Non Steroidal Anti Inflammatory Drugs

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Non Steroidal Anti Inflammatory Drugs


NSAIDs

  • reduce inflammation by inhibiting cyclo-oxygenase
  • some are supposed to have greater specificity for COX-2 (thus reducing gastric side-effects)

Drugs in class

  • aspirin (non-reversible)
  • ibuprofen
  • diclofenac
  • mefenamic acid

Actions

  • analgesia
  • reduce temperature
  • anti-inflammatory
  • respiratory
    • bronchospasm
  • GI
    • peptic ulceration / gastritis
  • renal
    • loss of renal autoregulation
    • interstitial nephritis (acute oliguria)
    • papillary necrosis (long term)
  • haem
    • reduced platelet adhesiveness

Overdose

  • tinnitus
  • hyperventilation
    • respiratory alkalosis
  • metabolic acidosis
 

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