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Pharmacology - Inflammatory
Inflammatory
33
Medical
Graduate
10/13/2008

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Term
H1 Tissue:
Definition
Smooth Muscle, Endothelium
Term
H2 Tissue:
Definition
Gastric Mucosa
Term
H3 Tissue:
Definition
Brain
Term
Second Messenger for:
H1
H2 H3
Definition
H1 - IP3
H2 - cAMP (increase)
H3 - cAMP (decrease)
Term
H1:
Agonist
Antagonist
Definition
H1
Agonist: 2-(m-flurophenyl)-hist
Antagonist: mepyramine
Term
H2:
Agonist
Antagonist
Definition
H2
Agonist: Dimaprit
Antagonist: ranitidine
Term
H3:
Agonist
Antagonist
Definition
H3
Agonist: R-alpha-methylhistamine
Antagonist: thioperamide
Term
The enzyme that converts kininogen to bradykinin
Definition
Kallikrein (protease)
Term
B2 (bradykinin) receptor leads to what intracellular response?
Definition
increase in IP3, thus increase in Ca++
Term
Bradykinin Physiological Effects
Definition
Pain
Vasodilation
Plasma extravasation
Eicosanoid relase (B2)
Term
Biological Effects of PGI2 and PGE2:
Definition
PGE2 and PGI2:
Pain (hyperalgesia)
Vasodilation
PMN luekocyte Migration
Term
Biological Effects of:
LTB4
LTC4
Definition
LTB4:
PMN Luekocyte Migration

LTC4:
Increase vascular permeability
Bronchial Smooth Muscle contration (involved in asthma)
Term
Which cytokine is critically involved in Rheumatoid Arthritis?
Definition
TNF-alpha
Term
Two Classes of Anti-Inflammatory Drugs?
Definition
1. NSAIDS
2. Glucocorticoids
Term
Two ways Glucocorticoids inhibit Inflammation?
Definition
1. Reduce ability of Luekocytes to migrate to inflamed tissues
2. Respond to inflam stimuli by releasing eicosaniods and active oxygen species
Term
Besides regulating metabolism (inflammation), what is another biological effect of glucocorticoids?
Definition
salt retention (e.g. aldosterone)
Term
Mechanism of most NSAIDS?
Definition
Inibit cyclooxygenase enzymes responsible for (proinflammatory) prostogandin synthesis
Term
Biological Action of Asprin (salicylic acid)?
Definition
Inhibit COX 1 and 2 IRREVERSIBLY
Term
Therapeutic uses of Aspirin?
Definition
1. Anti Inflammatory
2. Pain Reducer (analgesic)
3. Fever Reducer (antipyretic)
4. Inhibition of Hemostasis (COX I in Platelets)
Term
Averse effects of Salicylates?
Definition
1. GI effects (ulcers)
Term
Three Types of Anti-TNF monoclonal Antibodies:
Definition
Infliximab (Remicade)
Adalimumab (Humira)
Etanercept (Enbrel)
Term
A treatment for Rheumatoid Arthritis and Crohn's Disease?
Definition
Anti TNF-alpha antibodies (Infliximab, Adalimumab, Etanercept)
Term
What type of drug is Naproxen? Reversible or Irreversible action?
Definition
NSAID (like Ibuprofen), reversible
Term
What type of drug is Diclofenac? What is its theraputic Use? WHat is its specific toxicity?
Definition
NSAID, hepatotoxic
Term
What type of drug is Sulindac? Reversible or Irreversible?
Definition
NSAID (like ibuprofen), reversible
Term
What type of drug is is Indomethacin? Reversible or Irreversbile?
Definition
NSAID, Like Ibuprofen; reversible
Term
What type of drug is Piroxocam? Reversible or Irreversbile?
Definition
NSAID, Pain (anagesic; Reversible
Term
What type of drug is Ketorolac? Reversible or Irreversible?
Definition
NSAID, good analgesic, reversible
Term
Name two drugs that are selective for one type of COX enzyme?
Definition
Celecoxib and Rofecoxib
Term
Celecoxib and Rofecoxib are specific for what enzyme?
Definition
COX2
Term
What type of drug is Thalidomide?
Definition
small molecule TNF inhibitor (in phase III testing)
Term
What is the action of Acetaminophen?
Definition
COX inhibitor, No COX inhibition in peripheral tissues
Term
Difference between Acetaminophen and NSAIDS?
Definition
Lacks significant anti inflammatory effects.
No antiplatelet
No effects on Uric Acid
GI distress Minimal
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