Classification of drugs system wise with all the examples

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I have enough context from the library. Now I'll compile a thorough, system-wise drug classification from my pharmacology knowledge (Goodman & Gilman, Katzung, Lippincott). This is a broad reference topic well-established in standard textbooks.

System-Wise Classification of Drugs

Below is a comprehensive system-wise classification of drugs with examples, organized by organ system/therapeutic area.

1. CARDIOVASCULAR SYSTEM

A. Antihypertensives

ClassMechanismExamples
ACE InhibitorsBlock angiotensin-converting enzymeEnalapril, Lisinopril, Ramipril, Captopril, Benazepril
ARBs (Angiotensin Receptor Blockers)Block AT1 receptorLosartan, Valsartan, Candesartan, Olmesartan, Irbesartan
Calcium Channel Blockers (CCBs)Block L-type Ca2+ channelsAmlodipine, Nifedipine, Diltiazem, Verapamil, Felodipine
Beta-blockersBlock beta-adrenergic receptorsAtenolol, Metoprolol, Propranolol, Carvedilol, Bisoprolol
DiureticsReduce plasma volumeHydrochlorothiazide, Furosemide, Spironolactone, Chlorthalidone
Alpha-1 blockersBlock alpha-1 adrenoceptorsPrazosin, Doxazosin, Terazosin
Central alpha-2 agonistsReduce sympathetic outflowClonidine, Methyldopa, Moxonidine
Direct vasodilatorsRelax vascular smooth muscleHydralazine, Minoxidil, Sodium nitroprusside
Renin inhibitorsBlock reninAliskiren
ARNIs (Angiotensin receptor-neprilysin inhibitors)Dual blockadeSacubitril/Valsartan (Entresto)

B. Antiarrhythmics (Vaughan-Williams Classification)

ClassMechanismExamples
Class I-A (Na+ channel blockers, intermediate)Prolong AP durationQuinidine, Procainamide, Disopyramide
Class I-B (Na+ channel blockers, fast)Shorten AP durationLidocaine, Mexiletine, Tocainide
Class I-C (Na+ channel blockers, slow)Minimal AP effectFlecainide, Propafenone, Encainide
Class II (Beta-blockers)Reduce automaticityMetoprolol, Esmolol, Propranolol, Atenolol
Class III (K+ channel blockers)Prolong repolarizationAmiodarone, Sotalol, Dofetilide, Ibutilide, Dronedarone
Class IV (CCBs)Slow AV conductionVerapamil, Diltiazem
UnclassifiedMisc mechanismsAdenosine, Digoxin, Magnesium sulfate, Atropine

C. Antianginals

ClassExamples
NitratesNitroglycerin, Isosorbide dinitrate, Isosorbide mononitrate
Beta-blockersMetoprolol, Atenolol, Propranolol
Calcium channel blockersAmlodipine, Verapamil, Diltiazem
Potassium channel openersNicorandil
If-channel inhibitorsIvabradine
RanolazineLate Na+ current inhibitor

D. Heart Failure Drugs

ClassExamples
ACE Inhibitors / ARBs / ARNIsEnalapril, Valsartan, Sacubitril/Valsartan
Beta-blockersCarvedilol, Metoprolol succinate, Bisoprolol
Aldosterone antagonistsSpironolactone, Eplerenone
SGLT2 inhibitorsDapagliflozin, Empagliflozin
DiureticsFurosemide, Torsemide, Bumetanide
Positive inotropesDigoxin, Dobutamine, Milrinone, Levosimendan
Hydralazine + NitrateHydralazine + Isosorbide dinitrate
If inhibitorIvabradine

E. Antilipidemic (Hypolipidemic) Drugs

| Class | Mechanism | Examples | |---|---| | Statins (HMG-CoA reductase inhibitors) | Reduce LDL synthesis | Atorvastatin, Rosuvastatin, Simvastatin, Pravastatin, Lovastatin | | Fibrates | Activate PPAR-alpha | Fenofibrate, Gemfibrozil, Bezafibrate | | Bile acid sequestrants | Bind bile acids in gut | Cholestyramine, Colestipol, Colesevelam | | Niacin (Nicotinic acid) | Multiple lipid effects | Niacin, Extended-release niacin | | Ezetimibe | Inhibit NPC1L1 (cholesterol absorption) | Ezetimibe | | PCSK9 inhibitors | Reduce LDL receptor degradation | Evolocumab, Alirocumab | | Omega-3 fatty acids | Reduce triglycerides | Icosapentaenoic acid (EPA), Omega-3 acid ethyl esters | | ANGPTL3 inhibitors | Reduce TG and LDL | Evinacumab |

F. Anticoagulants

ClassExamples
Vitamin K antagonistsWarfarin, Acenocoumarol, Phenindione
Unfractionated heparinHeparin sodium
Low Molecular Weight Heparins (LMWH)Enoxaparin, Dalteparin, Tinzaparin, Nadroparin
Factor Xa inhibitors (oral)Rivaroxaban, Apixaban, Edoxaban, Betrixaban
Direct thrombin inhibitorsDabigatran (oral); Argatroban, Bivalirudin (IV)
FondaparinuxFactor Xa inhibitor (SC)

G. Antiplatelet Drugs

ClassExamples
COX inhibitorsAspirin
ADP (P2Y12) receptor antagonistsClopidogrel, Prasugrel, Ticagrelor, Cangrelor, Ticlopidine
GPIIb/IIIa inhibitorsAbciximab, Eptifibatide, Tirofiban
PDE inhibitorsDipyridamole, Cilostazol
PAR-1 antagonistsVorapaxar

H. Thrombolytics (Fibrinolytics)

  • Streptokinase, Urokinase, Alteplase (tPA), Reteplase, Tenecteplase

2. RESPIRATORY SYSTEM

A. Bronchodilators

ClassExamples
Short-acting beta-2 agonists (SABAs)Salbutamol (Albuterol), Terbutaline, Fenoterol
Long-acting beta-2 agonists (LABAs)Salmeterol, Formoterol, Indacaterol, Vilanterol
Short-acting muscarinic antagonists (SAMAs)Ipratropium bromide, Oxitropium
Long-acting muscarinic antagonists (LAMAs)Tiotropium, Aclidinium, Glycopyrronium, Umeclidinium
XanthinesTheophylline, Aminophylline

