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Anti-inflammatory drugs
Includes antihistamines, NSAIDs, GCC
18
Veterinary Medicine
Undergraduate 3
05/13/2012

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Term
H1 antagonists
Definition
Used in treatment of allergy, nausea, vomiting
e.g. Cyproheptadine, Chlorphenamine
Term
Cyproheptadine
Definition
H1 antagonist used in tx of feline asthma (prophalatic)
Term
Chlorphenamine
Definition
H1 antagonist, i.e. anti-inflam drug.
Used for allergic skin reactions, scratching, mild sedation
Term
Polysulfated Glycosaminoglycan (PSGAG)
Definition
A chondroprotectice drug, inhibits PGE2 and so inhibits vasodil. and hyperalgesia
Term
Hyaluronic acid
Definition
a component of synovial fluid and articular cartilage which inhibits PGE2 synthesis and so so inhibits vasodil. and hyperalgesia
-used in tx of horses w. osteoarthritis
Term
NSAIDS
Definition
non-steroidal antiinflam drugs
Actions - antinflam, antipyretic, analgesia
Primary mechanism is inhibition of COX and so decr. PG and TXA synthesis
Term
Aspirin
Definition
A salicylate NSAID - COX-1 selective inhibitor - (irreversible) so decr. PGs, PGI2, TXA
-antiplatelet aggregation < analgesic and antipyretic action < AI action
Term
Paracetamol
Definition
A NSAID but no AI action!
-not sure of mechanism, poss inhibits a COX-3 enzyme?
Term
Ibuprofen
Definition
NSAID - moderate AI action, good antipyrexic and analgesic action
Term
Carprofen (rimadyl)
Definition
NSAID - some COX-2 selectivity
-analgesic and antipyrexic action
-horses and dogs
Term
Phenylbutazone
Definition
NSAID - some COX-2 selectivity (less than carprofen)
-commonly used for H in relief of pain and inflam
-used in dogs fro chronic osteoarthritis (care w. toxicity)
Term
Meloxicam (metacam)
Definition
NSAID - some COX-2 selectivity
Term
Deracoxib
Definition
NSAID - COX-2 selective
-COS-2 selective agents used in patience w. high risk of GI ulcer/bleeeding or in extreme pain
NB: not used in patients w. ischaemic H dz or cerebrovasc. dz. and all must be monitored closely
Term
Glucocorticoids
Definition
-anti-inflammatories, w. immunosupp. action at high doses
-inhibit COX-2 so inhibit inflam production of PGs, PGI2, TXA
-induce lipocortin which inhibits phospholipase A2
-decr. levels of complement protein in plasma
-decr. the generation of induced NO
-decr. histamine release from basophils
-decr. IgG production
Term
Prednisolone
Definition
GCC - used for asthma (in cats esp) and autoimmune dz at high doses
- no affinity for mineralocorticoids so doesn't affect water balance (advantage)
Term
Hydrocortisone
Definition
low potency GCC - used for skin dz, HS reactions
Term
Dexamethasome
Definition
V. potent GCC
- no affinity for mineralocorticoids so doesn't affect water balance (advantage)
Term
Cyclosporin
Definition
GCC -most effective immunosuppressant
-inhibits calcineurin activation (enzyme in T-cells involved in the production of IL2) so IL2 not activated
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