COX Inhibitors and Acetaminophen
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Questions and Answers

A patient with a history of peptic ulcers requires an analgesic. Which of the following medications would be LEAST appropriate due to its primary mechanism of action?

  • Celecoxib
  • Acetaminophen
  • Ibuprofen
  • Low-dose aspirin (correct)

A patient experiences pain and inflammation but has a known hypersensitivity to traditional NSAIDs. Which of the following would be the MOST appropriate alternative for managing their symptoms?

  • Ketoprofen
  • Ketorolac
  • Celecoxib (correct)
  • Naproxen

Which of the following drugs carries the LOWEST risk of causing gastrointestinal side effects at typical analgesic doses?

  • Ketoprofen
  • Naproxen
  • Celecoxib (correct)
  • Ibuprofen

Following an acetaminophen overdose, which antidote is administered to prevent liver damage?

<p>N-acetylcysteine (NAC) (C)</p> Signup and view all the answers

A patient requires an analgesic with minimal anti-inflammatory effects. Which of the following would be MOST suitable?

<p>Acetaminophen (A)</p> Signup and view all the answers

Flashcards

Selective COX-1 Inhibitors

Selectively block COX-1 enzymes, reducing prostaglandin production. Examples: Ketorolac, ketoprofen, low-dose aspirin.

Selective COX-2 Inhibitors

Primarily inhibit COX-2 enzymes, reducing inflammation and pain. Examples: Celecoxib, valecoxib, diclofenac.

Non-Selective COX Inhibitors

Inhibit both COX-1 and COX-2 enzymes, providing pain relief and anti-inflammatory effects. Examples: Naproxen, ibuprofen.

Acetaminophen (Paracetamol)

Used for pain and fever relief, but not an NSAID. Its antidote is NAD (N-acetylcysteine).

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Low-Dose Aspirin (as COX-1 Inhibitor)

Irreversibly inhibits COX-1, reducing thromboxane A2 formation, which inhibits platelet aggregation.

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Study Notes

  • Selective COX-1 inhibitors include ketolorac, ketoprofen.
  • Low dose aspirin is an irreversible COX-1 inhibitor.
  • Selective COX-2 inhibitors include celecoxib, valecoxib, and diclofenac.
  • Non-selective COX inhibitors include naproxen and ibuprofen.
  • Acetaminophen, also known as paracetamol, is not an NSAID.
  • Acetaminophenreduces pain and fever.
  • The antidote for acetaminophen is NAD.

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Description

This lesson covers selective and non-selective COX inhibitors like ketolorac, celecoxib, naproxen, and ibuprofen. It also discusses low-dose aspirin as an irreversible COX-1 inhibitor. Furthermore, it explains acetaminophen's effects and its antidote, NAD.

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