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13 Cards in this Set

  • Front
  • Back

Non narcotic analgesic

Para-aminophenol derivatives


NSAIDs

Para-aminophenol derivatives

Phenacetin - nephrotoxic


paracetamol - hepatotoxic

1st line analgesic for OA

Paracetamol

SE of paracetamol

Mild transaminitis


SJS-TEN

Toxicity of paracetamol

> / = 150 mg/kg /day

Risk factors for paracetamol hepatotoxicity

Dose >/= 150 mg/kg/day


Pre-existing liver disease


Concomitant use of enzyme inducer (CYP1A2)

NSAIDs


Non selective

Aspirin and salicylates


Pyrazole


Indole


Pyrrole


Phenylaceric acid


Fenamates


Oxicams


Propionic acid

Natural sources of narcotics

Opium:


P. somniferum


P. bracteatum

MOA of narcotics

Stimulate the release and mimic the action of endogenous opioid peptides

endogenous opioid peptides

Endorphins, endomorphin, enkephalins, dynorphins

Narcotic receptors

Mu, kappa, delta

Effects of narcotics

Clinical uses of narcotics