Anti- Inflammatory Flashcards
Thromboxane
Platelet aggregation
Vasoconstriction
Prostaglandin
Vasodilation
vascular permeability
oedema
Sensitive nocireptice fibres to stimulation by other inflammatory mediators
Prostaglacyclin
Inhibit platelet aggregation and vasodilation
Leukotriene
Increase vascular permeability
Promote leukocyte chemotaxis
COX1
Skipl
Aspirin
Non selective inhibitor
Inhibit cox
Inhibit platelet aggregation
Anti platelet in cardiovascular disorder
Ibuprofen
Non selective NSAIDs
Reversible COX inhibitors
For mild to moderate pain
SE: GIT
Rofecoxib
COX2 inhibitors
Fewer GIT side effects
No cardioprotective effect
Paracetamol
Analgesic, antipyretic, little anti inflammatory
Reversible non competitive inhibitor
COX2
Hepatotoxicity: NAPBQI
Antidote: NAC
Diclofenac/ ketorolac
Topical opthalmic
Corneal abrasion, ocular inflammation
Betamethasone
Glucocorticoid
Bronchial asthma
Rheumatoid arthritis
Inflammatory bowel condition
Inflammatory skin condition
Anti inflammatory: inhibitor arachidonic acid by synthesising lipocortin, inhibit prostaglandins and leukotrienes
Immunosuppressant: Tam pani T cell suppression Antibody produced Antigen processed Monocytes Neutrophils Phagocytosis IL2
SE: CG DB WIB Cushing syndrome Growth suppression Diabetes Bone metabolism Wound healing impaired Immune system suppressed
DMARD
Gold salts
Hold joint damage
Infliximab
Anti cytokines
Target TNF-a
Basiliximab
Monoclonal antibodies against a chain of IL2 receptor
Cetirizine
H1 receptor antagonist
Allergic: hay fever, insect bites, drug hypersensitivity, antiemetic, sedation