B. Anti-inflammatory (Asthma/COPD)

ClassExamples
Inhaled corticosteroids (ICS)Budesonide, Beclomethasone, Fluticasone, Ciclesonide, Mometasone
Leukotriene receptor antagonists (LTRAs)Montelukast, Zafirlukast
Mast cell stabilizersCromolyn sodium, Nedocromil
Phosphodiesterase-4 inhibitorsRoflumilast
Anti-IgE monoclonal antibodyOmalizumab
Anti-IL-5 biologicsMepolizumab, Reslizumab, Benralizumab
Anti-IL-4/IL-13Dupilumab
Anti-TSLPTezepelumab

C. Antitussives / Expectorants / Mucolytics

ClassExamples
Opioid antitussivesCodeine, Pholcodine
Non-opioid antitussivesDextromethorphan, Benzonatate, Noscapine
ExpectorantsGuaifenesin, Potassium iodide, Ammonium chloride
MucolyticsAcetylcysteine (NAC), Carbocisteine, Bromhexine, Ambroxol

D. Pulmonary Hypertension Drugs

ClassExamples
ProstanoidsEpoprostenol, Iloprost, Treprostinil, Selexipag
Endothelin receptor antagonistsBosentan, Ambrisentan, Macitentan
PDE-5 inhibitorsSildenafil, Tadalafil
Soluble guanylate cyclase stimulatorRiociguat

3. CENTRAL NERVOUS SYSTEM (CNS)

A. Analgesics

ClassExamples
Non-opioid (NSAIDs)Aspirin, Ibuprofen, Diclofenac, Naproxen, Indomethacin, Ketorolac
Selective COX-2 inhibitorsCelecoxib, Etoricoxib, Parecoxib
Paracetamol (Acetaminophen)Paracetamol
Weak opioidsCodeine, Tramadol, Tapentadol
Strong opioidsMorphine, Fentanyl, Oxycodone, Hydromorphone, Buprenorphine, Methadone

B. Antiepileptics (Anticonvulsants)

ClassExamples
Na+ channel blockersPhenytoin, Carbamazepine, Oxcarbazepine, Lamotrigine, Lacosamide, Eslicarbazepine
GABA enhancersValproate, Phenobarbital, Primidone, Vigabatrin, Tiagabine, Clonazepam
Ca2+ channel (T-type) blockersEthosuximide, Valproate
SV2A ligandsLevetiracetam, Brivaracetam
AMPA receptor antagonistsPerampanel
Multiple mechanismsTopiramate, Zonisamide, Felbamate, Clobazam, Gabapentin, Pregabalin
mTOR inhibitors (tuberous sclerosis)Everolimus

C. Antiparkinsonian Drugs

ClassExamples
Levodopa combinationsLevodopa + Carbidopa, Levodopa + Benserazide
Dopamine agonistsPramipexole, Ropinirole, Rotigotine, Bromocriptine, Cabergoline, Apomorphine
MAO-B inhibitorsSelegiline, Rasagiline, Safinamide
COMT inhibitorsEntacapone, Tolcapone, Opicapone
AnticholinergicsTrihexyphenidyl (Benzhexol), Biperiden
NMDA antagonistAmantadine
Adenosine A2A antagonistIstradefylline

D. Antipsychotics (Neuroleptics)

ClassExamples
Typical (1st gen) - Low potencyChlorpromazine, Thioridazine, Mesoridazine
Typical - High potencyHaloperidol, Fluphenazine, Trifluoperazine, Pimozide
Atypical (2nd gen)Clozapine, Olanzapine, Risperidone, Quetiapine, Aripiprazole, Ziprasidone, Amisulpride, Lurasidone, Paliperidone
Depot antipsychoticsFluphenazine decanoate, Haloperidol decanoate, Risperidone microspheres, Aripiprazole lauroxil
3rd generationBrexpiprazole, Cariprazine

E. Antidepressants

ClassMechanismExamples
TCAs (Tricyclics)Block reuptake of 5-HT + NEAmitriptyline, Imipramine, Nortriptyline, Clomipramine, Doxepin
SSRIsSelective serotonin reuptake inhibitorsFluoxetine, Sertraline, Paroxetine, Citalopram, Escitalopram, Fluvoxamine
SNRIsSerotonin-norepinephrine reuptake inhibitorsVenlafaxine, Desvenlafaxine, Duloxetine, Milnacipran, Levomilnacipran
MAOIsMonoamine oxidase inhibitorsPhenelzine, Tranylcypromine, Isocarboxazid, Selegiline
NaSSANoradrenergic/specific serotonergicMirtazapine
NDRINorepinephrine-dopamine reuptake inhibitorBupropion
SARISerotonin antagonist and reuptake inhibitorTrazodone, Nefazodone
Melatonin agonist/5-HT2C antagonistAgomelatine
MultimodalVortioxetine
Ketamine-basedEsketamine (intranasal)

F. Anxiolytics / Sedatives / Hypnotics

ClassExamples
Benzodiazepines (anxiolytic)Diazepam, Lorazepam, Alprazolam, Clonazepam, Oxazepam
Benzodiazepines (hypnotic)Temazepam, Nitrazepam, Triazolam
Non-benzodiazepine hypnotics (Z-drugs)Zolpidem, Zaleplon, Zopiclone, Eszopiclone
Buspirone5-HT1A partial agonist
Melatonin receptor agonistsRamelteon, Melatonin
Orexin receptor antagonistsSuvorexant, Lemborexant
Antihistamines (sedating)Diphenhydramine, Doxylamine, Promethazine

