Treatment Of Gout (78) Flashcards
Adenosine turns into
Inosine into hypoxathine
Guanosine turns into
Guanine
Hypoxathine and guanine turn into
Xanthine using xanthine oxidase
Xanthine turns into
Uric acid using xanthine oxidase
Uric acid accumulation creates
Gout
Hyperuricemia risk factors
-high purine diet
-alcohol
-high fructose drinks
Allopurinol
Prevents attacks
-reduces production of Uric acid
Colchicine
Used for acute attacks
-reduce inflammatory response to the deposits of urate crystals
Probenecid or sulfinpyrazone
Increase excretion of Uric acid in urine
Allopurinol inhibits
Xanthine oxidase inhibitor
Rheumatoid arthritis onset
Systemic disease across the lifespan
Rheumatoid arthritis
Auto immune and inflammatory disorder
-attack synovium
-joint swelling, pain, systemic symptoms
-eventual fusing of bones
DMARDs
Disease modifying anti rheumatic drugs
DMARDs do what four things
-decrease pain and inflammation
-reduce or prevent joint damage and bone erosion
-slow speed and spread of disease
-preserve joint function
DMARDs are also used in what other inflammatory conditions
Chrohns disease, ankylosing spondylitis, systemic lupus erythematosus
DMARDs can be
Traditional or biological
Traditional DMARDs
Methotrexate
-alone or in combination with other drugs
Biologic DMARDs
Protein drugs against inflammatory mediators
Biologics: infliximab, adalimumab
Atibody against TNFa (A cytokine)
Etanercept
Receptor for TNF a
Etanercept
Receptor for TNF a