Test #3 Antiinflammatory drugs/ anti-acne drugs/ muscle relaxants Flashcards

(54 cards)

1
Q

What is the goal of NSAIDS?

A

-Decrease Pain and inflammation

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2
Q

What are the side effects of COX I inhibitors?

A
  • GI
  • Bleeding
  • Kidney side effects
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3
Q

What are the side effects of COX II inhibitors?

A
  • MI
  • Stroke
  • Hypertension
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4
Q

What are non-selective COX I and II inhibitor drugs?

A
  • Aspirin
  • Ibuprofen
  • Naproxen
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5
Q

What is a selective COX II inhibitor?

A

-Celecoxib

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6
Q

What are adverse effects common for all NSAIDS?

A

Tinnitis (CNS) and skin rashes

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7
Q

What are CVS adverse effects of NSAIDs?

A

-Hypertension (COX-II)

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8
Q

What are GI adverse effects of NSAIDS?

A
  • Nausea
  • Ulcers
  • Bleeding
  • COX-I
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9
Q

What are Hepatic adverse effects of NSAIDS

A

-Altered liver functions (COX-I)

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10
Q

What are Pulmonary adverse effects of NSAIDS?

A

-Asthma (COX-I)

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11
Q

What are skin adverse effects of NSAIDS?

A

-Rashes (all NSAIDs)

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12
Q

What are Renal adverse effects of NSAIDS?

A
  • Insufficiency (COX-I and II)

- can have renal failure in extreme cases

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13
Q

Glucocorticoids have a dramatic effect on what?

A

-Inflammation and slowing bone erosions in RA

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14
Q

What are the side effects of glucocorticoids? how can you minimize the side effects?

A
  • Loss of muscle mass
  • Osteoporosis
  • Diabetogenesis
  • Peptic ulcers
  • Round face
  • Buffalo hump
  • minimize side effects by applying close to site of inflammation
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15
Q

What is a long acting glucocorticoids?

A

-Dexamethasone

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16
Q

What are short to medium acting glucocorticoids?

A
  • Cortisone

- Prednisone

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17
Q

What are some examples of DMARDS drugs?

A
  • Methotrexate

- Sulfasalazine

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18
Q

What do DMARDS do?

A

-Decrease inflammation and slow bone damage in RA

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19
Q

What is Entanercept?

A
  • Anti-rhumatic/anti-autoimmune disease

- It inhibits inflammation by blocking TNF

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20
Q

What is Infliximab?

A
  • Antibody that blocks TNF

- used to treat inflammatory diseases

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21
Q

What is the cause of acne vulgaris?

A

-Inflammation/bacterial infection of plugged sebaceous glands

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22
Q

What do topical keratolytics do?

A
  • Treat acne vulgaris

- Remove keratin layer and opens sebaceous glands (also used as wart removers)

23
Q

What are two topical keratolytics?

A
  • Salicylic acid

- Benzoyl peroxide

24
Q

What are antibiotics used to treat acne vulgaris?

A
  • Erythromycin
  • Tetracycline
  • Clindamycin
  • Metronidazole
  • Dapsone
25
What are Retinoids?
-Vitamin A derivatives
26
What is a topical Retinoid?
-Retin A (Tretinoin)
27
What is a systemic Retinoid?
-Isotretinoin (Accutane)
28
What are the side effects of Retinoids?
- Dry skin - Sores - Major birth defects with isotretinoin
29
What are non-drug treatments to control acne vulgaris?
- UV phototherapy (acne causing bacteria are UV sensitive) | - Diet therapy
30
Muscle relaxants enhance levels of inhibition usually via what pathway?
-CNS (GABA mediated)
31
What type of muscle relaxants reduce muscle stretch reflex?
-Antispasmotics
32
What are five antispasmotic drugs?
- Diazepam - Baclofen - Dantrolene - Carisoprodol - Tizanidine
33
What is Baclofen?
- GABA b agonist | - Antispasmotic
34
What is Dantrolene?
- Alters Ca 2+ trafficking | - Antispasmotic
35
What drug used as an antispasmotic, works at the soma, and may have some dependence problems?
-Carisoprodol
36
What is a non-depolarizing neuromuscular blocking drug?
- D-Tubocurarine | - Pancuronium
37
What does D-Tubocurarine do?
-Block ganglionic nicotinic receptor
38
Acetylcholinesterase inhibitors block by overwhelming the blockade with what?
-ACh
39
What is a depolarizing neuromuscular blocking?
-Succinylcholine
40
How does succinylcholine block ganglionic nicotinic receptors?
-By desensitizing (overstimulating)
41
Does an acetylcholinesterase inhibitor reverse succinylcholine?
No
42
What are some viral thymidine kinase-dependent types of drugs used to treat singles and herpes?
- Acyclovir | - Famicyclovir
43
What is Zovirax or Denavir?
-Acyclovir drugs (ointments)
44
What drug is most effective for HSV 1 and 2 but is less potent on VZV?
-Acyclovir
45
What drug is effective against VZV and herpes viruses and is longer acting than acyclovir?
-Famicyclovir
46
What are some non-thymidine kinase dependent antiviral drugs?
- Foscarnet | - less of a resistant problem than thymidine kinase-dependent types
47
What are topical drugs used for cold sores/recurrent HSV?
- Denavir cream (Penicyclovir) - Zovirax - both are acyclovirs
48
what can chronic inflammation lead to?
- cancers - pulmonary disease - cardiovascular disease - diabetes - alzheimers disease - oral diseases (periodontal tissues) - neurological diseases - arthritis
49
how do glucocorticoids work?
block upstream mediators of inflammatory cascade by inhibiting phospholipases
50
what are the uses of glucocorticoids?
- allergic reactions - GI diseases (inflammatory bowel disease) - infections (sepsis) - joint inflammation (RA) - skin diseases (dermatitis) - pulmonary (asthma)
51
how are DMARDs potentially more toxic than other options?
- severe hepatotoxicity - stomatitis - immunosuppression
52
how do retinoids work to treat acne?
- increase exfoliation and clears follicles | - reduces sebum production and opens follicles
53
what are D-tubocurarine and pancuronium blocked by?
acetylcholinesterase inhibitors
54
how can you get the best effects of antiviral use for shingles and herpes?
use early in infection