Anti-inflammatory Drugs Flashcards

1
Q

On a Bronchoconstriction versus log histamine graph- what effect would adding Loratadine have to the curve?

A

Right shift

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2
Q

On a Bronchoconstriction vs. log ACh graph what effect would adding Diphenhydramine have?

A

Right shift

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3
Q

On a bronchoconstriction vs log AcH graph what effect would adding Fexofenadine have?

A

None

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4
Q

Name the leukotriene modifiers

A

zileuton
zafirlukast
montelukast

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5
Q

What things are signifigant about indomethacin

A

very potern, cause frontal headaches, kidney and GI problems

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6
Q

Name the prescription NSAID medications

A
Ketorlac
Indomethacin
Sulindac
Ketoprofen
Piroxicam
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7
Q

What are some advantages of SGE Antihistmines?

A

Do not cause drowsiness, less secretion drying

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8
Q

What enzyme does zileuton block?

A

5-lipoxygenase

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9
Q

Side effect of piroxicam?

A

Serious GI bleed

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10
Q

Why don’t SGA antihistamines cause drowsiness?

A

Very little crosses the BBB and it has affinity for P-glycoprotein

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11
Q

What enzyme converts Histidine to histamine?

A

L-histine decarboxylase

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12
Q

What are the effects of histamine binding with a H1 receptor?

A
bronchoconstriction
capillary permeability
itching
pain
hypersensitivity
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13
Q

Binding to what Histamine receptor increases gastric acid secretion?

A

H2

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14
Q

Some effects seen with H1/H2 mixed receptors?

A

Cardiac
Vasodilator
Triple response
Nasal symptoms

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15
Q

Antihistamines are classsically considered this type of drug? In fact they are this type of drug.

A

Antagonist

inverse agonist

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16
Q

Things that contribute/make hives?

A

histamine
prostaglandins
leukotriene

17
Q

Structural difference between Bradykinin and Kallidin

A

Bradykinin - 9 aa - ends with Lys

Kallidin - 10 aa - ends with Lys-Arg

18
Q

Which prostaglandins cause bronchostriction?

A

PGd and TXA

19
Q

Which prostaglandin cause many symptoms including vasodilation, increased vascular permeability, pain, redness, and fever?

A

PGe

20
Q

What effects do peptido leukotrienes have on the body?

A

swelling, chemotaxis and bronchoconstriction

21
Q

Bradykinins have numerous effects on the body. Name some of them

A

swelling, pain, bronchoconstiction, hypotension and redness

22
Q

Name the first generation antihistamines

A

Diphenhydramine

Chlorpheniramine

23
Q

Name 3 things that happen in acute inflammation

A

change in blood vessel caliber and flow
increased vascular permeability
leukocytic infiltration

24
Q

Which anti-inflammatory therapy targets multiple mediators?

A

NSAID

anti-inflammatory steroids

25
Q

What effect do bradykinins have on the cardiovascular system?

A

Decrease BP