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NSAIDs, cancer drugs and immunosuppressants
Drugs on the IMR exam
42
Pharmacology
Professional
09/20/2011

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Cards

Term
Aspirin
Definition
analgesic and anti-inflammatory, antipyretic, irreversibly inhibits COX1, shows zero order kinetics
Term
Acetaminophen
Definition
analgesic, antipyretic, no cross reaction if there is NSAID hypersensitivity, analgesic ceiling and half life is comparable to aspirin
Term
Ibuprofen
Definition
analgesic and anti-inflammatory, antipyretic, effective for primary dysmenorrhea, higher analgesic ceiling and a longer half life to aspirin
Term
Naproxen
Definition
analgesic and anti-inflammatory, effective for primary dysmenorrhea, higher ceiling and longer half life compared to aspirin
Term
Ketoprofen
Definition
analgesic and anti-inflammatory, effective for primary dysmenorrhea, higher ceiling and shorter half life than aspririn
Term
Diflunisal
Definition
analgesic and anti-inflammatory, effective for primary dysmenorrhea, higher ceiling and longer half life compared to aspirin, a saliyclates
Term
Sulindac
Definition
anti-inflammatory only, a prodrug with an analgesic ceiling similar to aspirin and a longer half life than aspirin
Term
Indomethacin
Definition
anti-inflammatory only, analgesic ceiling similar to aspirin
Term
Ketorolac
Definition
analgesic only, analgesic ceiling comparable to morphine if given IV, but analgesic ceiling similar to ibuprofen if given orally
Term
Celecoxib
Definition
anti-inflammatory only, COX2 inhibitor
Term
Rofecoxib
Definition
analgesic and anti-inflammatory, COX2 inhibitor, effective for primary dysmenorrhea
Term
Cortisol
Definition
short acting natural glucocorticoid, known as the stress hormone
Term
Cortisone
Definition
short acting synthetic glucocorticoid, can be given as a shot for joint problems
Term
Fludrocortisone
Definition
potent synthetic mineralocorticoid with a longer half life (8-12 hrs) than cortisol
Term
Prednisone
Definition
short acting synthetic glucocorticoid, can be used as an immunosuppressant
Term
Triamcinolone
Definition
glucocorticoid half life between 12 to 36 hours
Term
Dexamethasone
Definition
potent synthetic glucocorticoid with a longer half life than cortisol
Term
Aminoglutethimide
Definition
blocks production of all mineralocorticoid, glucocorticoid and androgens, used as treatment for Cushing's of adrenal origin
Term
Metyrapone
Definition
blocks production of mineralocorticoids, used to determine the competency of adrenal axis
Term
Methotrexate
Definition
inhibits dihydro-folate reductase, may cause homocysteinemia
Term
5-Fluoro-Uracil
Definition
inhibits thymidylate synthase
Term
Doxorubicin
Definition
topoisomerase inhibitor, causes cardiotoxicity
Term
Cyclophosphamide
Definition
prodrug, a DNA alkylating drug
Term
Cisplatin
Definition
DNA alkylating drug, may cause renal insufficiency
Term
Vincristine
Definition
mitotic spindle poison, inhibits microtubule formation, causes peripheral neuropathy
Term
Paclitaxel
Definition
mitotic spindle poison, enhances microtubule formation, causes peripheral neuropathy
Term
Bevacizumab
Definition
VEGF inhibitor, useful for macular degeneration, can cause hypertension
Term
Cetuximab
Definition
EGF-R inhibitor, causes skin toxicities, diarrhea and vomiting
Term
Trastuzumab
Definition
HER-2 inhibitor, can cause cardiac side effects
Term
Rituximab
Definition
Anti-DC20 antibody
Term
Gefitinib
Definition
EGFR kinase inhibitor, targets wild type
Term
Erlotinib
Definition
EGFR kinase inhibitor, targets t790m mutant
Term
Lapatinib
Definition
HER-2 kinase inhibitor, can cause skin toxicities, diarrhea and vomiting
Term
Imatinib
Definition
abl inhibitor, used in leukemia
Term
Sorafenib/Sunitinib
Definition
VEGF kinase inhibitor
Term
Bortezomib
Definition
Proteasome inhibitor, gastrointestinal, sensorineural and neutropenic side effects, used for multiple myeloma
Term
Cyclosporine
Definition
calcineurin inhibitor, binds to cyclophilin to inhibit calcineurin
Term
Tacrolimus
Definition
calcineurin inhibitor, binds to FKBP-12 to inhibit calcineurin
Term
Sirolimus/rapamycin
Definition
binds mTOR to inhibit T cell activation
Term
Azathioprine
Definition
prodrug for mercapto-purine, inhibits the cell cycle
Term
Basiliximab/daclizumab
Definition
Anti-CD25 antibody
Term
Infliximab
Definition
anti-TNF antibody
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