G. Mood Stabilizers

ClassExamples
LithiumLithium carbonate, Lithium citrate
AnticonvulsantsValproate, Carbamazepine, Lamotrigine
Atypical antipsychoticsOlanzapine, Quetiapine, Aripiprazole, Risperidone

H. CNS Stimulants / ADHD

ClassExamples
AmphetaminesAmphetamine, Dextroamphetamine, Lisdexamfetamine
Methylphenidate-typeMethylphenidate, Dexmethylphenidate
Non-stimulant ADHDAtomoxetine (SNRI), Viloxazine, Guanfacine, Clonidine
Wakefulness promotingModafinil, Armodafinil, Solriamfetol

I. Opioid Antagonists / Drugs for Addiction

ClassExamples
Opioid antagonistsNaloxone, Naltrexone, Methylnaltrexone, Alvimopan
Alcohol dependenceDisulfiram, Naltrexone, Acamprosate
Nicotine dependenceNRT (patches, gums, inhalers), Varenicline, Bupropion
Opioid substitutionMethadone, Buprenorphine, Buprenorphine/Naloxone

J. Anesthetics

ClassExamples
General inhalationalHalothane, Isoflurane, Sevoflurane, Desflurane, Nitrous oxide
General IVPropofol, Ketamine, Thiopental, Etomidate, Midazolam
Local anesthetics (esters)Procaine, Cocaine, Benzocaine, Tetracaine, Chloroprocaine
Local anesthetics (amides)Lidocaine, Bupivacaine, Ropivacaine, Mepivacaine, Prilocaine, Levobupivacaine

K. Drugs for Migraine

ClassExamples
Triptans (5-HT1B/1D agonists)Sumatriptan, Rizatriptan, Zolmitriptan, Naratriptan, Almotriptan, Eletriptan
Ergot alkaloidsErgotamine, Dihydroergotamine
CGRP antagonists (gepants)Ubrogepant, Rimegepant, Atogepant (preventive)
Anti-CGRP monoclonals (preventive)Erenumab, Fremanezumab, Galcanezumab, Eptinezumab
5-HT1F agonist (ditans)Lasmiditan

4. GASTROINTESTINAL SYSTEM

A. Antacids

ClassExamples
Non-systemic (aluminum/magnesium)Aluminum hydroxide, Magnesium hydroxide, Magaldrate
Systemic (bicarbonate-containing)Sodium bicarbonate
Calcium-containingCalcium carbonate

B. Acid Suppressants

ClassMechanismExamples
H2 receptor antagonistsBlock histamine H2 receptorsRanitidine, Famotidine, Cimetidine, Nizatidine
Proton Pump Inhibitors (PPIs)Inhibit H+/K+-ATPaseOmeprazole, Pantoprazole, Rabeprazole, Esomeprazole, Lansoprazole, Dexlansoprazole
Potassium-competitive acid blockers (P-CABs)Competitive H+/K+-ATPase inhibitionVonoprazan, Tegoprazan

C. Mucosal Protectants / Anti-H.pylori

ClassExamples
CytoprotectiveSucralfate, Bismuth subsalicylate, Misoprostol (PGE1 analog)
Anti-H. pylori regimensClarithromycin + Amoxicillin + PPI (Triple therapy), Bismuth quadruple therapy, Vonoprazan-based

D. Antiemetics

ClassMechanismExamples
5-HT3 antagonistsBlock serotonin at CTZ/vagusOndansetron, Granisetron, Palonosetron, Tropisetron
Dopamine D2 antagonistsBlock CTZ D2 receptorsMetoclopramide, Domperidone, Prochlorperazine, Haloperidol
NK1 antagonistsBlock substance P at CTZAprepitant, Fosaprepitant, Netupitant, Rolapitant
AntihistaminesBlock H1 receptorsPromethazine, Cyclizine, Meclizine, Dimenhydrinate
AnticholinergicsBlock muscarinic receptorsHyoscine (Scopolamine)
CorticosteroidsUncertain mechanismDexamethasone
CannabinoidsCB1 receptor agonistsDronabinol, Nabilone

E. Prokinetics

  • Metoclopramide, Domperidone, Cisapride, Mosapride, Prucalopride, Itopride

F. Laxatives

ClassExamples
Bulk-formingPsyllium, Methylcellulose, Ispaghula
OsmoticLactulose, Polyethylene glycol (PEG), Magnesium sulfate, Mannitol, Sorbitol
Stimulant/irritantSenna, Bisacodyl, Castor oil, Phenolphthalein
LubricantLiquid paraffin
Stool softenersDocusate sodium
SecretagoguesLubiprostone, Linaclotide, Plecanatide

G. Antidiarrheals

ClassExamples
Opioid-basedLoperamide, Diphenoxylate
AbsorbentsKaolin-pectin, Bismuth subsalicylate
AntisecretoryRacecadotril (Enkephalinase inhibitor)
Somatostatin analogsOctreotide (secretory diarrhea)

H. Drugs for IBD (Inflammatory Bowel Disease)

ClassExamples
Aminosalicylates (5-ASA)Mesalamine (5-ASA), Sulfasalazine, Balsalazide, Olsalazine
CorticosteroidsPrednisolone, Budesonide, Methylprednisolone
ImmunomodulatorsAzathioprine, 6-Mercaptopurine, Methotrexate
Anti-TNF biologicsInfliximab, Adalimumab, Certolizumab, Golimumab
Anti-integrinsVedolizumab, Natalizumab
Anti-IL-12/23Ustekinumab
JAK inhibitorsTofacitinib, Upadacitinib, Filgotinib

I. Drugs for IBS

  • Antispasmodics: Dicyclomine, Hyoscine, Mebeverine
  • 5-HT3 antagonist: Alosetron
  • 5-HT4 agonist: Tegaserod
  • Guanylate cyclase agonists: Linaclotide, Plecanatide
  • Eluxadoline (mu/kappa agonist, delta antagonist)

