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Non-opioid analgesics
Linda Felver's Class, OHSU
24
Pharmacology
Professional
07/06/2016

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Cards

Term
drug box: aspirin
Definition
aka acetylsalicylic acid
Salicylate
Term
drug box: diclofenac
Definition
aka Votaren XR
Nonselective NSAID
Term
drug box: ibuprofen
Definition
aka Advil, Motrin IB
Nonselective NSAID
Term
drug box: ketorolac
Definition
aka Toradol (Canada)
Nonselective NSAID
Term
drug box: naproxen
Definition
aka Aleve, Naprosyn
Nonselective NSAID
Term
drug box: celecoxib
Definition
aka Celebrex
Selective NSAID
Term
drug box: acetaminophen
Definition
aka Tylenol, paracetamol (in other countries), Ofirmev (IV)
miscellaneous
Term
drug box: willow bark
Definition
natural product
contains salicylate
Term
drug box: acetylcysteine
Definition
aka Acetadote
administered IV
antidote for acetaminophen
Term
anticoagulant
Definition
drug that interferes with the clotting cascade - does not dissolve clots, just keeps them from forming
Term
antiplatelet drug/platelet inhibitor
Definition
suppresses platelet activation and aggregation
Term
blood thinner
Definition
antiplatelet drug or anticoagulant (misleading)
Term
thrombolytic
Definition
drug that actually dissolves clots
Term
Mechanism of action: aspirin
Definition
decrease PG synthesis by inhibiting COX 1 & 2 irreversibly
affects peripheral and central (CNS)
Term
Mechanism of action: acetaminophen
Definition
decrease PG synthesis by inhibiting COX 1 & 2 weakly in the CNS
decrease PG synthesis by inhibiting COX 3 strongly in the CNS
Term
Mechanism of action: nonselective NSADS
Definition
decrease PG synthesis by inhibiting COX 1 & 2, reversibly
peripherally and centrally
Term
mechanism of action: selective NSAIDS
Definition
decrease PG synthesis by inhibiting primarily COX 2, reversibly
peripherally and centrally
Term
which nonopioid analgesic is not high protein binding?
Definition
acetaminophen
Term
what are the absorption issues for nonopioid analgesics?
Definition
no major issues - may take with food if desired
Term
how does ibuprofen affect fetus/neonates?
Definition
not detected in breastmilk in significant amounts, but crosses placenta
Term
at what point should pregnant women change their NSAID use?
Definition
Avoid NSAIDs in the second half of pregnancy
Term
where are the nonopioid analgesics metabolized
Definition
in the liver
Term
when is a person at risk for analgesic nephropathy?
Definition
with chronic high-dose NSAID/acetaminophen use
Term
how are nonopioid analgesics excreted
Definition
renally, some of the excretion is of active drug
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