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Real Life Pharmacology - Pharmacology Education for Health Care Professionals

Top 200 Drugs Podcast – Medications 131-135

Real Life Pharmacology - Pharmacology Education for Health Care Professionals

Eric Christianson, PharmD; Pharmacology Expert and Clinical Pharmacist

Education, Health & Fitness, Medicine

5 β€’ 716 Ratings

πŸ—“οΈ 5 December 2024

⏱️ 23 minutes

🧾️ Download transcript

Summary

On this episode of the Top 200 drugs podcast from Real Life Pharmacology, I cover medications 131-135 which include enoxaparin, methylphenidate, rosuvastatin, denosumab, and dabigatran.



Enoxaparin is an injectable anticoagulant that can cause heparin-induced thrombocytopenia.



Methylphenidate is a stimulant medication that can be used to treat ADHD. Cardiovascular adverse effects are possible.



Rosuvastatin inhibits HMG-CoA Reductase which helps lower LDL in the management of hypercholesterolemia.



Denosumab is a monoclonal antibody that is indicated for osteoporosis and may cause hypocalcemia.



Dabigatran was one of the first direct oral anticoagulants to be produced. It is dosed twice daily and has warnings about use in patients over the age of 75.

Transcript

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0:00.0

Hey, all, welcome back to the real-life pharmacology podcast.

0:03.3

I'm your host, pharmacist Eric Christensen, and as always, I thank you for listening.

0:07.9

Today I'm going to cover drugs 131 through 135.

0:13.3

And our first medication is anoxiparin.

0:16.5

Brand name of this medication is Lovenox.

0:19.4

This is what's called a low molecular weight heparin,

0:23.7

abbreviated LMWH. And this medication is an anticoagulant, and it's going to primarily target

0:33.2

factor 10A. So again, these are clotting factors, which as expected, if we're using an anticoagulant,

0:41.0

we're going to thin the blood, and we're going to prevent those clotting factors from working.

0:45.0

So again, low molecular weight heparin primarily targets factor 10A, much more so than thrombin or factor 2a.

0:56.0

So that's kind of on a gradient there, but it tends to block the action of factor 10A

1:02.0

a little bit more so than 2A.

1:04.3

Ultimately, the blockade of this leads to its anticoagulant effect,

1:08.5

thins the blood, and it's going to help treat stem eDVT.

1:14.2

We can use it for post-op anticoagulation to prevent clotting in patients that aren't ambulatory.

1:22.4

Maybe they have cancer, for example, basically disease states or situations where they're more at risk

1:29.6

for throwing a clot or creating a clot in the body there. This medication is injection only.

1:38.9

The higher the dose that we're using, the more and more likely, we're probably going to be using

1:43.7

that for treatment

1:44.7

of DVTPE, for example, compared to DVTPE prophy prophy, or prevention, which then we can usually

1:53.5

get by with a lower dose there.

1:56.0

Kind of warnings, precautions, obviously bleed risk.

...

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