5. ENDOCRINE SYSTEM

A. Antidiabetic Drugs

ClassMechanismExamples
BiguanidesReduce hepatic glucose outputMetformin
Sulfonylureas (1st gen)Stimulate insulin secretionTolbutamide, Chlorpropamide, Tolazamide
Sulfonylureas (2nd gen)Stimulate insulin secretionGlibenclamide (Glyburide), Glipizide, Gliclazide, Glimepiride
Meglitinides (Glinides)Short-acting insulin secretagoguesRepaglinide, Nateglinide
Thiazolidinediones (Glitazones)PPAR-gamma agonistsPioglitazone, Rosiglitazone
Alpha-glucosidase inhibitorsDelay carbohydrate absorptionAcarbose, Miglitol, Voglibose
DPP-4 inhibitors (Gliptins)Increase incretin levelsSitagliptin, Saxagliptin, Vildagliptin, Alogliptin, Linagliptin
GLP-1 receptor agonistsIncretin mimeticsExenatide, Liraglutide, Semaglutide, Dulaglutide, Albiglutide, Lixisenatide, Tirzepatide (GLP-1/GIP)
SGLT2 inhibitorsInhibit renal glucose reabsorptionDapagliflozin, Empagliflozin, Canagliflozin, Ertugliflozin
Insulins - Ultra-rapidFastest onsetLispro, Aspart, Glulisine, Faster aspart, URLi
Insulins - Short-actingRegular insulinRegular insulin (Soluble insulin)
Insulins - IntermediateNPH insulinNPH (Isophane insulin)
Insulins - Long-actingBasal insulinGlargine, Detemir, Degludec
Insulin sensitizers (misc.)PPAR-alpha/gamma agonistDual agonists in development
Amylin analogsSlow gastric emptyingPramlintide

B. Thyroid Drugs

ClassExamples
Thyroxine (hypothyroidism)Levothyroxine (T4), Liothyronine (T3), Liotrix
Antithyroid drugs (thionamides)Carbimazole, Propylthiouracil (PTU), Methimazole
Iodine / IodidesPotassium iodide, Lugol's iodine
RadioiodineI-131
Anion inhibitorsPerchlorate, Thiocyanate

C. Corticosteroids

ClassExamples
Glucocorticoids (systemic)Prednisolone, Prednisone, Dexamethasone, Betamethasone, Methylprednisolone, Hydrocortisone, Triamcinolone
MineralocorticoidsFludrocortisone, Aldosterone
Adrenocortical suppressantsMetyrapone, Ketoconazole, Etomidate, Mitotane, Osilodrostat

D. Sex Hormones and Related

ClassExamples
EstrogensEstradiol, Ethinyl estradiol, Conjugated equine estrogen, Estriol
ProgestinsProgesterone, Medroxyprogesterone, Norethindrone, Levonorgestrel, Desogestrel, Drospirenone
AndrogensTestosterone, Methyltestosterone, Oxandrolone, Danazol
Anti-estrogens (SERMs)Tamoxifen, Clomiphene, Raloxifene, Bazedoxifene, Toremifene
Aromatase inhibitorsAnastrozole, Letrozole, Exemestane
Anti-androgensFlutamide, Bicalutamide, Enzalutamide, Spironolactone, Cyproterone acetate
5-alpha reductase inhibitorsFinasteride, Dutasteride
GnRH agonists (depot)Leuprolide, Goserelin, Triptorelin, Buserelin
GnRH antagonistsCetrorelix, Ganirelix, Degarelix, Relugolix

E. Drugs for Osteoporosis

ClassExamples
BisphosphonatesAlendronate, Risedronate, Ibandronate, Zoledronic acid
RANK-L inhibitorsDenosumab
SERMsRaloxifene, Bazedoxifene
PTH analogs (anabolic)Teriparatide, Abaloparatide
Sclerostin inhibitorRomosozumab
CalcitoninSalmon calcitonin

6. RENAL SYSTEM

Diuretics

ClassSite of ActionExamples
Loop diureticsThick ascending limb of loop of HenleFurosemide, Torsemide, Bumetanide, Ethacrynic acid
Thiazide diureticsDistal convoluted tubuleHydrochlorothiazide, Chlorthalidone, Indapamide, Bendroflumethiazide
Potassium-sparing diureticsCollecting ductSpironolactone, Eplerenone, Amiloride, Triamterene
Carbonic anhydrase inhibitorsProximal tubuleAcetazolamide, Dorzolamide, Brinzolamide
Osmotic diureticsEntire nephronMannitol, Urea
SGLT2 inhibitors (mild diuretic)S1 proximal tubuleDapagliflozin, Empagliflozin
Vasopressin V2 antagonists (Vaptans)Collecting duct (aquaporin)Tolvaptan, Conivaptan, Satavaptan

