NSAID Flashcards
COX-2 selectivity - very selective ?
etori-coxib
COX-2 moderately sslective ?
- rofe-coxib
- cele-coxib
- etodolac
- meloxicam
COX-2 weakly selective ?
- diclofenac
- sulindac
- piroxicam
D-S-P
Most potent NSAID ?
KETOROLAC
Which NSAID in BD ?
etoricoxib
salicylates - NSAID ?
According to chemical nature & structure
- aspirine
- sulfasalazine
propionic acid derivatives ?
- ibu-feno-keto=PROFEN
acetic acid derivative name ?
1indomethacin
etodolac
sulindac
fenamic acid derivatives NSAID ?
- mefenamic acid
- tolfenamic acid
enolic acid derivatives ?
piro-teno-melo-XICAM !!
CVS safe NSAID ?
naproxen q
Commonly used NSAID ?
- diclofenac
- aspirin
- aceclofenac
- ketorolac
- etoricoxib
- ibuprofen
- naproxen
Indications of Aspirin/NSAID ?
Anti
inflmmatory-pyretic-platelet-analgesic
renal safe NSAID ?
sulindac
children safe NSAID ?
ibuprofen
which NSAID is Bronchial astham safe ?
ibuprofen
which NSAID used as post-operative & inj ?
ketorolac
which NSAID is 🤰 safe ?
paracetamol
antidote of paracetamol ?
- N-acetylcystine
- methionine
728
overdose of paracetamol A/E ?
- Hepatotoxicity
- renal necrosis
Contraindications of NSAID ?
- active bledding peptic ulcer
- Chronic PUD
- CLD
- bronchial asthma
- gout
- bleeding disorder
- imediatly after burn - diye dile -Curling ulcer
- swine flu & influenza
why NSAID/Aspirin is not given in a viral infected child >??
reyes syndrome
commonly used analgesics?
- paracetamol
- aspirin
- diclofenac
- mefenamic acid
which NSAID is used as analgesic in postoperative pain management?
- diclofenac
- ketorolac
what is Reyes syndrome ?
swelling in the liver and brain
which NSAID IN primary dysmenorrhea ?
mefenamic acid
which NSAID is used as tocolytics ?
- indomethacin
- sulindac
indicatttions of NSAID ??
- AnalgesicAnalgesics
- anti-inflammatory-antipyretics - antiplatelet
- tocolytics
- patency of ductus arteriosus
- primary dysmenorhhe
which NSAID used in patency of ductus arteriosus ?
indomethacin >
which NSAID used in Gout ?
indomethacin
risk of paracetamol in 🤰?
3rd trimester - risk of premature closure of the ductus arteriosus
less CVS effect of which NSAID ?>
- celecoxib
- naproxen
which COX-2 inhibitor are not in market ? reason»_space;
- rofecoxib
- valdecoxib
- due to their increasing CVS risk
recent status of COX-2 ?
not in market !!!!
why COXIB»_space;> NSAID ?
- no GIT bleeding
- donot precipiatet Brionchail asthma
- donot cause gastric mucosal damage
732
what if - ibuprofen is taken regularly ??
cardio-protective action of aspirin may block
which NSAID act on both brain & periphery ?
- ibuprofen
- aspirin
- ketoprofen
- diclofenac
overdose of aspirin effect ?
NaOH er maddhome Ph of urine alter - urine alkalization
A/E of NSAID ??
GIT sobar age bolte hobe
- ab pain
- peptic ulcer
- dyspapsia
- ulceration
- bleeding
Other A/E of NSAID “?
CNS= headache + tinnitus+ dizziness
respiratory = bronchospasm
CVS=fluid retemtion + HTN + edema
hypersensitivity
neutropenia + thrombocytopenia
why bronchospasm by NSAID >?
by reducing bronchodilator Prostaglandin synthesis
thats why NSAID aggravate Bronchail asthma
why aspirin is stopped one week before surgery ?
720
antiplatelet effect of aspirin ?
720 page
analgesic effect of NSAID ?
719 PAGE
Anti-pyretic effects of NSAID /
722 page
anti-inflammatory effect of NSAID ??
721 PAGE
NSAID + warferin ?
risk of bleeding
nsaid + fluroquinolone ?
risk of convulsion
nsaid + sulfonylurease ? oral hypoflycemic agents = ??
inc action & duration
nsaid + ACEi /ARB = ?
- RENAL impairment \
- hyperkalemia
nsaid + diuretics = ?
dec effects of diuretics
contraindications of COX-i ?
- IHD
- HTN
- CVD
- Cardiac failure
733
analagesic effect excellent /
ketorolac
aspirin dose /
75-150 mg per day
anti-inflammatory drugs name /
- steroidal = cortisone + hydrocortisone
- non-steroidal = Acetaminophen + aspirin