MSK Flashcards
Colchicine
Acute Gout and prophilactic
Inhibit microtubule polimerization: impairing neutrophil quimiotaxis and degranulation
Febuxostat
Chronic gout
Inhibit xanthine oxidase
Allopurinol
Competitive inhibitor of xanthine oxidase
Hypoxanthine to xanthine
Etanercep
Fusion protein (decoy receptor for TNF-et + IgG1 Fe) Use: AR, ankylosing Spondylitys, psoriasis
Infliximab
Adalimumab
Golimumab
Certolizumab
Anti-TNF-et monoclonal antibody.
Use: inflammatory bowel disease, AR, ankylosing Spondylitys, psoriasis,
Meloxicam
Piroxicam
Diclofenac
Ketorolac
Inhibit COX-I and COX-2
EA: nephritis interstitial, gastric ulcer, renal ischemia, aplastic anemia
Indometacin
Inhibit COX-I and COX-2
Use: Closes PDA
Leflunomide
Reversibly inhibits dihydroorotate dehydrogenase, prevent pyrimidine synthesis
Use: AR, psoriatic arthritis
Alendronate
Ibandronate
Risedronate
Zoledronate
Use: Osteoporosis, hypercalcemia, Paget disease of bone, metastatic bone disease, osteogenesis
imperfecta.A: Esophagitis, osteonecrosis of jaw, atypical femoral fracture
Teriparatide
Recombinant PTH analog, osteoblastic activity
Oseoporosis, increases bone growth
Aspirin
Irreversibly inhibits cyclooxygenase (both COX-I and COX-2)
Increases bleeding time
AE:Acute kidney injury, interstitial nephritis, GI bleeding
Reye syndrome
When aspirin is used for viral infection
In children
Increases uterine tone
PGE2: Dinoprostone
PGF2Alpha: Carboprost
Reduces vascular tone
PGE1: alprostadil
Decreases platelet aggregation and vascular tone
PGI2: Epoprostenol