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14 Cards in this Set
- Front
- Back
Aspirin
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pain, fever and inflammation
Irreversible COX-inhibitor in Platelets, kidney and gut decrease PG synthesis, and TXA2 |
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Acetaminophen
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Inhibits COX-3 in CNS
pain and fever, NOT inflammation |
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Pain and Inflammation reducers
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Ibuprofen
Ketoprofen Naproxen Indomethacin Piroxicam-very long half life, 200X potency |
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Selective COX2 inhibitors
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Celecoxib
Rofecoxib Valdecoxib -increased risk of CV event due to dec. PG, less inhibition of PLT |
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Antirheumatic Drugs
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Gold Salts
Methotrexate Chloramucil Cyclophsphamide Cyclosporine Penicillamine Sulfasalazine |
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Methotrexate
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inhibits DNA synthesis
immunosuppressant retained in cells for weeks |
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Chloramucil
Cyclophsphamide |
crosslinks DNA
inhibits cell replication |
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Cyclosporine
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inhibits IL-1 and IL-2 , disrupts T-cell response
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TNF-alpha blocking agents
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inhibits macrophage and T-cell function
Adalimumab Infliximab Etanercept Lefunomide |
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Drugs that prevent Gout
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Allopurinol
Probenecid and Sulfinpyrazone and high-dose salicylates |
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Allopurinol
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xanthine oxidase inhibitor, purine analog
lasts a long time give if too much uric acid being produced (> 800 mg) |
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Probenecid and Sulfinpyrazone and high-dose salicylates
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inhibit proximal tubular reabsorption, lost in urine
use if uric acid excreted is < 800 mg (too little is being excreted, this will increase the clearance!) |
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Drugs to treat Gout attacks
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Colchicine
NSAIDs- only nonsalicylates -Ibuprofen, Naproxen, Ketoprofen -NO ASPIRIN |
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Colchicine
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Prevents polymerization of tubulin into microtubules
inhibits leukocyte migration inhibits synthesis and release of leukotrienes |