7. ANTIMICROBIALS

A. Antibacterials

ClassMechanismExamples
Penicillins - NaturalCell wall synthesis inhibitionPenicillin G, Penicillin V
Penicillins - Anti-staphylococcalSameOxacillin, Cloxacillin, Dicloxacillin, Flucloxacillin, Nafcillin, Methicillin
AminopenicillinsSame (broader)Ampicillin, Amoxicillin
Anti-pseudomonal penicillinsSamePiperacillin, Ticarcillin, Carbenicillin
Penicillin + beta-lactamase inhibitorSame + protectAmoxicillin/Clavulanate, Piperacillin/Tazobactam, Ampicillin/Sulbactam
1st gen CephalosporinsCell wall synthesisCefazolin, Cephalexin, Cefadroxil
2nd gen CephalosporinsCell wall synthesisCefuroxime, Cefaclor, Cefprozil
3rd gen CephalosporinsCell wall synthesisCeftriaxone, Cefotaxime, Ceftazidime, Cefdinir, Cefixime
4th gen CephalosporinsCell wall synthesisCefepime
5th gen CephalosporinsCell wall synthesis (MRSA)Ceftaroline, Ceftobiprole
CarbapenemsBroadest beta-lactamImipenem/Cilastatin, Meropenem, Ertapenem, Doripenem
MonobactamsCell wall synthesisAztreonam
Macrolides50S ribosome inhibitionErythromycin, Clarithromycin, Azithromycin, Roxithromycin, Spiramycin
Tetracyclines30S ribosome inhibitionTetracycline, Doxycycline, Minocycline, Tigecycline (glycylcycline)
Aminoglycosides30S ribosome (irreversible)Gentamicin, Amikacin, Tobramycin, Streptomycin, Neomycin, Netilmicin
FluoroquinolonesDNA gyrase/topoisomerase IV inhibitionCiprofloxacin, Levofloxacin, Moxifloxacin, Norfloxacin, Ofloxacin, Gatifloxacin
SulfonamidesInhibit folate synthesis (PABA analog)Sulfamethoxazole, Sulfadiazine, Sulfacetamide
TrimethoprimInhibit dihydrofolate reductaseTrimethoprim, Co-trimoxazole (TMP-SMX)
Lincosamides50S ribosome inhibitionClindamycin, Lincomycin
Chloramphenicol50S ribosome inhibitionChloramphenicol
GlycopeptidesCell wall synthesis (peptidoglycan)Vancomycin, Teicoplanin, Telavancin, Dalbavancin, Oritavancin
LipopeptidesDepolarize cell membraneDaptomycin
Oxazolidinones30S+50S junction (initiation complex)Linezolid, Tedizolid
Streptogramins50S ribosome inhibitionQuinupristin/Dalfopristin
PolymyxinsDisrupt cell membranePolymyxin B, Colistin (Polymyxin E)
NitrofuransMultiple DNA/metabolic effectsNitrofurantoin, Furazolidone
NitroimidazolesDNA strand breaksMetronidazole, Tinidazole, Ornidazole, Secnidazole
RifamycinsRNA polymerase inhibitionRifampicin, Rifabutin, Rifaximin, Rifapentine
FosfomycinCell wall synthesis (MurA inhibitor)Fosfomycin
Anti-MRSA cephalosporinsCell wall (PBP2a)Ceftaroline, Ceftobiprole
Isoniazid (TB)Mycolic acid synthesisIsoniazid
Ethambutol (TB)Arabinosyltransferase inhibitionEthambutol
Pyrazinamide (TB)Multiple mechanismsPyrazinamide

B. Antifungals

ClassMechanismExamples
PolyenesBind ergosterol, disrupt membraneAmphotericin B, Nystatin, Natamycin
Azoles - ImidazolesInhibit CYP51 (ergosterol synthesis)Clotrimazole, Miconazole, Ketoconazole
Azoles - TriazolesInhibit CYP51Fluconazole, Itraconazole, Voriconazole, Posaconazole, Isavuconazole
EchinocandinsInhibit beta-1,3-glucan synthaseCaspofungin, Micafungin, Anidulafungin, Rezafungin
AllylaminesInhibit squalene epoxidaseTerbinafine, Naftifine
Pyrimidine analogInhibit DNA/RNA synthesisFlucytosine (5-FC)
GriseofulvinInhibit microtubule functionGriseofulvin

C. Antivirals

ClassExamples
Anti-herpes (nucleoside analogs)Acyclovir, Valacyclovir, Famciclovir, Ganciclovir, Valganciclovir, Penciclovir, Cidofovir
Anti-CMVGanciclovir, Valganciclovir, Foscarnet, Cidofovir, Letermovir
Anti-influenza (neuraminidase inhibitors)Oseltamivir, Zanamivir, Peramivir, Laninamivir
Anti-influenza (other)Baloxavir (cap-dependent endonuclease), Amantadine, Rimantadine (M2 inhibitors)
Anti-HIV - NRTIsZidovudine (AZT), Lamivudine, Tenofovir, Emtricitabine, Stavudine, Abacavir, Didanosine
Anti-HIV - NNRTIsEfavirenz, Nevirapine, Rilpivirine, Etravirine, Doravirine
Anti-HIV - PIsRitonavir, Lopinavir, Atazanavir, Darunavir, Saquinavir, Fosamprenavir
Anti-HIV - INSTIsRaltegravir, Elvitegravir, Dolutegravir, Bictegravir, Cabotegravir
Anti-HIV - Entry/fusion inhibitorsMaraviroc (CCR5), Enfuvirtide (T-20), Ibalizumab
Anti-Hepatitis BLamivudine, Entecavir, Tenofovir, Adefovir, Telbivudine, IFN-alpha
Anti-Hepatitis C (DAAs)Sofosbuvir, Ledipasvir, Daclatasvir, Glecaprevir/Pibrentasvir, Elbasvir/Grazoprevir
Anti-RSVPalivizumab (prophylaxis), Ribavirin, Nirsevimab, Abrysvo
Anti-COVID-19Nirmatrelvir/Ritonavir (Paxlovid), Remdesivir, Molnupiravir

D. Antiprotozoals

OrganismDrugs
Malaria (Plasmodium)Chloroquine, Hydroxychloroquine, Quinine, Mefloquine, Primaquine, Artemisinin combinations (ACTs: artemether-lumefantrine, artesunate-amodiaquine), Atovaquone-proguanil, Doxycycline
AmoebiasisMetronidazole, Tinidazole (luminal: Diloxanide furoate, Paromomycin, Iodoquinol)
GiardiasisMetronidazole, Tinidazole, Nitazoxanide, Albendazole
LeishmaniaSodium stibogluconate, Miltefosine, Amphotericin B, Liposomal AmB, Pentamidine
Trypanosomiasis (African)Suramin, Pentamidine, Melarsoprol, Eflornithine, Fexinidazole
Trypanosomiasis (American - Chagas)Benznidazole, Nifurtimox
ToxoplasmosisPyrimethamine + Sulfadiazine + Folinic acid
CryptosporidiosisNitazoxanide
TrichomoniasisMetronidazole, Tinidazole

