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20 Cards in this Set
- Front
- Back
Celestone soluspan |
Corticosteroid Phosphate solution for short acting Acetate for long acting (cloudy) |
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Decadron |
Dexamethasone phosphate Phosphate Glucocorticoid Long acting |
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Kenalog |
Triamcinalone acetonide Acetate glucocorticoid Intermediate acting |
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Methylprednisone |
Oral Corticosteroid
Contraindicated in: GI disease May cause necrosis of hip Interactions: Insulin, antihypertensives, digoxin, aspirin, oral anticoagulants, cyclosporine, vaccines Complications: glaucoma, weight gain (moon face), diabetes, cataracts |
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COX 1 and COX 2
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COX 1: housekeeping enzymes COX 2: responsible for inflammation |
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Diclofenac
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COX 2 selective NSAID Better than others for GI disease (and renal disease/asthma) |
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Naproxen |
Non-selective NSAID Aleve Can be used in children (so can ibuprofen) Also: Naproxen sodium - but also watch for hypertension (extra sodium) |
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Oxaprozin |
Nonselective NSAID Interacts with H2 receptor antagonists |
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Nabumetone |
Non-selective NSAID Only non-acidic NSAID, but still causes ulcers (from prostaglandin inhibition) |
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Sulindac (Clinoril)
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Non-selective NSAID
No Renal effects Causes hypersensitivity - erythema multiforme and SJS |
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Indomethacin (Indocin) |
Non-selective NSAID Used in acute gouty attacks Very potent Do not use in elderly - causes confusion ADR: GI, thrombocytopenia, agranulocytosis |
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Tolmetin (tolectin) |
Non-selective NSAIDs
Used in children |
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Fenoprofen (Nalfon) |
Similar to ibuprofen Onset of action: 15-30 minutes |
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Meloxicam (Mobic) |
Less COX 1 activity than many NSAIDs Used a lot today |
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Diclofenac |
Commonly used, NSAID with less COX 1 activity Good for asthmatics, GI issues |
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Misoprostol (Cytotec) |
Prostaglandin analogue. Pregnancy category X Voltaren/Misoprostol (Arthrotec) |
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Celecoxib (Celebrex) |
Selective COX 2 inhibitor Can cause cardiovascular issues Do not use in those with sulfa allergy Interactions: lithium and diflucan (fluconazole) |
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Thromboxane is.... |
Formed by COX 1 Vasoconstrictor Platelet Aggregator |
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Prostacyclin is... |
Formed by COX 2 Vasodilator Inhibits platelet aggregation |
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Colchicine |
Gout treatment NSAID C.I.: renal/hepatic disease, GI, cardiac disease Dosing: 1.2 mg start of attack, .6 mg 1 hour later |