Medication GP Flashcards
Linagliptin
DPP4 inhibitor
Alogliptin
DPP4 inhibitor
Sitagliptin
DPP4 inhibitor
Duloxetine
SNRI - inhibit serotonin and noradrenaline reuptake
Fluoxetine
SSRI - inhibit the presynaptic reuptake of serotonin (5-hydroxytryptamine, 5HT)
Meloxicam (mobic, moxicam, melobic)
Selective COX-2 inhibitor NSAID
MOA NSAIDS
Analgesic, antipyretic and anti-inflammatory actions. Inhibit synthesis of prostaglandins by inhibiting cyclo-oxygenase (COX) present as COX1 and COX2
- Inhibition of COX1 results in impaired gastric cytoprotection and antiplatelet effect
- inhibition of COX2 results in anti-inflammatory and analgesic action
- Reduction in GFR and renal blood flow occurs with both COX1 and COX2 inhibition
Most NSAIDs are nonselective, inhibiting both COX1 and COX2.
Celecoxib
Selective COX2 inhibitor NSAID
Naproxen
Nonselective NSAID
Indometacin
nonselective NSAID
Diclofenac
Nonselective NSAID
Xanthine oxidase inhibitors MOA
Inhibit xanthine oxidase which reduces production of uric acid, lowering serum urate concentration and allowing acute flares and crystal deposits to resolve if long-term serum urate <0.36mmol/L
Allopurinol: class + indications
Xanthine oxidase inhibitor
Indications: symtomatic hyperuricemia (gout)
Febuxostat (class + indications)
Xanthine oxidase inhibitor
Indications: symtomatic hyperuricemia (gout) - second line behind allopurinol
Cefalexin (cephalex, ibilex, keflex, cephalexin) - class and indications
Cephalosporin
Staphylococcal and streptococcal infections in people with mild to moderate penicillin allergy, UTI, epididymo-orchitis (urinary tract source)