E. Anthelmintics

TypeDrugs
Benzimidazoles (broad spectrum)Albendazole, Mebendazole, Thiabendazole
Macrocyclic lactonesIvermectin
Piperazine derivativesDiethylcarbamazine (DEC), Piperazine
Pyrantel pamoatePyrantel pamoate
NiclosamideTapeworms
PraziquantelTrematodes (Schistosoma, Clonorchis), Cestodes
OxamniquineSchistosomiasis

8. MUSCULOSKELETAL SYSTEM

A. Muscle Relaxants (Skeletal)

ClassExamples
Centrally actingBaclofen, Tizanidine, Cyclobenzaprine, Carisoprodol, Methocarbamol, Chlorzoxazone, Orphenadrine
Peripherally acting (direct)Dantrolene
Neuromuscular blockers - DepolarizingSuccinylcholine (Suxamethonium)
Neuromuscular blockers - Non-depolarizing (short)Mivacurium
Non-depolarizing (intermediate)Rocuronium, Vecuronium, Atracurium, Cisatracurium
Non-depolarizing (long-acting)Pancuronium, Pipecuronium

B. Drugs for Gout

PhaseDrugs
Acute attackColchicine, NSAIDs, Corticosteroids, IL-1 inhibitors (Anakinra, Canakinumab)
Chronic/prophylaxis (Urate lowering)Allopurinol (XO inhibitor), Febuxostat (XO inhibitor), Probenecid (uricosuric), Sulfinpyrazone, Lesinurad, Benzbromarone
Recombinant uricasePegloticase, Rasburicase

C. DMARDs (for Rheumatoid Arthritis)

ClassExamples
Conventional DMARDsMethotrexate, Hydroxychloroquine, Sulfasalazine, Leflunomide, Azathioprine, Cyclosporine
Anti-TNF biologicsEtanercept, Infliximab, Adalimumab, Certolizumab, Golimumab
IL-6 inhibitorsTocilizumab, Sarilumab
B-cell depletionRituximab
T-cell costimulation inhibitorAbatacept
JAK inhibitorsTofacitinib, Baricitinib, Upadacitinib, Filgotinib
IL-17 inhibitorsSecukinumab, Ixekizumab (also for PsA)
IL-23/12 inhibitorsUstekinumab, Guselkumab, Risankizumab

9. HEMATOPOIETIC SYSTEM

A. Drugs for Anemia

TypeDrugs
Iron deficiencyFerrous sulfate, Ferrous gluconate, Ferric carboxymaltose, Iron sucrose, Iron dextran
Megaloblastic (B12)Cyanocobalamin, Hydroxocobalamin, Methylcobalamin
Megaloblastic (Folate)Folic acid, Folinic acid (Leucovorin)
Aplastic / EPO deficiencyErythropoietin (Epoetin alfa), Darbepoetin, Methoxy PEG-epoetin beta
Aplastic anemia / MDSEltrombopag, Romiplostim, Luspatercept, Antithymocyte globulin

B. Hematopoietic Growth Factors

  • G-CSF: Filgrastim, Pegfilgrastim, Lenograstim
  • GM-CSF: Sargramostim
  • TPO receptor agonists: Romiplostim, Eltrombopag, Avatrombopag
  • Erythropoiesis stimulating agents: as above

10. EYE (OPHTHALMIC) DRUGS

ClassExamples
MioticsPilocarpine, Carbachol
Mydriatics/CycloplegicsAtropine, Tropicamide, Cyclopentolate, Phenylephrine, Homatropine
Anti-glaucoma (beta-blockers)Timolol, Betaxolol, Carteolol, Levobunolol
Anti-glaucoma (alpha-2 agonists)Brimonidine, Apraclonidine
Anti-glaucoma (prostaglandin analogs)Latanoprost, Travoprost, Bimatoprost, Tafluprost
Anti-glaucoma (CAIs)Dorzolamide, Brinzolamide, Acetazolamide
Anti-glaucoma (Rho kinase inhibitors)Netarsudil
Anti-VEGF (intravitreal)Bevacizumab, Ranibizumab, Aflibercept, Faricimab, Brolucizumab
Corticosteroids (topical)Prednisolone acetate, Dexamethasone, Fluorometholone
Antibiotics (topical)Ciprofloxacin, Tobramycin, Moxifloxacin, Gatifloxacin, Chloramphenicol
Antivirals (ophthalmic)Trifluridine, Ganciclovir gel, Acyclovir ointment
AntiallergicOlopatadine, Ketotifen, Azelastine
Lubricants/artificial tearsHydroxypropyl methylcellulose, Carboxymethylcellulose, Sodium hyaluronate
Macular degenerationVerteporfin (photodynamic)

11. EAR (OTIC) DRUGS

ClassExamples
Antibiotic ear dropsCiprofloxacin, Ofloxacin, Neomycin, Polymyxin B
CerumenolyticsCarbamide peroxide, Docusate, Triethanolamine
Antifungal ear dropsClotrimazole
Corticosteroid ear dropsBetamethasone, Dexamethasone

12. SKIN (DERMATOLOGICAL) DRUGS

ClassExamples
Topical corticosteroids (low potency)Hydrocortisone 1%
Topical corticosteroids (moderate)Betamethasone valerate, Triamcinolone
Topical corticosteroids (high potency)Clobetasol propionate
KeratolyticsSalicylic acid, Urea
Retinoids (topical)Tretinoin, Adapalene, Tazarotene
Retinoids (systemic)Isotretinoin, Acitretin
Anti-acneBenzoyl peroxide, Clindamycin topical, Adapalene, Doxycycline, Minocycline, Spironolactone, Isotretinoin
Antipsoriatics (topical)Calcipotriene, Anthralin, Tazarotene
Antipsoriatics (systemic)Methotrexate, Cyclosporine, Acitretin
Antipsoriatics (biologics)IL-17 (Secukinumab, Ixekizumab), IL-23 (Guselkumab, Risankizumab, Tildrakizumab), TNF-alpha (Adalimumab, Etanercept, Infliximab)
Antifungals (topical)Clotrimazole, Miconazole, Terbinafine, Sertaconazole, Ciclopirox, Naftifine
AntiparasiticsPermethrin, Ivermectin (topical), Malathion, Lindane, Benzyl benzoate
Calcineurin inhibitors (topical)Tacrolimus, Pimecrolimus
JAK inhibitors (topical/systemic for atopic dermatitis)Ruxolitinib (topical), Abrocitinib, Upadacitinib, Baricitinib
Anti-TSLP/IL-4 (biologics)Dupilumab, Tralokinumab (atopic dermatitis)

