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20 Cards in this Set

  • Front
  • Back

Arachinonic acid is converted to good "housekeeping" prostaglandins that promote normal cellular responses by _____________ , while the prostaglandins that are responsible for inflammation are converted from arachidonic acid by _______________________.

COX1, COX2



What are the uses of prostaglandins (5)

Tx pulmonary hypertension


Induce childbirth/contractiosn


Prevent closure of PDA


Prevent peptic ulcers


Tx Glaucoma/Ocular HTN

Misoprostol (Cytotec)

PGE Analog to treat peptic ulcer by increasing mucus production and decreasing gastric acid secretion.

Illoprost (Ventavis)

PGI Analog that when inhaled is a potent pulm vasodilator used to tx pulm hypertension

Alprostadil

PGE analog used to keep PDA open

Latanopros (Xalatan)


Bimatoprost (Lumigan)

Reduce elevated intraocular pressure in patients with open angle glaucoma or ocular htn.

Aspirin

Nonselective COx 1 and 2 inhibitor

Ibuprofen

Nonselective COx 1 and 2 inhibitor

Naproxen

Nonselective COx 1 and 2 inhibitor

Ficlofenac

Nonselective COx 1 and 2 inhibitor

Ketorolac

Nonselective COx 1 and 2 inhibitor

Celecoxib (Celebrex)

Selective Cox 2 inhibitor

Remember question question 30, about rheumotoid arthritis

Gout is associated with high levels of?

Uric Acid

Allopurinol

Xanthine oxidase inhibitor


Prevents gouty attacks

Febouxostat (Uloric)

Xanthine oxidase inhibitorPrevents gouty attacks

Probenecid

Increases uric acid excretion in the kidney

Colchicine

Reduces inflammatory response associated with gout, and is used more for treatment and relief of pain in acute gouty attack .

What is the MOA for Triptan drugs

Agonistic effects on central serotonin receptors in cranial blood vessels which cause their constriction


Influence on trigeminal nerve endings which causes ihibition of pro-inflammatory and pain transmitter release.


Work in 70-80% of patient to abort attack within 30-90 minutes.

Imitrex


Maxalt


Zomig

Triptan drugs for migraine.