Musculoskeletal Flashcards
Aspirin MOA
Irreversibly binds cyclooxygenase (COX1+2)decreases thromboxane A2 and prostoglandin synthesis
Aspirin - clinical use
low dose: decreased platelet aggregationintermediate dose: antipyretic/analgesichigh dose - anti-inflammatory
Aspirin - AEs
GI bleeding, tinnitus, acute renal failureRisk of Reye’s syndrome in kids treated for viral infection (strep vs mono)
NSAIDs - 5 common
Ibuprofen, naproxen, indomethacin, ketorolac, diclofenac
NSAIDs - MOA
Reversibly bind cyclooxygenase (COX 1+2)-> blocks prostaglandin synthesis
NSAIDs - clinical use
antipyretic, analgesic, anti-inflammatory
Specific NSAID used to close PDAs
Indomethacin
NSAIDs - AEs
interstitial nephritis, GI ulceration/bleeding, renal ischemia
COX-2 inhibitors - common one
celecoxib
COX-2 inhibitors - MOA
reversibly inhibits COX-2
COX-2 inhibitors - clinical use
Rheumatoid and osteoarthritisshould spare gastric mucosa and platelet function (COX-1 dependent)
COX-2 inhibitors - AEs
increased thrombosis risk
Acetaminophen - MOA
reversibly binds COX, mostly in CNS
Acetaminophen - clinical use
antipyretic and analgesic (NOT anti-inflammatory)use to avoid Reye’s in kids w/ viral infection
Acetaminophen - AEs
hepatic necrosis (glutathione depletion in liver)