13. ANTICANCER DRUGS (CHEMOTHERAPY)

A. Cytotoxic Agents

ClassMechanismExamples
Alkylating agents - Nitrogen mustardsDNA crosslinksCyclophosphamide, Ifosfamide, Melphalan, Chlorambucil, Bendamustine
Alkylating agents - NitrosoureasDNA crosslinks (lipophilic)Carmustine, Lomustine, Streptozocin
Alkylating agents - Platinum compoundsDNA interstrand crosslinksCisplatin, Carboplatin, Oxaliplatin
Alkylating agents - OthersDNA crosslinksBusulfan, Dacarbazine, Temozolomide, Procarbazine, Altretamine
Antimetabolites - Folate antagonistsInhibit DHFRMethotrexate, Pemetrexed, Pralatrexate
Antimetabolites - Pyrimidine analogsInhibit DNA synthesis5-Fluorouracil (5-FU), Capecitabine, Cytarabine, Gemcitabine, Azacitidine, Decitabine
Antimetabolites - Purine analogsInhibit DNA synthesis6-Mercaptopurine, 6-Thioguanine, Fludarabine, Cladribine, Clofarabine, Nelarabine
Antitumor antibioticsIntercalate DNA / free radicalsDoxorubicin, Daunorubicin, Epirubicin, Idarubicin (anthracyclines), Bleomycin, Mitomycin C, Actinomycin D
Topoisomerase I inhibitorsInhibit Topo IIrinotecan, Topotecan
Topoisomerase II inhibitorsInhibit Topo IIEtoposide, Teniposide
Vinca alkaloidsInhibit microtubule polymerizationVincristine, Vinblastine, Vinorelbine, Vindesine
TaxanesStabilize microtubulesPaclitaxel, Docetaxel, Cabazitaxel, Nab-paclitaxel

B. Targeted / Hormonal Therapy

ClassExamples
Imatinib-type (BCR-ABL/c-kit/PDGFR inhibitors)Imatinib, Dasatinib, Nilotinib, Bosutinib, Ponatinib, Asciminib
EGFR inhibitors (TKIs)Gefitinib, Erlotinib, Afatinib, Osimertinib, Lapatinib, Neratinib
HER2-targetedTrastuzumab, Pertuzumab, T-DM1 (Ado-trastuzumab emtansine), T-DXd, Tucatinib
VEGF/VEGFR inhibitorsBevacizumab, Sunitinib, Sorafenib, Pazopanib, Axitinib, Regorafenib, Cabozantinib
BRAF/MEK inhibitorsVemurafenib, Dabrafenib (BRAF), Trametinib, Cobimetinib (MEK)
CDK4/6 inhibitorsPalbociclib, Ribociclib, Abemaciclib
PARP inhibitorsOlaparib, Niraparib, Rucaparib, Talazoparib
ALK/ROS1 inhibitorsCrizotinib, Ceritinib, Alectinib, Brigatinib, Lorlatinib
BTK inhibitorsIbrutinib, Acalabrutinib, Zanubrutinib, Pirtobrutinib
mTOR inhibitorsEverolimus, Temsirolimus
PI3K inhibitorsIdelalisib, Copanlisib, Alpelisib
Anti-estrogen (breast cancer)Tamoxifen, Fulvestrant, Elacestrant
Aromatase inhibitorsAnastrozole, Letrozole, Exemestane
Anti-androgen (prostate)Enzalutamide, Apalutamide, Darolutamide
Proteasome inhibitorsBortezomib, Carfilzomib, Ixazomib
Histone deacetylase inhibitorsVorinostat, Romidepsin, Belinostat, Panobinostat
IDH inhibitorsEnasidenib (IDH2), Ivosidenib (IDH1), Olutasidenib
KRAS inhibitorsSotorasib (KRAS G12C), Adagrasib

C. Immunotherapy

ClassExamples
Anti-PD-1Pembrolizumab, Nivolumab, Cemiplimab
Anti-PD-L1Atezolizumab, Durvalumab, Avelumab
Anti-CTLA-4Ipilimumab, Tremelimumab
CD20 monoclonal antibodiesRituximab, Obinutuzumab, Ofatumumab
CD38 monoclonal antibodiesDaratumumab, Isatuximab
CD19-directed CAR-TTisagenlecleucel, Axicabtagene ciloleucel
BCMA-directedIdecabtagene vicleucel, Ciltacabtagene autoleucel (CAR-T), Teclistamab (bispecific)
Bispecific T-cell engagersBlinatumomab (CD3xCD19), Mosunetuzumab, Epcoritamab

14. AUTONOMIC NERVOUS SYSTEM (ANS)

A. Sympathomimetics (Adrenergic Agonists)

ReceptorExamples
Alpha-1 + Alpha-2Norepinephrine, Phenylephrine (alpha-1 selective)
Alpha + Beta (non-selective)Epinephrine, Norepinephrine
Beta-1 selectiveDobutamine
Beta-2 selectiveSalbutamol, Terbutaline, Salmeterol
Indirect (reuptake inhibitors/releasers)Amphetamine, Ephedrine, Pseudoephedrine, Cocaine
DopaminergicDopamine, Fenoldopam

B. Sympatholytics (Adrenergic Antagonists)

ReceptorExamples
Non-selective alpha blockersPhentolamine, Phenoxybenzamine, Tolazoline
Selective alpha-1 blockersPrazosin, Doxazosin, Terazosin, Tamsulosin, Alfuzosin, Silodosin
Selective alpha-2 blockersYohimbine
Non-selective beta blockersPropranolol, Nadolol, Timolol, Sotalol, Pindolol
Cardioselective beta-1 blockersMetoprolol, Atenolol, Bisoprolol, Betaxolol
Alpha + Beta blockersLabetalol, Carvedilol
Beta-3 agonistsMirabegron, Vibegron (bladder)

