Ch. 20 Analgesic Drugs Flashcards
Salicylate Analgesic
over-the-counter drugs. 3 therapeutic effects: Analgesic Anti-Inflammatory Antipyrectic
Salicylate Drug List
aspirin (Bayer Aspirin, Ecotrin, Empirin)
diflunisal
magnesium salicylate (Doan’s)
salsalate (Salsitab)
Analgesic
provide relief from mild-to-moderate pain by inhibiting the release of prostaglandins from damaged tissue
Anti-Inflammatory
Decrease inflammation, also by inhibiting the release of prostaglandins from damaged tissue
Antipyrectic
reduce fever by acting on the hypothalamus to cause vasodilation and sweating. This increases heat loss from the skin and lowers an elevated body temperature.
Anticoagulant
(4th therapeutic effect that is unique and not shared by other salicylate drugs
Aspirin prolongs the clotting time of the blood by inhibiting thromboxane, a substance in blood that causes platelets to aggregate.
Nonsalicylate Analgesic
include acetaminophen and other drugs that relieve pain with a therapeutic effect that is different from that of the salicylate drug aspirin.
Acetaminophen
Tylenol
nonsalicylate drug that is not related to aspirin.
2 therapeutic effects;:
Analgesic - weakens enzyme COX-1 and COX-2
Antipyretic
Nonsalicylate Drug List
acetaminophen
clonidine (Duraclon)
zinconotide (Prialt)
Nonsteroidal Anti-Inflammatory Drug
NSAIDs
have an analgesic effect because they inhibit the production of prostaglandins.
treat mild-to-moderate pain and inflammation
Subcategory of COX-2 inhibitor drugs
NSAIDs List
celecoxib (Celebrex) diclofenac etodolac fenoprofen (Nalfon) ibuprofen (Advil, Motrin IB) indomethacin (Indocin) ketoprofen ketorolac meclofenamate mefenamic acid (Ponstel) meloxicam (Mobic) naproxen (Aleve,Anaprox, Naprosyn) oxaprozin (Daypro) piroxicam (Feldene) sulindac (Clinoril)
- profen
- coxib
- common to generic NAIDs
- common to generic COX-2 inhibitor drugs
esomeprzaole (Nexium)
lansoprazole (Prevacid)
proton inhibitor drugs decrease the amount of acid in the stomach and are used to treat ulcers caused by NSAIDs
Narcotic Analgesic Drugs
used to treat moderate-to-severe pain.
Narcotic means numbness. also produce sedation and a sense of heightened well-being (euphoria)
relieve pain by binding to opioid receptors in the brain and blocking pain impulses coming from nerves in the body
Narcotic Analgesic List
buprenorphine (Butrans) butorphanol (Stadol) codeine fentanyl (Abstral, Actiq, Duragesic, Fentora, Onsolis) hyrdocodone (Zohydro ER) hydromorphone (Dilaudid) levorphanol (Levo-Dromoran) meperidine (Demerol) methadone (Dolophine, Methadose) morphine (Astramorph, Duramorph, MS Contin) nalbuphine (Nubain) oxycodone (Oxecta, OxyContin) oxymorphone (Opana) pentazocine (Talwin) tapentadol (Nucynta) tramadol (Ultram)