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USMLE1 MSK/Derm Pharm
N/A
18
Medical
Graduate
04/16/2011

Additional Medical Flashcards

 


 

Cards

Term
ASA
Definition
Aspirin (a salicylate)
IRREVERSIBLY inhibits COX by covalent binding. Decreased synthesis of prostaglandins and thromboxane.
Low dose for anti-platelet. Intermediate dose for antipyretic, analgesic. High dose for anti-inflammatory.
NSAID induced gastric ulcer, acute renal failure, interstitial nephritis. Reye's syndrome in children with fever (don't give under 12). Inhibits uric acid secretion (except at very high doses).
Term
Ibuprofen
Definition
NSAID: reversibly inhibit COX.
Antipyretic, analgesic, anti-inflammatory.
Renal damage, fluid retention, aplastic anemia, GI upset, ulcers.
Term
Naproxen
Definition
NSAID: reversibly inhibit COX.
Antipyretic, analgesic, anti-inflammatory.
Renal damage, fluid retention, aplastic anemia, GI upset, ulcers.
Term
Indomethacin
Definition
NSAID: reversibly inhibit COX.
Antipyretic, analgesic, anti-inflammatory. Indomethacin also for PDAs.
Renal damage, fluid retention, aplastic anemia, GI upset, ulcers.
Term
Ketorolac
Definition
NSAID: reversibly inhibit COX.
Antipyretic, analgesic, anti-inflammatory.
Renal damage, fluid retention, aplastic anemia, GI upset, ulcers.
Term
Celecoxib
Definition
COX2 inhibitor (only one left on market in US!)
Anti-inflammatory/analgesic. Patients with gastritis/ulcers, bleeding risk.
Increased thrombosis risk. Sulfa allergy.
Term
Acetaminophen
Definition
aka APAP, Paracetamol, "Tylenol"
Rersible COX inhibitor, mainly in CNS. Inactivated peripherally.
Antipyretic, analgesic, NO ANTI-INFLAMMATORY action. Use to avoid Reye's syndrome in children.
Overdose causes fulminant hepatotoxicity due to glutathione depletion and toxic metabolite formation. Antidote: N-acetylcysteine, regenerates glutathione.
Term
Etidronate
Definition
A bisphosphonate.
Inhibits osteoclast activity; reduces bone resorption, remodeling.
Malignancy associated hypercalcemia, Paget's disease, postmenopause osteoporosis.
Corrosive esophagitis (can't lie down after taking), nausea, diarrhea, rare jaw osteonecrosis.
Term
Pamidronate
Definition
A bisphosphonate.
Inhibits osteoclast activity; reduces bone resorption, remodeling.
Malignancy associated hypercalcemia, Paget's disease, postmenopause osteoporosis.
Corrosive esophagitis (can't lie down after taking), nausea, diarrhea, rare jaw osteonecrosis.
Term
Alendronate
Definition
A bisphosphonate.
Inhibits osteoclast activity; reduces bone resorption, remodeling.
Malignancy associated hypercalcemia, Paget's disease, postmenopause osteoporosis.
Corrosive esophagitis (can't lie down after taking), nausea, diarrhea, rare jaw osteonecrosis.
Term
Risedronate
Definition
A bisphosphonate.
Inhibits osteoclast activity; reduces bone resorption, remodeling.
Malignancy associated hypercalcemia, Paget's disease, postmenopause osteoporosis.
Corrosive esophagitis (can't lie down after taking), nausea, diarrhea, rare jaw osteonecrosis.
Term
Zoledronate
Definition
A bisphosphonate - only one IV!
Inhibits osteoclast activity; reduces bone resorption, remodeling.
Malignancy associated hypercalcemia, Paget's disease, postmenopause osteoporosis.
IV: avoids esophagitis. Nausea, diarrhea, rare jaw osteonecrosis.
Term
Colchicine
Definition
Stabalizes tubulin, prevents microtubule polymerization, inhibits leukocyte chemotaxis and degranulation.
Acute gout (with NSAIDs)
GI side effects.
Term
Probenecid
Definition
Inhibits uric acid reabsorption in PCT.
Chronic gout treatment.
Inhibits penicillin secretion. Sulfa allergy.
Term
Allopurinol
Definition
Inhibits xanthine oxidase, preventing formation of xanthine and uric acid.
Chronic gout treatment. Prevent tumor-lysis associated urate nephropathy.
Raises concentration of azathioprine, 6-MP.
Term
Entanercept
Definition
Recombinant soluble TNF-alpha receptor
RA, psoriasis, ankylosing spondylitis
little toxicity
EtanerCEPT = fake reCEPTor
Term
Infliximab
Definition
TNF-alpha mouse-human chimeric antibody
Chron's, RA, ankylosing spondylitis
Predisposes to latent TB reactivation
INFLIX pain on TNF
Term
Adalimumab
Definition

Anti-TNF fully-human synthetic antibody RA, psoriasis, ankylosing spondylitis Reactivation of latent TB risk

(Adam was first HUMAN)

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