Pain Flashcards

(51 cards)

1
Q

What are the top OTC meds in North America?

A
  • cough and cold ($8.2 billion)
  • pain reliever ($4.1 billion)
  • antacid
  • toothpaste
  • laxative
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What are the consideration for safety of drug dosing?

A
  • dosage can change depending on different factors like size of the person
  • high dosage can become a poison
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What are the important considerations when buying medication?

A
  • safety
  • indications
  • counter-indications (warnings ab out mixing drugs)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What are counter intentions and give some examples?

A

when you should not use
- conditions
- drug combinations
- foods
- “natural” remedies

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is important about the side effects of drugs when it comes to the effect and incidence?

A

E - what is it (info about drugs side effects)
I - how common is it (how common are the side effects)

  • understanding risk and benefit
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is to important about willow trees containing salicylates/ where are they also found and what group of people used willow leaves?

A
  • has poisons (drugs) / aromas and flavor
  • poplar, beech and wintergreen
  • Sumerians, egyptians
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What does willow bark taste like and what is it similar to?

A

bitter
- similar to quinine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is the doctrine of signatures?

A

the idea that plants, minerals, and animals have visible characteristics that indicate the diseases they can treat. These characteristics, or “signatures”, include color, shape, or name

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Why was willow so inconvenient and dangerous?

A

since it was in bark, a large amount was needed for desired affects
- dosage was hard to predict until the SALICIN was isolated and dosed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What does willow bark help cure?

A

fevers

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Why does salicylic acid the better drug over salicin, where is it found in small amount and is it expensive?

A
  • lower dosage
  • meadowsweet flowers
  • yes
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Where is salicylic acid manufactured from?

A

coal tar (crude oil)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is the difference between analgesic, antipyretics, and ant inflammatory?

A
  • AG: pain killers
  • AP: reduces fever
  • AI: anti inflammatory
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Why is synthetic production better than natural for salicylic acids and what is the reaction name for the synthetic form?

A

since you are able to get more end product
- kolbe-schmitt reaction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What type of companies specialized in coal tar chemistry first?

A

dye companies, which later became drug companies

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Why was salicylic acid a problematic drug?

A
  • analgesic
  • antipyretic
  • antinflammatory
  • bitter taste
  • stomach irritation
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Who is Felix Hoffman, what happened to him when he took salicylic acid and how did he optimize salicylic acid?

A
  • inventor of aspirin
  • took it for pain, but had upset stomach
  • made it into acetasalicylic acid
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What form was aspirin initially sold in and what form became more popular?

A

powder
- pill

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Do aspirin and ASA have the same structure?

A

yes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is ASA effective for?

A

muscle pain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is the benefits of ASA and some side effects?

A

Benefits: pain, fever, inflammation. reduce heart attack risk
Side effects: tinnitus, stomach irritation, interferes with blood clotting

17
Q

What are prostaglandins and how long do they exist for?

A

local hormones
- short amount of time

18
Q

What is prostaglandins used for symptoms wise?

A
  • pain
  • fever
  • inflammation
19
Q

What are the functions of enzymes?

A
  • increase the rate of a chemical reaction without itself being changed
  • lowers energy required for reaction
  • accelerates reaction
20
How can catalysts and enzyme be inhibited?
by drugs that act as inhibitors and block conversion - aspirin block cyclooxygenase
21
What happens with long term use of ASA?
can cause ulcers in your stomach or gut and increase risk of colorectal cancer
22
When does aspirin cause tinnitus?
when more than 10 tablets are taken - warning sign of salicylism (aspirin poising)
23
How does prostaglandins help protect the stomach?
- decrease acid production (HCl) - increase mucus production
24
How does aspirin damage the stomach?
- increase acid production - decrease mucus production
25
What is bufferin?
contains an antacid - pill dissolves quickly
26
What is Reye syndrome and how does it connect with the influenza?
affects the brain and livers (common in children) - happens in children who are recovering from a viral infection
27
Why is children's aspirin no longer available?
because of its link to reye's disease
28
What determines cause?
requires a body of evidence
29
What is the association between name brand and generic?
they are essentially the same, but generic brands just take the recipe from name brands, which are the one's doing the research
30
What is bioavailability?
how much drug gets into your body and how long it stays there (retainability)
31
What is antikamnia (antifebrin) made from?
coal tar
32
Who is Carl Duisberg and what did he need to do?
chemist at bayer - developed the dye industry
33
What is phenacetin?
APC tablet - aspirin - phenacetin - caffeine
34
What are antikamnia and phenacetin turned into?
acetaminophen
35
What is acetaminophen good for and not good for?
pain relief
36
What is the difference between stomach irritation of ASA and acetaminophen?
ASA - strong irritation A - weak irritation
37
How many pills of tylenol will it take to over does and what country uses it as their number one suicide drug?
- 60 or more - England
38
How does acetaminophen affect the liver and what should you not take it with?
turns into cytochrome P450, which causes liver damage - alcohol - acetaminophen
39
What is the ml dosage for tylenol regular, extra strength, arthritis/ muscle and migrane?
- 325 mg - 500 mg - 650 mg - 500 mg
40
Why was tylenol recalled by J and J?
someone put cyanide into multiple bottles
41
What does ibuprofen inhibit and was is originally prescription only?
cyclooxygenase - yes
42
What does ibuprofen solve?
- pain - fever - inflammation
43
What is the dosage of generic ibuprofen?
200 mg
44
What is naproxen also known as and what is it good for?
Aleve - inflammation
45
What is the top pain relievers companies in North America?
- acetaminophen 43% - ASA 28% - ibuprofen 26% - naproxen 3 %
46
What was the problem with Vioxx but what was later discovered?
increased the risk of heart attacks causing them to close business - risks of heart attacks are similar to ibuprofen