week 3 - NSAIDs and Glucocorticosteroids Flashcards
NSAIDS and soft tissue
- Inflammatory mediators repair
- local tissue damage - platelet derived growth factor
NSAIDS indications
Gout
RA
inflammatory arthropathies
OA
headache
mild/moderate acute tissue damage
etc
NSAID issues
heart problems
hypertension
GI issues
renal impairment
NSAID drug interactions
ACE inhibitor
diuretics
warfrin
methotrexate
other NSAIDS
Minimising toxicity
change dose
topical
renal impairment
How do glucocorticoid works
immunosuppressive by reducing amount of immunocompetent cells out of circulation
inhibit phosphilpase A2 = leukotrienes are inhibited
Dangerous impacts of glucocorticoids
skin ulceration
immunocompressed patients
diabetic patients
Adverse effects of topical corticosteroids
skin atrophy
telangiectasia
folliculitis
delayed wound healing