Pharm 19 Flashcards

2
Q

SE of HMG COA reductase inhibitors

A

Rhabdomyolysis and Hepatotoxicity

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3
Q

Cutaneous flush due to niacin can be reduced by pretreatment with

A

Aspirin

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4
Q

Most common SE of fibrates

A

Nausea

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5
Q

Fibrates are contraindicated in

A

Pregnancy

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6
Q

Concurrent use of fibrates and statins increases risk of

A

Rhabdomyolysis

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7
Q

Class of drugs that works by inhibiting absorption of intestinal cholesterol and can be given concurrently with the Statins

A

Ezetimibe (Zetia)

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8
Q

MOA of NSAIDS

A

inhibit prostaglandin synthesis by inhibiting cyclo-oxygenase (cox)

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9
Q

Difference between aspirin and other NSAIDS

A

Aspirin irreversibly inhibits cyclooxygenase

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10
Q

Four main actions of NSAIDS

A

Anti-inflammatory, analgesia, antipyretic and antiplatelet activity

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11
Q

Aspirin is contraindicated in children with viral infection

A

Potential for development of Reye’s syndrome

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12
Q

SE of salicylates

A

Tinnitus, GI bleeding

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13
Q

NSAID also available as an ophthalmic preparation

A

Diclofenac

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14
Q

NSAID available orally, IM and ophthalmically

A

Ketoralac

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15
Q

NSAID that is used for acute condition, such as pre-op anesthesia and has limited duration (<5 days) of use due to nephrotoxicity

A

Ketoralac

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16
Q

Newer NSAIDs that selectively inhibit COX-2

A

Celecoxib and rofecoxib

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17
Q

COX 2 inhibitors may have reduced risk of

A

Gastric ulcers and GI Bleeding

18
Q

COX 2 inhibitors should be used cautiously in pts with

A

Pre-existing cardiac or renal disease

19
Q

SE of acetaminophen

A

Hepatotoxicity

20
Q

MOA of gold salts

A

Alter activity of macrophages and suppress phagocytic activity of PMNs

21
Q

SE of gold salts

A

Dermatitis of the mouth aplastic anemia and agranulocytosis

22
Q

Causes bone marrow suppression

A

Methotrexate

23
Q

SE of penicillamine

A

Aplastic anemia and renal

24
Q

Interferes with activity of T-lymphocytes

A

Hydroxychloroquine

25
Q

Anti-malarial drug used in rheumatoid arthritis (RA)

A

Hydroxychloroquine

26
Q

SE of hydroxychloroquine

A

Retinal destruction and dermatitis

27
Q

MOA of Leflunomide (newer agent)

A

Inhibiting Dihydroorotate Dehydrogenase which leads to decreased pyrimidine synthesis

28
Q

Proteins that prevent action of tumor necrosis factor alpha (TNF-alpha)

A

Infliximab and etanercept

29
Q

Anti-rheumatic agent also used for ulcerative colitis

A

Sulfasalazine

30
Q

NSAID contraindicated in gout

A

Aspirin

31
Q

MOA of Colchicine (used in acute gout)

A

Selective inhibitor of microtubule assembly

32
Q

SE of colchicine

A

Kidney and liver toxicity

33
Q

Agent used to treat chronic gout by increasing uric acid excretion

A

Probenecid causes urinary excretion of uric acid and lowers serum urate concentrations