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Ibuprofen (Motrin, Advil) |
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Definition
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Naproxen (Naprosyn, Anaprox, Aleve) |
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Definition
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Definition
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decreased GI complications short term, but not long term; increased cardiovascular risk; possible cross sensitivity with sulfa allergies |
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avoid in patients with renal failure or in high risk of bleeding; treatment should not exceed 5 days |
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NSAIDs Black Box Warnings |
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Definition
increased risk of serious CV thrombotic events, MI, stroke; CI for txt of peri-operative pain in the setting of CABG surgery |
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preferred for the short term before NSAIDs to reduce CV events |
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preferred NSAID to be used |
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used in NSAID patients at increased risk of GI ulceration |
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NSAIDs effect on the afferent arteriole |
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Definition
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constriction of the afferent arteriole |
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Definition
decreases renal blood flow leading to renal decompensation |
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NSAID constriction on the afferent arteriole causes impairment of GFR |
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Definition
Synergistic with acetaminophen and/or opioids; Ceiling effect; not recommended in heart failure; use caution with warfarin |
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