MSK drugs Flashcards
neutrophil chemotactic agent
LTB4
LTC/D/E4 function
broncho/vasoconstriction, contraction of SM, and increase in vascular permeability
inhibits platelet aggregation and promotes vasodilation
PGI2
MOA of ASA
irreversably inhibits COX, lowering synth of TXA2 and prosoglandins,
use of ASA
low dose: inhibits platelet aggregation
Middle dose: antipyeretic/analgesic
high dose: anti-inflammatory
Tox of ASA
gastric ulcers, tinnitus
chronic use: kidney issues, upper GI bleeding
OD of ASA
hyperventalation, and resp alkalosis
NSAIDS MOA
REVERSABLY inhibits COX, lowering synth of TXA2 and prosoglandins,
Use of indomethacin (NSAID)
close PDA
tox of NSAIDS
intersistial nephritis, gastric ulcer, renal ischemia
advantages of COX-2 (celecoxib)
spares gastric mucosa
disadvantages of COX-2
increased risk of thrombis (cardiac event), sulfa allergies
-dronate class
bisphosphonates
MOA od bisphoshonates
binds hydrooxyapatite in bone, inhibiting osteoclast activity
use of bisphoshonates
osteoporosis, hypercalcemia, pagets dx of bone
tox of biphosphonates
corrosive esophagitis, osteonecrosis of jaw (phossy jaw)
chronic gout drugs
allppurinol, deboxustat, probencidm colchinine
acute gout drugs
NSAIDS, glucocorticoids
MOA of colchine
binds and stabilizes tublin to inhibit polymeraztion - imparing chemotaxis and degranulation
probencid MOA
inhibits xanithine oxidase
TNF-a decoy receptor
etanercept
anti-TNF a monoclonal antibody
infliximab, adalimumab