pain drugs Flashcards

1
Q

Acetaminophen

A

Class: Acetaminophen
Side Effects: nausea and vomiting
Mechanism: Blocks COX
Notes: Max 4g/day and risk of death through liver damage

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2
Q

Aspirin

A

Class: NSAID
Side Effects: headache, nausea, drowsiness
Mechanism: Blocks COX non-selectively
Notes: Permanently blocks COX in platelets

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3
Q

Celecoxib

A

Class: NSAID
Side Effects: headache, nausea, drowsiness
Mechanism: Selectively blocks COX-2
Notes: Most common COX-2 inhibitor

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4
Q

Codeine

A

Class: Opioid
Side Effects: Dizziness, respiratory suppression, nausea
Mechanism: opioid receptors in CNS. Unknown
Notes: cough suppressant

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5
Q

Diclofenac

A

Class: NSAID
Side Effects: Nausea, dizziness, headache
Mechanism: Blocks COX non-selectively
Notes: Topical preparation (Voltaren)

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6
Q

Etodolac

A

Class: NSAID
Side Effects: Nausea, dizziness, headache
Mechanism: Blocks COX
Notes: Selective for COX-2 at low doses (TID)

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7
Q

Fentanyl

A

Class: Opioid
Side Effects: Nausea and vomiting, sweating
Mechanism: Mu receptors in the CNS
Notes: Chronic pain only, never first opioid you try

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8
Q

Gabapentin

A

Class: Anticonvulsant
Side Effects: drowsiness, nausea
Mechanism: Unknown. Looks like GABA
Notes: Neuropathic

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9
Q

Hydrocodone

A

Class: Opioid
Side Effects: Nausea, drowsiness, constipation
Mechanism: Blocks Mu receptor in CNS
Notes: In the number 1 prescribed combo product

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10
Q

Hydromorphone

A

Class: Opioid
Side Effects: Vomiting, headache, drowsiness
Mechanism: Blocks Mu receptor in CNS
Notes: Very potent

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11
Q

Ibuprofen

A

Class: NSAID
Side Effects: Nausea, drowsiness, headache
Mechanism: Blocks COX non-selectively
Notes: Super common

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12
Q

Indomethacin

A

Class: NSAID
Side Effects: Nausea, bloody stool, trouble breathing
Mechanism: Unknown. Blocks COX?
Notes: For Gout.

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13
Q

Meloxicam

A

Class: NSAID
Side Effects: Headache, nausea, bloody stool
Mechanism: Blocks COX
Notes: Selective for COX-2 at low doses

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14
Q

Meperidine

A

Class: Opioid
Side Effects: sweating, nausea, drowsiness
Mechanism: Bind to mu receptors in CNS
Notes: For acute pain, don’t use for long

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15
Q

Methadone

A

Class: Opioid
Side Effects: drowsiness, nausea, dizziness
Mechanism: Blocks mu receptor in brain
Notes: For detox or severe pain, used by dosing specialists

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16
Q

Morphine

A

Class: Opioid
Side Effects: Itching, constipation, dizziness
Mechanism: Blocks mu receptor in brain
Notes: The prototype

17
Q

Nabumetone

A

Class: NSAID
Side Effects: itching, constipation, edema
Mechanism: Blocks COX
Notes: Selective for COX-2 at low doses, slow onset

18
Q

Naproxen

A

Class: NSAID
Side Effects: Constipation, dizziness, edema
Mechanism: Blocks COX
Notes: non-selective for COX

19
Q

Oxycodone

A

Class: Opioid
Side Effects: Constipation, nausea, drowsiness
Mechanism: Blocks mu receptor in CNS
Notes: Common alone and in combos

20
Q

Piroxicam

A

Class: NSAID
Side Effects: edema, dizziness, headache
Mechanism: Blocks COX non-selectively
Notes: shouldn’t be first line, causes GI problems

21
Q

Pregabalin

A

Class: Anticonvulsant
Side Effects: Dizziness, nausea, blurred vision
Mechanism: Unknown. Calcium channels in brain
Notes: Neuropathic

22
Q

When you see Acetaminophen, think:

A

Liver problems

23
Q

When you see NSAIDs, think:

A

kidney problems, stomach ulcers, increased bleeding

24
Q

What is in Percocet?

A

Oxycodone and Acetaminophen

25
Q

What is in Tylenol #3?

A

Codeine and Acetaminophen

26
Q

What is in Vicodin?

A

Hydocodone and Acetaminophen