40 träffar

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

…fixed dose morning and evening with a separate SABA as needed, or as maintenance-and-reliever therapy in the same inhaler. The two regimens must…

DrugAminopenicillin with extended Gram-negative spectrum
Amoxicillin

…role belongs to phenoxymethylpenicillin — but for treatment failure, recurrent otitis, otitis with concurrent purulent conjunctivitis, and as a suspension alternative in pneumonia in young children…

DrugHigh-potency glucocorticoid with long duration
Betamethasone

…allows a child with croup or a patient with an allergic reaction to receive a full steroid dose without an injection, and the long biological…

DrugLong-acting benzodiazepine with active metabolite
Diazepam

…Diazepam Renaudin Long-acting benzodiazepine with active metabolite The benzodiazepine with two faces. As a single dose in seizures it is fast and reliable — high…

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

…NSAID with good effect in musculoskeletal and postoperative pain, but with the most unfavourable cardiovascular profile in the class — the increase in risk for myocardial…

DrugNature-identical glucocorticoid with mineralocorticoid effect
Hydrocortisone

…with mineralocorticoid effect Endogenous cortisol in pharmaceutical form and accordingly the first choice when the intention is substitution rather than immunosuppression. Unlike prednisolone, betamethasone, and…

DrugDirect factor Xa inhibitor
Apixaban

…Direct-acting factor Xa inhibitor with fixed dosing and no routine monitoring. Lower risk of intracranial haemorrhage than warfarin — but the short half-life means…

DrugHMG-CoA reductase inhibitor
Atorvastatin

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

DrugCardiac glycoside
Digoxin

…inhibitor with positive inotropy and vagal AV-node slowing. Rate control fails under adrenergic stress — making it a poor choice for the active patient and…

DrugClass IC antiarrhythmic
Flecainide

…blocker with marked efficacy on atrial arrhythmias in structurally normal hearts. The CAST trial showed increased mortality after myocardial infarction — that boundary remains the most…

DrugDirect-acting arteriolar vasodilator
Hydralazine

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

DrugNon-selective α-adrenergic blocker
Phentolamine

…selective alpha-blocker with onset within minutes and duration under half an hour. A niche drug: catecholamine-induced hypertensive crisis — phaeochromocytoma, cocaine and amphetamine intoxication…

DrugXanthine oxidase inhibitor
Allopurinol

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

DrugClass III antiarrhythmic
Amiodarone

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

DrugThird-generation cephalosporin
Cefotaxime

…and most Enterobacterales, with good CNS penetration — making this the standard choice for community-acquired bacterial meningitis and severe sepsis of unknown origin. The price…

DrugACE inhibitor
Enalapril

…mortality in heart failure with reduced ejection fraction — the effect is dose-dependent, and underdosing is more often than adverse effects the reason for absent…

DrugUltra-short-acting β₁-selective blocker
Esmolol

…With a half-life of 9 minutes and the effect gone 20–30 minutes after the infusion ends, it is useful in patients where beta…

DrugSpecific antidote to dabigatran, humanised Fab fragment
Idarucizumab

…binds dabigatran with approximately 300 times higher affinity than dabigatran binds to thrombin — in practice it never lets go. The effect is immediate and complete…

DrugHighly selective β₁-blocker
Bisoprolol

…selective of the routinely used beta-blockers, with documented mortality benefit in heart failure from CIBIS-II. Bioavailability is close to 90 % and elimination is…

DrugCalcium salt for intravenous membrane stabilisation and calcium supplementation
Calcium gluconate

…salt for intravenous membrane stabilisation and calcium supplementation First-line intervention in hyperkalaemia with ECG changes: calcium restores the margin between resting membrane potential and…

DrugDirect thrombin inhibitor (factor IIa)
Dabigatran

…directly inhibits thrombin and the only one with a specific, rapidly acting antidote — idarucizumab achieves complete reversal within minutes, which weighs heavily in patients who…

DrugSynthetic vasopressin analogue (V2 agonist)
Desmopressin

…V2 agonist) The same substance is used for four entirely different indications with doses differing up to a hundredfold — antidiuretic substitution in central diabetes insipidus…

DrugSynthetic catecholamine, β₁-agonist (inotropy)
Dobutamine

…effect with marked β₂ effect means that stroke volume increases while systemic vascular resistance falls at low doses — good in the cold, hypoperfused patient with…

DrugNon-selective COX inhibitor, propionic acid derivative
Ibuprofen

…COX inhibitor, propionic acid derivative The first-line NSAID in Sweden and the one with the least cardiovascular risk at a low dose. A short…

DrugLong-acting basal insulin
Insulin glargine

…basal insulin The basal insulin that covers the basal insulin requirement between meals and overnight, with a largely flat profile over 24 hours and therefore…

Drugα- and β-agonist
Adrenaline

…cardiac arrest treatment. The most clinically dangerous property is not pharmacological but practical: two concentrations with a tenfold difference are used in the same setting.

DrugLong-acting dihydropyridine calcium channel blocker
Amlodipine

…be used in heart failure with reduced ejection fraction when blood pressure or angina requires it. The slow onset makes the drug unsuitable for acute…

DrugAngiotensin II receptor blocker (ARB)
Candesartan

…with valsartan has documented mortality benefit in heart failure (CHARM), and the first choice when an ACE inhibitor must be switched due to cough. The…

DrugSecond-generation H₁-antihistamine
Cetirizine

…entirely free of sedation: a distinct minority of patients become drowsy, and this should be asked about in professional drivers. Renal function governs the dose.

DrugSGLT2 inhibitor
Dapagliflozin

…decline and reduced mortality in chronic kidney disease with albuminuria, with or without diabetes. The dose is the same — 10 mg once daily — for all…

DrugNon-dihydropyridine calcium channel blocker (benzothiazepine)
Diltiazem

…oral and intravenous diltiazem require a named-patient licence. Verapamil or a beta-blocker is therefore the practical first choice for rate control in this…

DrugVascular-selective dihydropyridine calcium channel blocker
Felodipine

…making it combinable with beta-blockers. The price of pure vasodilatation is dependent oedema, which is dose-related and the most common reason for discontinuation.

DrugSelective dopamine-1 receptor agonist
Fenoldopam

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

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

…with a critical difference in kinetics: absorption occurs via a saturable amino acid transporter in the gut, so bioavailability falls as the dose rises and…

DrugHigh-potency first-generation antipsychotic (butyrophenone)
Haloperidol

…in Swedish emergency departments and wards, with rapid onset and minimal anticholinergic burden. The drug has two entirely different dosing worlds: a few milligrams in…

DrugIndirect thrombin and factor Xa inhibitor via antithrombin
Heparin (unfractionated)

…completely with protamine within minutes. This is why unfractionated heparin is the first choice in severe renal failure, in the bleeding-prone patient, and when…

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

…beta-lactam antibiotic The first-choice oral penicillin for the most common respiratory and skin infections in outpatient care, and one of the reasons Sweden…

DrugSelective cholesterol absorption inhibitor
Ezetimibe

…interactions, and an adverse effect profile barely distinguishable from placebo. IMPROVE-IT showed that the additional LDL lowering also translates into fewer cardiovascular events, making…

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

…solution for acute hypoglycaemia The first-line treatment for severe hypoglycaemia in a patient who cannot swallow and in whom intravenous access is available. The…

DrugSelective If-channel inhibitor in the sinus node
Ivabradine

…rhythm: in atrial fibrillation the rate control sits in the AV node and ivabradine is ineffective. Its place in treatment is the symptomatic patient with…