B/28 NSAIDs, non-opioid analgesics, gout Flashcards
Metamizole
NSAID
Analgesic and antipyretic. Relaxes SM
Rarely agranulocytosis
Naproxen
NSAID
Long acting. More COX1
Analgesic, antiinflammatory
Ibuprofen
NSAID
Short acting
Antiinflammatory and analgesic. Mostly COX1
Safer than ASA (can be used in children)
Special indication: to close Botallo duct
Ketoprofen
NSAID
Short acting
Antiinflammatory, analgesic
COX1 mostly
LOX inhibitor as well
Phenylbutazone
NSAID
Strong antiinflammatory
Only for severe inflammations and maximum for one week
Also available as a cream (obs allergic reaction)
High toxicity
Indomethacin
NSAID
Short acting. Strong antiinflammatory.
Mostly COX1
Diclofenac
NSAID
Both COX1 and COX2
Antiinflammatory and analgesic. Cumulates in joints
Can be given to children
Elevates liver transaminases, increased CV risk
Meloxicam
NSAID
Long acting. Antiinflammatory.
Mostly COX2
Celecoxib
NSAID
Selective COX2 inhibitor
Antiinflammatory
May cause allergy (sulfa)
Paracetamol
Short acting. Analgesic, antipyretic
Hepatotoxic
OTC
Colchicin
Relieves acute gout attack
Oral
High toxicity
Allopurinol
Gout prophylaxis
Inhibits XO
Rasburicase
Prophylaxis for gout
Recombinant urate oxidase
Slow infusion
Allergy, fever