Amlodipine relaxes peripheral and coronary vascular smooth muscle. It produces coronary vasodilation by inhibiting the entry of Ca ions into the slow channels or select voltage-sensitive channels of the vascular smooth muscle and myocardium during depolarisation. It also increases myocardial oxygen delivery in patients w/ vasospastic angina. Cilostazol Anticoagulants, Antiplatelets & Fibrinolytics (Thrombolytics) Cilostazol is a reversible, selective inhibitor of phosphodiesterase-III (PDE-III), thereby suppressing cyclic adenosine monophosphate (cAMP) degradation. Increase in cAMP in platelets and blood vessels leads to inhibition of platelet aggregation and vasodilation. Cilostazol also inhibits adenosine uptake into cells, which augments the cAMPelevating effect of PDE-III inhibition. Pantoprazole Antacids, Antireflux Agents & Antiulcerants Pantoprazole is a substituted benzimidazole, and also known as PPI due to its property to block the final step of acid secretion by inhibiting H+/K+ ATPase enzyme system in gastric parietal cell. Both basal and stimulated acid are inhibited. Erceflora Antidiarrheals The administration of Bacillus clausii contributes to the recovery of the intestinal microbial flora altered during the course of microbial disorders of diverse origin. Salbutamol Drugs Acting on the Uterus / Antiasthmatic & COPD Preparations Salbutamol activates adenyl cyclase, the enzyme that stimulates the production of cyclic adenosine-3', 5'monophosphate (cAMP). Increased cAMP leads to activation of protein kinase A, which inhibits phosphorylation of myosin and lowers intracellular ionic Ca concentrations, resulting in smooth muscle relaxation. Acetylcysteine Cough & Cold Preparations
Acetylcysteine exerts mucolytic action through its
free sulfhydryl group which opens up the disulfide bonds in the mucoproteins thus lowering mucous viscosity. In paracetamol toxicity, acetylcysteine acts as a hepatoprotective agent by restoring hepatic glutathione, serving as a glutathione substitute, and enhancing the nontoxic sulfate conjugation of paracetamol. Levofloxacin Eye Anti-Infectives & Antiseptics / Quinolones Levofloxacin exerts antibacterial action by inhibiting bacterial topoisomerase IV and DNA gyrase, the enzymes required for DNA replication, transcription repair and recombination. It hasin vitro activity against a wide range of gm-ve and gm+ve microorganisms. Metformin Antidiabetic Agents Metformin is a biguanide w/ antihyperglycaemic effects, lowering both basal and postprandial plasma glucose. It decreases hepatic glucose production by inhibiting gluconeogenesis and glycogenolysis; delays intestinal absorption of glucose; and enhances insulin sensitivity by increasing peripheral glucose uptake and utilisation. Aspirin Nonsteroidal Anti-Inflammatory Drugs (NSAIDs) / Anticoagulants, Antiplatelets & Fibrinolytics (Thrombolytics) Aspirin is an analgesic, anti-inflammatory and antipyretic. It inhibits cyclooxygenase, which is responsible for the synthesis of prostaglandin and thromboxane. It also inhibits platelet aggregation. Clovix Anticoagulants, Antiplatelets & Fibrinolytics (Thrombolytics) Clopidogrel selectively inhibits adenosine diphosphate (ADP) from binding to its platelet P2Y12 receptor and subsequent activation of glycoprotein GPIIb/IIIa complex thus reducing platelet aggregation. Fenofibrate Dyslipidaemic Agents Fenofibrate, a fibric acid derivative, lowers plasma triglyceride by activating lipoprotein lipase thus increasing catabolism of VLDL w/ consequent increase in HDL levels