Non-opioids Flashcards
1
Q
COX inhibitors MOA
A
inhibits cyclooxygenase (prevent PG synthesis) - > PG1 and Arachidonic acid
2
Q
COX 1
A
platelet functions -> decreased risk of thrombosis
3
Q
COX 2
A
inflammation pathway (bigger receptor site), "triggerable pathway" - no effect on platelets or gut
COX2 inhibitors –> increased risk of heart attack
4
Q
Aspirin
A
irreversibly binds to COX 1 (acetylation)
5
Q
Absorption of COX
A
all well absorbed, peak around 2-3 hrs
6
Q
Distribution of COX
A
highly protein bound drugs, high lipid solubility
7
Q
Biotransformation
A
hepatic transformation
APAP has the toxic metabolite
8
Q
NSAIDs ceiling effect
A
analgesia has a ceiling effect with NSAIDs, but the other effects (renal, GI, platelets) do not