C. Cholinergic Agonists (Parasympathomimetics)

ClassExamples
Muscarinic agonists (direct)Pilocarpine, Bethanechol, Carbachol, Methacholine
Cholinesterase inhibitors (indirect) - ReversibleNeostigmine, Physostigmine, Pyridostigmine, Edrophonium, Rivastigmine, Donepezil, Galantamine
Cholinesterase inhibitors - Irreversible (organophosphates)Echothiophate; Malathion, Sarin, Parathion (toxins)
Nicotinic agonistsNicotine, Varenicline, Succinylcholine (at NMJ)

D. Anticholinergics (Muscarinic Antagonists)

ClassExamples
Non-selectiveAtropine, Hyoscine (Scopolamine), Homatropine
Quaternary (non-CNS)Glycopyrrolate, Ipratropium, Tiotropium, Propantheline, Dicyclomine, Butylscopolamine
Bladder (OAB) selectiveOxybutynin, Tolterodine, Solifenacin, Darifenacin, Fesoterodine, Trospium

15. UTERINE / REPRODUCTIVE DRUGS

ClassExamples
Oxytocics / Uterotonic agentsOxytocin, Ergometrine (Ergonovine), Carbetocin, Misoprostol, Carboprost
Tocolytics (arrest preterm labor)Nifedipine (CCB), Ritodrine/Terbutaline (beta-2 agonists), Atosiban (oxytocin antagonist), Magnesium sulfate, Indomethacin
Drugs for PPHOxytocin, Ergometrine, Misoprostol, Carboprost, Tranexamic acid
Emergency contraceptionLevonorgestrel, Ulipristal acetate, Mifepristone + misoprostol
AbortifacientsMifepristone (antiprogesterone), Misoprostol, Methotrexate
Drugs for PCOSMetformin, Clomiphene, Letrozole, Spironolactone
Drugs for endometriosisGnRH agonists, Dienogest, Elagolix, Danazol

16. IMMUNOSUPPRESSANTS

ClassMechanismExamples
Calcineurin inhibitorsInhibit IL-2 productionCyclosporine, Tacrolimus
mTOR inhibitorsInhibit T-cell proliferationSirolimus, Everolimus
AntimetabolitesInhibit purine/pyrimidine synthesisAzathioprine, Mycophenolate mofetil (MMF), Methotrexate
CorticosteroidsBroad immunosuppressionPrednisolone, Methylprednisolone
Biological agentsBlock T-cell activationBasiliximab (IL-2R), Belatacept (co-stimulation blockade)
Polyclonal antibodiesDeplete T-lymphocytesAntithymocyte globulin (ATG)

17. VITAMINS AND MINERALS (Pharmacological Use)

Deficiency/UseDrug/Supplement
Vitamin A deficiency / cancer preventionRetinol, Beta-carotene
Vitamin D deficiencyCholecalciferol (D3), Ergocalciferol (D2), Calcitriol, Alfacalcidol
Vitamin E antioxidantAlpha-tocopherol
Vitamin K (coagulation)Phytonadione (K1), Menadione (K3)
Vitamin B1 (Thiamine)Thiamine HCl
Vitamin B2 (Riboflavin)Riboflavin
Vitamin B3 (Niacin)Niacin, Nicotinamide
Vitamin B5 (Pantothenic acid)Pantothenic acid
Vitamin B6 (Pyridoxine)Pyridoxine
Vitamin B7 (Biotin)Biotin
Vitamin B9 (Folic acid)Folic acid, Folinic acid
Vitamin B12Cyanocobalamin, Methylcobalamin
Vitamin CAscorbic acid
CalciumCalcium carbonate, Calcium gluconate
MagnesiumMagnesium sulfate, Magnesium oxide
ZincZinc sulfate
PotassiumPotassium chloride

18. DRUGS ACTING ON BLOOD GLUCOSE (Anti-hypoglycemics)

  • Glucagon (IV/IM/SC), Diazoxide, Somatostatin analogs (Octreotide), Dextrose 50% (IV), Glucose tablets

Summary Table of Systems

SystemMajor Drug Classes
CardiovascularAntihypertensives, Antiarrhythmics, Antianginals, Heart failure drugs, Antilipidemic, Anticoagulants, Antiplatelets
RespiratoryBronchodilators, ICS, Antitussives, Mucolytics, Anti-VEGF
CNSAnalgesics, Antiepileptics, Antiparkinsonian, Antipsychotics, Antidepressants, Anxiolytics, Stimulants
GIAntacids, PPIs, Antiemetics, Laxatives, Antidiarrheals, IBD drugs
EndocrineAntidiabetics, Thyroid drugs, Corticosteroids, Sex hormones, Osteoporosis drugs
RenalDiuretics
AntimicrobialsAntibacterials, Antifungals, Antivirals, Antiprotozoals, Anthelmintics
MusculoskeletalMuscle relaxants, Gout drugs, DMARDs
HematopoieticAnemia drugs, Growth factors
OphthalmicGlaucoma drugs, Anti-VEGF, Antibiotics, Antiallergics
SkinCorticosteroids, Retinoids, Antipsoriatics, Antifungals
AnticancerCytotoxics, Targeted therapy, Immunotherapy
ANSSympathomimetics, Sympatholytics, Cholinergics, Anticholinergics
ReproductiveOxytocics, Tocolytics, Contraceptives
ImmunosuppressantsCalcineurin inhibitors, mTOR inhibitors, Antimetabolites

Sources: Goodman & Gilman's The Pharmacological Basis of Therapeutics; Katzung's Basic and Clinical Pharmacology 16th Ed; Lippincott Illustrated Reviews: Pharmacology.
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