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15 Cards in this Set

  • Front
  • Back
Corticosteroids
Inhibit Phospholipase A2= ↓arachidonic acid
↓expression of COX-2
Aspirin
IRREVERSIBLE cycloxygenase inhibitor
low dose (<300mg/day): ↓platelet aggregation due to ↓TXA2
intermediate dose: antipyretic and analgesic
high dose (>2400mg/day) anti-inflammatory

Tox: GI, Acute Renal Failure, Interstitial Nephritis, Reye's syndrome in kids with viral infection
Ibuprofen
NSAID: reversible COX-1 and COX-2 inhibitor

Tox:renal damage, fluid retetion, aplastic anemia, GI distress, ulcers
Naproxen
NSAID: reversible COX-1 and COX-2 inhibitor

Tox:renal damage, fluid retetion, aplastic anemia, GI distress, ulcers
Indomethacin
NSAID: reversible COX-1 and COX-2 inhibitor
Closes PDA, Acute Gout

Tox:renal damage, fluid retetion, aplastic anemia, GI distress, ulcers
Ketorolac
NSAID: reversible COX-1 and COX-2 inhibitor

Tox:renal damage, fluid retetion, aplastic anemia, GI distress, ulcers
Celecoxib
Reversible COX-2 inhibitor; spares COX-1 which helps maintain gastric mucosa
Rheumatoid Arthritis, Osteoarthritis

Tox: thrombosis, SULFA drug
Acetaminophen
Reversible COX inhibitor- selective for mostly CNS; inactivated in periphery
Antipyretic, Analgesic, NO anti-inflammation use

Tox: hepatic necrosis; depletes GLUTATHIONE

Antidote: N-acetylcysteine
-DRONATE
Etidronate
Pamidronate
Alendronate
Risedronate
Bisphosphonates: inhibits osteoclast activity; reduces hydroxyapatite formation and resorption
Paget's disease, Osteoporosis, Malignancy-associated Hypercalcemia

Tox: corrosive esophagitis, nausea, diarrhea
Colchine
Prevents tubulin polymerization= no leukocyte degranulation
Acute Gout

Tox: GI

Indomethicin is less toxic
Probenicid
Inhibits reabsorption of uric acid in Proximal Convoluted Tubule
CHRONIC Gout- for those with excretion problems

Tox: inhibits secretion of penicillin
Allopurinol
Inhibits Xanthine Oxidase= ↓conversion to uric acid
CHRONIC Gout, Lymphoma, Leukemia
Etanercept
TNFα decoy reCEPTor (etanerCEPT)
Rheumatoid Arthritis, Psoriasis, Ankylosing Spondylitis
Infliximab
Anti-TNFα Antibody
Rheumatoid Arthritis, Ankylosing Spondylitis, Crohn's Disease

Tox: reactivation of TB
Adalimumab
Binds TNFα
Rheumatoid Arthritis, Psoriasis, Ankylosing Spondylitis