Inflammation Pharm Flashcards
Dr. Welsh
Aspirin, Ibuprofen, Naproxen, Indomethacin, and Diclofenac are all ______s
NSAID
NSAIDS inhibit the _____ enzyme, by binding to Arachidonic acid and not allowing it to be converted
COX-2
What is special about Asprin’s binding mechanism?
It’s Irreversible!
Bradykinin _____ the blood pressure and stimulates pain receptors
Lowers
The main prostanoid in inflammation is PG_____
E2
The Eicosanoid _____ Promotes thrombosis and vasoconstricts (Opposite of PGI2)
TXA2
Selective COX-2 Inhibitors increase the risk of _____, because there’s a slight excess of _____
Thrombosis, TXA2
Prostaglandin _____ promotes gastric mucus secretion and inhibits acid secretion; PROTECTION, but also INFLAMMATION everywhere else
E2
Cox____ maintains homeostasis while Cox_____ is more involved with inflammation
1, 2
A reduction in “housekeeping” prostaglandins like PGE2 protecting the stomach gets wrecked by too much _____, that’s why people with ulcers are not reccomended to take this medicine
Aspirin
_____ not an NSAID, but has anti-pyretic and analgesic properties; over-dose can happen at 2-3 times of Tx and get NAPQI
Acetaminophen
Blocking COX1 and COX2 with NSAIDs causes a buildup of Arachidonic acid and causes it to be acted on by _____ to get Leukotrienes LTC4, LTD4, LTE4 for “4llergic” reactions
5-Lipoxygenase
Prostaglandin _____ INHIBITS clots and vasodilates (opposite of TXA2)
I2 (Prostacyclin)