Anti-Inflammatory Drugs Flashcards
histamine
vasodilation/redness
swelling (vascular permeability)
bronchoconstriction (type 1)
hypotension
histidine — [L-histadine decarboxylase —- > histamine
LTB4
pain
chemotactic for neutrophils*
LTC4, LTD4, LTE4
peptido leukotrienes
swelling (vascular permeability)
eosinophil chemotactic
bronchoconstriction (type 1)*
PGD2
bronchoconstriction (type 1)
PGE2
vasodilation/redness
pain
fever* (IL-1 –> PGE2 –> hypothalamus –> fever)
PGI2 (prostacyclin)
vasodilation/redness
pain
TXA2 (thromboxane)
causes platelet aggregation
vasoconstriction
bradykinin
strong vasodilator – hypotension
+lots more
kallidin
strong vasodilator – hypotension
+lots more
Diphenhydramine
Sedating Antihistamine
H1 inverse agonist, but also blocks muscarinic, alpha adrenergic, and serotonin receptors
sedation, drying of secretions (anticholinergic), GI disturbances
Chlorpheniramine
Sedating Antihistamine
H1 inverse agonist, but also blocks muscarinic, alpha adrenergic, and serotonin receptors
sedation, drying of secretions (anticholinergic), GI disturbances
Cetirizine (OTC)
non-sedating antihistamine (H1 inverse agonist)
doesn’t penetrate CNS
P-glycoprotein substrate
Fexofenadine
non-sedating antihistamine (H1 inverse agonist)
doesn’t penetrate CNS
P-glycoprotein substrate
Loratadine (OTC)
non-sedating antihistamine (H1 inverse agonist)
doesn’t penetrate CNS
P-glycoprotein substrate
zileuton
lipoxygenase inhibitor
inhibits 5-lipoxygenase –> prevents synthesis of LTB4 (reduced pain and neutrophil chemotaxis)
hepatic tox d/t P450 inhibition (interactions?)