Anti-inflammatory/ Anti-gout Flashcards

1
Q

aspirin

A

lolo
only irreversible inhibitor of cox
NSAID: 350-500mg
antiplatelet: 80 mg

s/e: dec GI protective

non selective cox inh

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

ibuprofen

A

analgesic but low anti-inflamm
do not give w aspirin

s/e: dec GI protective

propionic derivative
non selective cox inh

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

ketoprofen

A

s/e: dec GI protective

propionic derivative
non selective cox inh

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

flurbiprofen

A

long duration
s/e: dec GI protective
adr: MI, HTN

propionic derivative
non selective cox inh

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

naproxen

A

not acidic (less GI irritation)
s/e: dec GI protective

non selective cox inh

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

nabumetone

A

ketone
s/e: dec GI protective

non selective cox inh

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

etodolac

A

used in post-op as sub to morphine

ADR: pinpoint pupil
s/e: dec GI protective

non selective cox inh

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

ketorolac

A

used in post-op as sub to morphine

ADR: pinpoint pupil
s/e: dec GI protective

non selective cox inh

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

sulindac

A

related to sulfonamides
s/e: dec GI protective
ADR: sjs

non selective cox inh

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

indomethacin

A

inhibits PLA2
for closure of patent ductus arteriosus (alt: ibuprofen IV)

s/e: dec GI protective

non selective cox inh

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

“coxib”

A

cox II selective drugs
less ADR

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

phased out cox II inh bc of thrombosis

A

lumiracoxib
valdecoxib
rofecoxib (Vioxx)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

arthritis: wear and tear of joints

A

osteoarthritis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

arthritis: autoimmunity

A

rheumatoid arthritis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

arthritis: hyperuricemia

A

gouty arthritis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

tx for osteoarthritis

A

collagen supplements
avoid strenious activities

17
Q

band aid drug for arthritis

A

NSAIDs

18
Q

tx for chemotaxis

A

disease modifying antirehumatic drugs

immunosuppression

19
Q

abatacept

A

target cd80 & cd86

DMARD

20
Q

azathioprine

A

converted to 6-thioguanine
(-) dna synthesis

DMARD

21
Q

cyclophosphamide

A

alkylating agent; anticancer
dna breakage

adr: hemorrhagic cystitis (rescue drug: MESNA)

DMARD

22
Q

cyclosporine

A

targets calcineurin
adr: hirsutism, gingival hyperplasia

DMARD

23
Q

chloroquine/hydrochloroquine

A

antimalarial
first investigational drug against COVID

DMARD

24
Q

leflunomide

A

(-) dihydroorotate dehydrogenase
(-) dna synthesis

DMARD

25
Q

methotrexate

A

current dmard of choice

(-) folate syn (dna syn) by:
inh AICAR transformylase
inh thymidylate synthetase/ dihydrofolate reductase

adr: mucosuppression (rescue: folinic acid/leucovorin)

26
Q

mycophenolate

A

inh cytosine monophosphate (CMP)
adr: aplastic anemia

DMARD

27
Q

sulfasalazine

A

prodrug
active: sulfapyridine
adr: sjs

DMARD

28
Q

infliximab

A

monoclonal antibody
tnf alpha blocker

tnf alpha = signals wbc to attach to joints

DMARD

29
Q

adalimumab

A

monoclonal antibody
tnf alpha blocker

tnf alpha = signals wbc to attach to joints

DMARD

30
Q

etanercept

A

decoy receptor
tnf alpha blocker

tnf alpha = signals wbc to attach to joints

DMARD

31
Q

colchicine

A

500 mcg
inh tubulin (for wbc migration)
short duration (acute gout)

loading dose: 2 tabs
after 2 hrs: 1 tab
every 12 hrs: 1 tab (5-7 days)

antigout

32
Q

allopurinol

A

doc for chronic gout
purine analogue
active metabolite: alloxanthine

xanthine oxidase inh
dec uric acid
antigout

33
Q

febuxostat

A

first non-purine xanthine oxidase inh
dec uric acid
antigout

34
Q

probenecid

A

inh absorption of uric acid in PCT
uricosuric agents

+ penicillin = longer action for penicillin (inh secretion)

35
Q

sulfapyrazone

A

inh absorption of uric acid in PCT
uricosuric agents