsuitable as first-line treatment in hypertensive crisis — but useful in pre-eclampsia and as afterload relief in combination with a nitrate and beta-blocker.

DrugNature-identical glucocorticoid with mineralocorticoid effect
Hydrocortisone

…and dexamethasone, hydrocortisone has a clinically meaningful mineralocorticoid effect, which is the entire point in adrenocortical insufficiency — and the short duration allows the daily dose…

DrugNon-selective COX inhibitor, propionic acid derivative
Ibuprofen

…cardiovascular risk at a low dose. A short half-life of around 2 hours means the effect arrives and resolves quickly, which is an advantage:…

DrugRapid-acting insulin analogue
Insulin aspart

…state. Subcutaneously it has an onset within 10–20 minutes and a duration of 3–5 hours; intravenously the half-life is a few minutes…

DrugNMDA-receptor antagonist, dissociative anaesthetic
Ketamine

…Respiratory drive and laryngeal reflexes are largely preserved, which is an explanation but never a guarantee. The key practical distinction is between the three dose…

DrugNarrow-spectrum beta-lactam antibiotic
Phenoxymethylpenicillin (penicillin V)

…substantially between indications — tonsillitis and acute otitis media are treated with different doses and durations, and this is a common source of error in practice.

DrugElectrolyte concentrate for potassium replacement
Potassium chloride

…not the magnitude of the deficit. Rate, not daily dose, is what determines safety: peripherally 10 mmol per hour, in a central vein up to…

DrugMuscarinic receptor antagonist (vagolytic)
Atropine

…infranodal block. The effect comes within one minute and fades over an hour or so, making it a bridge to pacing rather than a treatment.

DrugNon-selective COX inhibitor with COX-2 predominance, phenylacetic acid derivative
Diclofenac

…of selective COX-2 inhibitors and is seen already at doses below 100 mg/day and with short treatment duration. Oral diclofenac therefore requires a…