MOA: Pro and Anti-inflammatory Drugs (Non-steroidal) Flashcards
Misoprostol
Prostaglandin agonists (proinflammatory)
-Agonist at prostaglandin receptors on parietal cells in the GI system
-Reduce gastric acid secretion
-Stimulate mucus and bicarbonate production
Iloprost
Prostaglandin agonists (proinflammatory)
Agonist at prostacyclin receptors, where binding increases production of cAMP and causes pulmonary vasodilation
Latanoprost
Prostaglandin agonists (proinflammatory)
Bind to prostaglandin FP receptors and increase uveoscleral outflow
-Reduces IOP
Travoprost
Prostaglandin agonists (proinflammatory)
Bind to prostaglandin FP receptors and increase uveoscleral outflow
-Reduces IOP
Bimatoprost
Prostaglandin agonists (proinflammatory)
Bind to prostaglandin FP receptors and increase uveoscleral outflow
-Reduces IOP
Aspirin
NSAIDs
Inhibit the synthesis of prostaglandins by inhibiting cyclooxygenase enzymes COX-1 and COX-2
Irreversibly inactivates cyclooxygenase, whereas all other NSAIDs are reversible
Indomethacin
NSAIDs
Acetic and propionic acid
Inhibit the synthesis of prostaglandins by inhibiting cyclooxygenase enzymes COX-1 and COX-2
Ibuprofen
NSAIDs
Acetic and propionic acid
Inhibit the synthesis of prostaglandins by inhibiting cyclooxygenase enzymes COX-1 and COX-2
Diclofenac
NSAIDs
Acetic and propionic acid
Inhibit the synthesis of prostaglandins by inhibiting cyclooxygenase enzymes COX-1 and COX-2
Naproxen
NSAIDs
Acetic and propionic acid
Inhibit the synthesis of prostaglandins by inhibiting cyclooxygenase enzymes COX-1 and COX-2
Ketorolac
NSAIDs
Acetic and propionic acid
Inhibit the synthesis of prostaglandins by inhibiting cyclooxygenase enzymes COX-1 and COX-2
Meloxicam
NSAIDs
Oxicam
NSAID preferential for COX-2
Inhibit the synthesis of prostaglandins by inhibiting cyclooxygenase enzymes COX-1 and COX-2
Piroxicam
NSAIDs
Oxicam
Inhibit the synthesis of prostaglandins by inhibiting cyclooxygenase enzymes COX-1 and COX-2
Celecoxib
NSAIDs
inhibits COX-2 specificly
Inhibit the synthesis of prostaglandins by inhibiting cyclooxygenase enzymes COX-1 and COX-2
Acetaminophen (Tylenol)
Acetaminophen
Inhibits prostaglandin synthesis, similar to COX-2 specific drugs, but with higher activity in the CNS
Hydroxychloroquine
Drugs for Arthritis (DMARD)
-Increases pH within inflammatory cells, leading to interference with “antigen processing”
-Decreases stimulation of CD4 cells
-Decreases the inflammatory reaction
Methotrexate
Drugs for Arthritis (DMARD)
Inhibits dihydrofolate reductase
Adalimumab
Drugs for Arthritis (DMARD)
Inhibit the TNF-alpha cytokine
Certolizumab
Drugs for Arthritis (DMARD)
Inhibit the TNF-alpha cytokine
Etanercept
Drugs for Arthritis (DMARD)
Inhibit the TNF-alpha cytokine
Golimumab
Drugs for Arthritis (DMARD)
Inhibit the TNF-alpha cytokine
Infliximab
Drugs for Arthritis (DMARD)
Inhibit the TNF-alpha cytokine
Anakinra
Drugs for Arthritis (DMARD)
IL-1 antagonist
Abatacept
Drugs for arthritis (DMARD)
Inhibits T-cell activation
Tocilizumab
Drugs for arthritis (DMARD)
Inhibits IL-6
Tofacitinib
Drugs for arthritis (DMARD)
Regulates immune cell function