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INBDE- Booster Additional Concepts – Pharmacology Final Exam Fully Solved.

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6 NSAIDs - Answer 1) Aspirin: COX1 & COX2 irreversible, impacts GI 2) Ibuprofen: COX1 & COX2 reversible, impacts kidney 3) Naproxen: COX1 & COX2 reversible 4) Ketorolac: COX1 & COX2 reversible 5) Celecoxib: COX2 6) Meloxicam: COX2 3 Overdose/Addiction Drugs - Answer Naloxone: competitive opioid antagonist [may require multiple doses since shorter half-life] Naltrexone: antagonist that treats addiction Methadone: synthetic opioid agonist that can be used for pain relief and opioid addiction 4 NSAID Interactions with Other Drugs - Answer Lithium - increases lithium toxicity Hypotensives - decreases effect of hypotensive Anticoagulants - increases risk of bleeding -Methotrexate - Increases methotrexate toxicity 4 Conditions to Avoid with M Agonist Drugs - Answer o 1) Asthma/COPD: airflow obstruction to the lungs o 2) Peptic Ulcers: cause an increase in secretion of gastric acid o 3) Coronary Heart Disease: worsen cases of coronary heart disease 4) Hyperthyroidism : depress cardiac system cuasing the body to compensate and release epinephrine Prilocarpine - Answer Direct acting M Agonist used to stimulate saliva or eye drops to constrict pupils and reduce pressure Indirect Acting M Agonist Drugs - Answer I. Physostigmine & Neostigmine: reversible inhibit cholinesterase II. Insecticides & Nerve Gases: irreversibly inhibit cholinesterase M Agonist/Ganglionic Blockers - Answer I. Scopolamine: helpfulin reduction of saliva II. Atropine: helpful in reduction of saliva

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INBDE- Booster Additional Concepts –
Pharmacology Final Exam Fully Solved.
6 NSAIDs - Answer 1) Aspirin: COX1 & COX2 irreversible, impacts GI

2) Ibuprofen: COX1 & COX2 reversible, impacts kidney

3) Naproxen: COX1 & COX2 reversible

4) Ketorolac: COX1 & COX2 reversible

5) Celecoxib: COX2

6) Meloxicam: COX2



3 Overdose/Addiction Drugs - Answer Naloxone: competitive opioid antagonist [may require
multiple doses since shorter half-life]

Naltrexone: antagonist that treats addiction

Methadone: synthetic opioid agonist that can be used for pain relief and opioid addiction



4 NSAID Interactions with Other Drugs - Answer Lithium - increases lithium toxicity

Hypotensives - decreases effect of hypotensive

Anticoagulants - increases risk of bleeding

-Methotrexate - Increases methotrexate toxicity



4 Conditions to Avoid with M Agonist Drugs - Answer o 1) Asthma/COPD: airflow obstruction
to the lungs

o 2) Peptic Ulcers: cause an increase in secretion of gastric acid

o 3) Coronary Heart Disease: worsen cases of coronary heart disease

4) Hyperthyroidism : depress cardiac system cuasing the body to compensate and release
epinephrine



Prilocarpine - Answer Direct acting M Agonist used to stimulate saliva or eye drops to constrict
pupils and reduce pressure



Indirect Acting M Agonist Drugs - Answer I. Physostigmine & Neostigmine: reversible inhibit
cholinesterase

II. Insecticides & Nerve Gases: irreversibly inhibit cholinesterase



M Agonist/Ganglionic Blockers - Answer I. Scopolamine: helpfulin reduction of saliva

II. Atropine: helpful in reduction of saliva

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