Anti-inflammatory Drugs and DMARDS Flashcards

1
Q

Anti-inflammatory drugs

A

Inhibit the cyclooxygenase [COX]

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2
Q

COX

A

Responsible for the formation of prostaglandin

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3
Q

Function of prostaglandins

A

Pain and inflammation

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4
Q

COX - 1

A

Protective lining of the stomach

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5
Q

COX-2

A

Pain and inflammation

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6
Q

Non selective NSAIDS

A

Inhibit both COX-1 and 2

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7
Q

Examples of non-selective NSAID

A
  • Aspirin
  • Ibuprofen
  • Ketoprofen
  • Naproxen
  • Mefenamic Acid
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8
Q

Side effects of Non-selective NSAIDS

A
  • Gastric upset
  • gastric ulceration
  • gatric bleeding
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9
Q

Selective NSAID

A
  • Inhibit COX-2; spared COX-1

- COX-2 NSAID

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10
Q

Side effect of selective NSAID

A
  • Cardiac Arrest

- Stroke

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11
Q

COX-1

A

Protective lining of the stomach

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12
Q

Thromboxane (cox-1)

A
  • increases the activity of platelets
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13
Q

Prostaclyclin (cox-2)

A
  • for vasodilation

- inhibit platelet aggregation in the corpnary artery and carotid artery

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14
Q

Corticosteroids/Glucocorticoids

A
  • endogenous steroids (androgen and cortisol)

- stimulates the leukocytes and macrophages

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15
Q

Examples of corticosteroids

A
  • cortisone
  • prednisone
  • prednisolone
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16
Q

Side effects of corticosteroids

A
  • brittle bones (decreases the breaking down of Vit D)
  • osteoporosis
  • risk to fracture
17
Q

Bestra (Cox-2 NSAID)

A

Banned in states

SE: cardiac effects

18
Q

Disease Modifying Anti-Rheumatic drugs

A

Goal: chronic inflammation and prevent bone destruction

- decreases the activity in the immune system

19
Q

Examples of DMARDS

A
  • Methotrexate
  • Leflunomide
  • Anakinra
  • Azathioprine
20
Q

SE of DMARDS

A
  • SOB
  • nausea/vomitting
  • distress
  • infection