Final 3!!! Flashcards
(27 cards)
Analgesic
Antipyretic
dec pain
dec fever
Aspirin daily dosages
Low?
Medium?
High?
Primary Uses?
Low (75-81mg/day) for antiplatelet
Medium (650-4000 mg/day) antipyretic and analgesic
High (4000-8000 mg/day) antiinflammation
antiplatelet
Aspirin
ADR
GI ulcers, impaired kidney function
NO for kids
NSAID
1st gen
Naproxen - otc
Indomethacin
Ketoprofen -otc
Etodolac
Ketorolac - potent af
Ibuprofen - ot
Which NSAIDs are OTC? 3
ibuprofen
naproxen
ketoprofen
Agents:
Uses:
ADR: increased risk of cardiac events
Celecoxib
Meloxicam (partial)
decreases risk of ulcers bc no COX 1 inhibition
increased risk of cardiac events
Acetaminophen
Uses:
Dose:
ADR:
analgesic and antipyreticDose:
Acute: 4g
Chronic: 3g
Hepatic impairment: 2g
ADR: can cause hepatotoxicity
Full agonists:
Full agonists:
Morphine
Meperidine
Methadone
Fentanyl strongest
Oxycodone
Codeine
Hydrocodone
Naloxone
Naltrexon
It can treat narcotic overdose in an emergency situation
Opioid ADR
Constipation - most common
Respiratory depression - most serious
Drowsiness
Itching - parenteral
N/V
Hyperglycemia symptoms
Polyuria
Drinking lots that’s why pee a lots?
or pee lots that’s why drinking a lots?
Pee lots that’s why drinking a lots.
What is the function of insulin?
Insulin is a hormone that lowers the level of glucose (a type of sugar) in the blood
Sulfonylureas
agents
most effective class
Glyburide
Glipizide
Glimepiride
Glyburide
Note
Sulfonylureas
ataking in the morening
becomes less effective overtime
Meglitinides
agents
Repaglinide
Nateglinide
“glinide”
Meglitinides
must skip med if skip meal
take before meal
Insulin sensitizer
Biguanides
agent
Biguanides: other most effective class
metformin
metformin
ADR
BBW!!
no hypoglycemia or weight gain
Lactic acidosis
contraindicated in reduced kidney function
Thiazolidinediones (TZDs)
agent
Pioglitazone
Posiglitazone
“glitazone”
Pioglitazone
ADR
BBW!!
increase ovulation
severe heart failure
SGCT 2 inhibitor:
Agents:
Canagliflozin
Dapagliflozin
Empagliflozin
“gliflozin”
Canagliflozin
a) ADR
b) BBW!
a): no risk of hypoglycemia, contraindicated in renal impairment
Makes u pee out glucose
b) diabetic foot ulcers and amputation
DPP-4 inhibitors
agents
ADR
Alogliptin
Sitagliptin
Saxagliptin
Linagliptin
“gliptin”
Facial edema
GLP-1 agonists meds
agent
pramilintide
(amylinomimetic)
“tide”