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14 Cards in this Set

  • Front
  • Back
NSAID's
Anti-inflammatory drugs
Reduces symptoms of inflammation including; pain, fever, loss of function, redness and swelling.
Analgesic, antipyretic
Rheumatism
General term for any of several disorders characterized by inflammation, degeneration, or metabolic derangement of connective tissue
NSAID's uses
Inflammation reduction, fever reduction, mild to moderate pain relief
arthritis, rheumatism, myalgia, neuralgia, and arthralgia, gout, hyperuricemia.
Acetylsalicyclic acid
Aka: Aspirin
Same effects as other NSAIDs
Adverse effects are GI intolerance, bleeding, renal impairment,
Arachidonic pathways
Inhibits Prostaglandins (PG's) or Leukotriene (LT) pathways both which lead to inflammatory responses.
By inhibiting these pathways inflammation is reversed.
Antipyretic: reduces fever
Inhibits prostaglandin E2 by inhibiting biosynthesis of within preoptic-hypothalamic are of the brain that controls temperature
Gout
Treated with NSAIDs
Inappropriate uric acid metabolism (underexcreation or overproduction)
Uric acid crystals are deposited in tissued and joints causing pain
Allopurinol (Zyloprim)
Used to reduce production of uric acid
Colchine
Reduces inflammatory responses to the deposits of urate crystals in the joints
Probenecid (Benemid) and Sulfinpyrazone (Anturane)
Increases the excretion of uric acid in the urine
NSAID's (Adverse Effects)
GI problems: Dyspepsia, heartburn, epigastric nausea, GI bleeds, mucosal lesions
Renal: Reduction in creatinine clearance, acute tubular necrosis with renal failure
Cardiovascular: Noncardiogenic pulmonary edema
NSAID (Toxicity)
Adults: Tinnitus, hearing loss
Children: hyperventilation and CNS effects, reyes syndrome
Metabolic acidosis and respiratory alkalosis
NSAIDs (Interactions)
Anticoagulants
Aspirin
Corticosteroids and ulcer drugs
Protein bound drugs
Antirheumatoid Arthritis Drugs (Disease-modifying antirheumatic drugs, DMARDs)
Slow onset (several weeks)
3-6 months before full effects are seen
Much more toxic than NSAIDs
Anti-inflammatory, antiarthritic, immunomodulating effects
Ex: auranofin, aurothioglucose, gold sodium thiomalate, leflunomide