Ibuprofen feb 24 2022 Flashcards

1
Q

What is Ibuprofen commonly used to treat?

A

Fever, pain, dysmenorrhea (painful menstrual cramps), arthritis

Also referred to as Advil, Ibuprofen is a common over-the-counter medication.

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2
Q

What classification does Ibuprofen fall under?

A

Nonsteroidal anti-inflammatory (NSAID) , analgesic, nonopioid drug

It is commonly used for its pain-relieving and anti-inflammatory properties.

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3
Q

What is the mechanism of action of Ibuprofen?

A

Reversibly inhibits cyclooxygenase-1 and 2 (COX-1 and 2) enzymes

This leads to decreased formation of prostaglandin precursors.

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4
Q

What properties does Ibuprofen have?

A

Antipyretic, analgesic, anti-inflammatory

These properties make it effective in treating various conditions.

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5
Q

What is the onset of action for Ibuprofen when taken orally for analgesic effects?

A

30-60 minutes

Maximum effect for antipyretic properties is 2-4 hours.

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6
Q

What is the typical half-life elimination of Ibuprofen?

A

Around 2 hours

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7
Q

What advantages does Ibuprofen have over other NSAIDs?

A

Good relief for dysmenorrhea, promotes closure of ductus arteriosus in pre-term infants, well tolerated

It has less adverse effects and lower association with gastric bleed compared to Aspirin.

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8
Q

What are the indications for using Ibuprofen?

A

Fever, mild to moderate pain, dysmenorrhea, arthritis

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9
Q

What are the contraindications for Ibuprofen?

A

Hypersensitivity to Ibuprofen or NSAIDs, active GI bleed, pregnant patients in 3rd trimester

Asthmatic patients sensitive to NSAIDs or Aspirin should also avoid it.

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10
Q

What CNS adverse reactions can occur with Ibuprofen?

A

Dizziness, fatigue, headache, nervousness

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11
Q

What CVS adverse reactions can occur with Ibuprofen?

A

Increased fluid retention, edema (rare)

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12
Q

What is the adult dosing for mild to moderate pain with Ibuprofen?

A

400 mg PO every 4-6 hours prn

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13
Q

What is the adult dosing for primary dysmenorrhea with Ibuprofen?

A

400 mg PO every 4 hours prn

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14
Q

What is the adult dosing range for arthritis with Ibuprofen?

A

500 mg to 3.2 g/day every 4 hours prn

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15
Q

What is the pediatric dosing for fever reduction in patients with a temperature up to 39?

A

5 mg/kg PO every 6-8 hours

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16
Q

What is the pediatric dosing for fever reduction in patients with a temperature greater than 39?

A

10 mg/kg PO every 6-8 hours

17
Q

What is the pediatric dosing for juvenile arthritis?

A

30-40 mg/kg/day PO in 3 to 4 divided doses