Test 2 NSAIDs Flashcards
1
Q
NSAIDs
A
- indicated for pain or arthritis
- black box warning
2
Q
precautions of NSAIDs
A
- heart disease
- hypertension
- renal impairment
- gastrointestinal irritation
3
Q
contraindications for NSAIDs
A
contraindicated for treatment of perioperative pain in the setting of CABG surgery
4
Q
Motrin
A
- ibuprofen
- max is 1200 mg / day OTC
- 400mg q4-6H: pain
- 1200-3200 divided tid-qid: arthritic conditions
5
Q
counseling points for NSAIDs
A
- take with food: helps with the irritation
- avoid alcohol
6
Q
Anaprox/ Anaprox DS
A
- Naproxen sodium
- just for (moderate) pain
- faster peak than naproxen base
- 550 mg, then 275 mg q 6-8 h prn
7
Q
Naprosyn / EC-Naprosyn
A
- naproxen base
- just for arthrtitis
- Naprosyn not for initial treatment of acute pain
- 250 - 500 mg bid
8
Q
Indocin
A
- indomethacin
- arthritis (all kinds: osteo, rheumatoid, gouty)
- always take with food or after meals
- IV formulation used for treatment of Patent ductus arteriosis
- 25 - 50 mg bid-tid
9
Q
Feldene
A
- piroxicam
- just for arthrtitis
- half life = 50 hours
- 20 mg/day
10
Q
Mobic
A
- meloxicam
- just for arthrtitis (osteoarthritis)
- affects Cox2 more than Cox1 = less GI problems
- 7.5 - 15 mg daily
11
Q
Voltaren
A
- diclofenac sodium
- arthritis (strong and potent)
- strong: can cause some GI problems
- Ophthalmic formulation: post-op opthalmic inflammation
- Oral: 50mg tid-qid; XR: 100-200mg/d
12
Q
Clinoril
A
- sulindac
- just for arthritis
- prodrug (problem for pts with liver disease)
- 150 mg bid
13
Q
Lodine/XL
A
- etodolac
- affects Cox2 more than Cox1 = less GI problems
- IR = acute pain; XL = chronic pain
- 300-400mg bid or tid
14
Q
If you can’t take celebrex, which medication would you be one?
A
- Lodine
- Mobic
15
Q
Toradol
A
- ketorolac
- potent
- Moderately severe acute pain
- not to use more than 5 days -> risks of GI bleed
- 10 mg tab every 4-6 h
