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Pharm II Test 3 - Anti-Inflammatory Agents
Winter Semester 2011
21
Medical
Graduate
04/12/2011

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Cards

Term
What meds are NSAIDs? (I.D.I.N.S.O.)
Definition
Ibuprofen,
Diclofenac,
Indomethacin
Naproxen
Sulindac
Oxaprozin
Term
What med is a reverse inhibitor of COX 1 and 2? What is the result of this inhibition?
Definition
Ibuprofen: reduction in prostaglandin synthesis (leading to anti-inflammatory effect)
Term
Since there is decreased PGI2 synthesis with Ibuprofen use, what results as a SE of this drug?
Definition
Increased gastric Acid secretion and increase in gastric ulcers
Term
What two conditions are the anti-inflammatory properties of ibuprofen especially useful in?
Definition
RA and OA
Term
What is the difference between Ibuprofen and ASA's mode of action? How does this affect platelets?
Definition
ASA IRREVERSIBLY inhibits COX 1 & 2 while Ibuprofen REVERSIBLY inhibits COX 1 & 2
Because of ASA's IRREVERSIBLE inhibition, the production of platelets is diminished and thus the aggregation of platelets is decreased, where as Ibuprofen only REVERSIBLY inhibits COX 1 & 2 giving platelets time to rebound and thus not effecting platelet aggregation.
Term
What med is used especially in the treatment of gout and OA?
Definition
Indomethacin
Term
What effect can Indomethacin have on labor?
Definition
decreases uterine contractions thus suppressing labor
Term
What cardiac defect can be treated with indomethacin?
Definition
patent ductus arteriosus
Term
What med has major SE including GI bleeding and interstitial nephritis, as well as tinnitus and hepatitis?
Definition
NSAIDS
Term
What med irreversibly inhibits COX 2, thereby resulting in decreased Prostaglandin synthesis which generally leads to an anti-inflammatory effect?
Definition
Celecoxib
Term
What med is used in the tx of OA and RA as an anti-inflammatory drug, but has a lower risk of GI bleed SE?
Definition
Celecoxib
Term
What anti-inflammatory med can be used in the treatment of familial adenomatous polyposis?
Definition
Celecoxib
Term
What anti-inflammatory med can lead to an increased risk of thrombosis (eg stroke and heart attack)?
Definition
Celecoxib
Term
What med irreversibly inhibits COX 2 and was used to treat arthritis and chronic pain, but had to be taken off the market in 2004, b/c of the SE of increased risk of heart attack and stroke with this drug?
Definition
Rofecoxib
Term
What med irreversibly inhibits COX 1 and 2?
Definition
ASA
Term
What med acts to reversibly inhibit COX 1 & 2 in the CNS thereby leading to decreased prostaglandin synthesis in the CNS, but is largely inactivated peripherally?
Definition
Acetaminophen
Term
Which has more anti-inflammatory effects, acetaminophen or ibuprofen?
Definition
Ibuprofen
Term
What med can be used in children who have a viral illness as an anti-pyretic?
Definition
Acetaminophen
Term
What med can cause fatal hepatotoxicity with overdose?
Definition
Acetaminophen
Term
What is the antidote for acetaminophen overdose?
Definition
Acetylcysteine
Term
What is the 1st line DMARD used to treat RA?
Definition
MTX
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