Anti-Inflammatory Drugs Flashcards

1
Q

histamine

A

vasodilation/redness
swelling (vascular permeability)
bronchoconstriction (type 1)
hypotension

histidine — [L-histadine decarboxylase —- > histamine

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2
Q

LTB4

A

pain

chemotactic for neutrophils*

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3
Q

LTC4, LTD4, LTE4

A

peptido leukotrienes
swelling (vascular permeability)
eosinophil chemotactic
bronchoconstriction (type 1)*

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4
Q

PGD2

A

bronchoconstriction (type 1)

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5
Q

PGE2

A

vasodilation/redness
pain
fever* (IL-1 –> PGE2 –> hypothalamus –> fever)

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6
Q

PGI2 (prostacyclin)

A

vasodilation/redness

pain

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7
Q

TXA2 (thromboxane)

A

causes platelet aggregation

vasoconstriction

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8
Q

bradykinin

A

strong vasodilator – hypotension

+lots more

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9
Q

kallidin

A

strong vasodilator – hypotension

+lots more

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10
Q

Diphenhydramine

A

Sedating Antihistamine

H1 inverse agonist, but also blocks muscarinic, alpha adrenergic, and serotonin receptors

sedation, drying of secretions (anticholinergic), GI disturbances

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11
Q

Chlorpheniramine

A

Sedating Antihistamine

H1 inverse agonist, but also blocks muscarinic, alpha adrenergic, and serotonin receptors

sedation, drying of secretions (anticholinergic), GI disturbances

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12
Q

Cetirizine (OTC)

A

non-sedating antihistamine (H1 inverse agonist)
doesn’t penetrate CNS
P-glycoprotein substrate

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13
Q

Fexofenadine

A

non-sedating antihistamine (H1 inverse agonist)
doesn’t penetrate CNS
P-glycoprotein substrate

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14
Q

Loratadine (OTC)

A

non-sedating antihistamine (H1 inverse agonist)
doesn’t penetrate CNS
P-glycoprotein substrate

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15
Q

zileuton

A

lipoxygenase inhibitor

inhibits 5-lipoxygenase –> prevents synthesis of LTB4 (reduced pain and neutrophil chemotaxis)

hepatic tox d/t P450 inhibition (interactions?)

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16
Q

zafirlukast

A

leukotriene receptor antagonist (LTD4 agonist = decreased bronchioconstiction)

inhibits CYP450 (drug interactions?)

17
Q

montelukast

A

leukotriene receptor antagonist (LTD4 agonist = decreased bronchioconstiction)

prescribed more b/c of once PO admin and no restrictions to meals

18
Q

acetylsalicylate

A

aspirin (OTC) – NSAID

irreversibly acetylates COX 1 and COX2 serine residues

19
Q

ibuprofen

A

NSAID w/ fewer side effects than aspirin

20
Q

naproxen

A

NSAID

21
Q

ketorolac

A

NSAID

22
Q

indomethacin

A

NSAID – most potent*

23
Q

sulindac

A

NSAID

24
Q

ketoprofen

A

NSAID

25
Q

piroxicam

A

NSAID – serious GI bleeding*

26
Q

celecoxib

A

COX 2 inhibitor – 10 to 20x more selective for COX2

27
Q

acetaminophen

A

analgesic, antipyretic, but NOT anti-inflammatory

inhibits COX in the CNS

serious hepatic injury

28
Q

H2 receptor stimulation will cause…

A

gastric acid secretion

29
Q

actions of kallidin and bradykinin via B2 receptor…

A

Kallidin and bradykinin are more active than des-arg forms

hypotension, edema, pain, Na+ excretion

30
Q

actions of kallidin and bradykinin via B1 receptor…

A

des arg forms most active (thanks to kininase I)

chronic inflammation

vasodilation, pain