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Prototype drugs

What is a prototype drug? A prototype drug is the model drug of its class: the well-known, representative drug that the other drugs in the class are compared with. It is often the first drug of the class to be developed.

Learn the prototype well (how it works, what it causes, what the nurse watches for) and you have a framework for the rest of its class. Then learn where the other drugs differ.

94 prototypes
acetaminophen
System Nervous
acyclovir -vir
System Immune / Anti-infective
albuterol -terol
System Respiratory
alendronate -dronate
System Musculoskeletal
allopurinol
System Musculoskeletal
alteplase -teplase High-alert
System Cardiovascular
amiodarone High-alert
System Cardiovascular
amitriptyline
System Nervous
amlodipine -dipine
System Cardiovascular
amoxicillin -cillin
System Immune / Anti-infective
anastrozole
System Reproductive & OB
atorvastatin -vastatin
System Cardiovascular
atropine
System Autonomic
azithromycin -mycin
System Immune / Anti-infective
bethanechol
System Autonomic
bosentan
System Respiratory
bupropion
System Nervous
cephalexin cef-
System Immune / Anti-infective
cholestyramine
System Cardiovascular
ciprofloxacin -floxacin
System Immune / Anti-infective
clindamycin
System Immune / Anti-infective
clopidogrel
System Cardiovascular
cromolyn
System Respiratory
cyanocobalamin
System Hematologic
cyclobenzaprine
System Musculoskeletal
desmopressin
System Endocrine
diazepam -pam / -lam
System Nervous
dicyclomine
System Digestive / GI
digoxin High-alert
System Cardiovascular
diphenhydramine (1st-gen)
System Respiratory
donepezil
System Nervous
doxycycline -cycline
System Immune / Anti-infective
epoetin alfa epoetin
System Hematologic
ethinyl estradiol / progestin estr / gest
System Reproductive & OB
evolocumab -mab
System Cardiovascular
ezetimibe
System Cardiovascular
famotidine -tidine
System Digestive / GI
fenofibrate -fibrate
System Cardiovascular
ferrous sulfate
System Hematologic
filgrastim grastim
System Hematologic
fluconazole
System Immune / Anti-infective
fludrocortisone
System Endocrine
fluticasone
System Respiratory
furosemide -semide
System Renal
gentamicin -micin
System Immune / Anti-infective
haloperidol
System Nervous
heparin High-alert
System Cardiovascular
hydrochlorothiazide
System Renal
hydrocortisone
System Integumentary
ibuprofen
System Musculoskeletal
isoniazid
System Immune / Anti-infective
levodopa/carbidopa
System Nervous
levothyroxine
System Endocrine
lisinopril -pril
System Cardiovascular
lithium carbonate
System Nervous
loperamide
System Digestive / GI
losartan -sartan
System Cardiovascular
meropenem -penem
System Immune / Anti-infective
mesalamine
System Digestive / GI
metformin
System Endocrine
methotrexate
System Immune / Anti-infective
methylergonovine
System Reproductive & OB
methylphenidate
System Nervous
metoprolol -olol
System Cardiovascular
metronidazole
System Immune / Anti-infective
montelukast -lukast
System Respiratory
morphine High-alert
System Nervous
nitroglycerin
System Cardiovascular
norepinephrine High-alert
System Cardiovascular
octreotide
System Endocrine
omeprazole -prazole
System Digestive / GI
ondansetron -setron
System Digestive / GI
oxytocin High-alert
System Reproductive & OB
phenelzine
System Nervous
phenytoin
System Nervous
prednisone pred / -methasone / cort
System Endocrine
ranolazine
System Cardiovascular
sacubitril/valsartan
System Cardiovascular
sertraline
System Nervous
sildenafil
System Reproductive & OB
silver sulfadiazine
System Integumentary
spironolactone
System Renal
succinylcholine High-alert
System Nervous
sumatriptan -triptan
System Nervous
terbutaline
System Reproductive & OB
testosterone
System Reproductive & OB
theophylline
System Respiratory
tolterodine
System Renal
tolvaptan -vaptan
System Renal
trimethoprim-sulfamethoxazole (Bactrim)
System Immune / Anti-infective
vancomycin
System Immune / Anti-infective
venlafaxine
System Nervous

How to study by prototype

  1. Learn the prototype in depth: its mechanism, main uses, the adverse effects that follow from the mechanism, and the nursing checks.
  2. Use the stem to spot the class. Most generic names in a class share a stem, such as -olol (beta-blockers), -pril (ACE inhibitors) or -vastatin (statins).
  3. Then learn the differences. Drugs in a class are similar, not identical. Each class page shows where individual drugs differ.

Worked example

Metoprolol, the beta-blocker prototype. Metoprolol slows the heart by blocking β1 receptors. That one mechanism explains the class-wide nursing checks: assess the apical pulse for a full minute and hold for < 60 bpm, never stop the drug abruptly (taper over 1–2 weeks), and remember that it masks the warning signs of hypoglycemia. The differences live on the class page: carvedilol and labetalol also dilate blood vessels, propranolol is non-selective, and esmolol is IV-only and very short-acting.

Open the beta-blocker class

Common questions

What does “prototype drug” mean?
A prototype drug is the model drug of its class: the well-known, representative drug that the other drugs in the class are compared with. It is often the first drug of the class to be developed.
Why do nursing students learn drugs by prototype?
Nursing pharmacology textbooks often name one prototype medication for each drug class. Drugs in the same class share a mechanism, so learning how the prototype works, what it causes and what the nurse watches for gives you a framework for the whole class. You then learn where the other drugs differ.
How can I tell which class a drug belongs to?
Look at the generic name. Most drugs in a class share a stem, such as -olol for beta-blockers, -pril for ACE inhibitors or -vastatin for statins.

Sources

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