Anti-inflammatory/ Anti-gout Flashcards

(35 cards)

1
Q

aspirin

A

lolo
only irreversible inhibitor of cox
NSAID: 350-500mg
antiplatelet: 80 mg

s/e: dec GI protective

non selective cox inh

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2
Q

ibuprofen

A

analgesic but low anti-inflamm
do not give w aspirin

s/e: dec GI protective

propionic derivative
non selective cox inh

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3
Q

ketoprofen

A

s/e: dec GI protective

propionic derivative
non selective cox inh

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4
Q

flurbiprofen

A

long duration
s/e: dec GI protective
adr: MI, HTN

propionic derivative
non selective cox inh

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5
Q

naproxen

A

not acidic (less GI irritation)
s/e: dec GI protective

non selective cox inh

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6
Q

nabumetone

A

ketone
s/e: dec GI protective

non selective cox inh

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7
Q

etodolac

A

used in post-op as sub to morphine

ADR: pinpoint pupil
s/e: dec GI protective

non selective cox inh

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8
Q

ketorolac

A

used in post-op as sub to morphine

ADR: pinpoint pupil
s/e: dec GI protective

non selective cox inh

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9
Q

sulindac

A

related to sulfonamides
s/e: dec GI protective
ADR: sjs

non selective cox inh

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10
Q

indomethacin

A

inhibits PLA2
for closure of patent ductus arteriosus (alt: ibuprofen IV)

s/e: dec GI protective

non selective cox inh

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11
Q

“coxib”

A

cox II selective drugs
less ADR

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12
Q

phased out cox II inh bc of thrombosis

A

lumiracoxib
valdecoxib
rofecoxib (Vioxx)

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13
Q

arthritis: wear and tear of joints

A

osteoarthritis

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14
Q

arthritis: autoimmunity

A

rheumatoid arthritis

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15
Q

arthritis: hyperuricemia

A

gouty arthritis

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16
Q

tx for osteoarthritis

A

collagen supplements
avoid strenious activities

17
Q

band aid drug for arthritis

18
Q

tx for chemotaxis

A

disease modifying antirehumatic drugs

immunosuppression

19
Q

abatacept

A

target cd80 & cd86

DMARD

20
Q

azathioprine

A

converted to 6-thioguanine
(-) dna synthesis

DMARD

21
Q

cyclophosphamide

A

alkylating agent; anticancer
dna breakage

adr: hemorrhagic cystitis (rescue drug: MESNA)

DMARD

22
Q

cyclosporine

A

targets calcineurin
adr: hirsutism, gingival hyperplasia

DMARD

23
Q

chloroquine/hydrochloroquine

A

antimalarial
first investigational drug against COVID

DMARD

24
Q

leflunomide

A

(-) dihydroorotate dehydrogenase
(-) dna synthesis

DMARD

25
methotrexate
current dmard of choice (-) folate syn (dna syn) by: inh AICAR transformylase inh thymidylate synthetase/ dihydrofolate reductase adr: mucosuppression (rescue: folinic acid/leucovorin)
26
mycophenolate
inh cytosine monophosphate (CMP) adr: aplastic anemia DMARD
27
sulfasalazine
prodrug active: sulfapyridine adr: sjs DMARD
28
infliximab
monoclonal antibody tnf alpha blocker tnf alpha = signals wbc to attach to joints DMARD
29
adalimumab
monoclonal antibody tnf alpha blocker tnf alpha = signals wbc to attach to joints DMARD
30
etanercept
decoy receptor tnf alpha blocker tnf alpha = signals wbc to attach to joints DMARD
31
colchicine
500 mcg inh tubulin (for wbc migration) short duration (acute gout) loading dose: 2 tabs after 2 hrs: 1 tab every 12 hrs: 1 tab (5-7 days) antigout
32
allopurinol
doc for chronic gout purine analogue active metabolite: alloxanthine xanthine oxidase inh dec uric acid antigout
33
febuxostat
first non-purine xanthine oxidase inh dec uric acid antigout
34
probenecid
inh absorption of uric acid in PCT uricosuric agents + penicillin = longer action for penicillin (inh secretion)
35
sulfapyrazone
inh absorption of uric acid in PCT uricosuric agents