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DR.UMA KADAM   M.B.B.S. MD ASSOCIATE PROFESSOR PHARMACOLOGY SKNMC
I:  Pain and Analgesi cs ,[object Object],[object Object]
 
Pain pathways ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
 
 
 
Pharmacological treatment of pain ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Nonsteroidal Anti-inflammatory Drugs (NSAIDs) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
NSAIDs: ,[object Object],[object Object],[object Object],[object Object]
NSAIDs:  Mechanism of Action ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
COX Enzyme:Prostaglandin Effects vasodilation Kidney aggregation Platelets protect mucosa Stomach Modulate pain perception Promote fever (hypothalamus) Brain Inflammation  Peripheral injury site COX-2:  harmful   COX-1:  beneficial
Effects of COX Inhibition by Most NSAIDS NSAIDs :  anti-platelet—decreases ability of blood to clot COX-1 Gastric ulcers  Bleeding Acute renal failure COX-2 Reduce  inflammation Reduce pain Reduce fever
CLASSIFICATION OF NSAIDs: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
PROTOTYPE:  Salicylates (Aspirin) ,[object Object],[object Object],[object Object],[object Object],[object Object]
Pharmacokinetics: ASA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
PHARMACOLOGICAL ACTIONS:   Aspirin ,[object Object],[object Object],[object Object],[object Object]
PHARMACOLOGICAL ACTIONS:   Aspirin ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
PHARMACOLOGICAL ACTIONS:   Aspirin ,[object Object],[object Object],[object Object],[object Object],PGs HCl CTZ ASPIRIN SALICYLIC ACID PEPTIC ULCER EMESIS
[object Object],[object Object],[object Object],[object Object],PHARMACOLOGICAL ACTIONS:   Aspirin
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],ASPIRIN (NSAIDS):THERAPEUTIC USES
NSAIDs:  Side Effects ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Aspirin (NSAIDs):  Side Effects
ASPIRIN (NSAIDs) INTERACTIONS: / Diuretics  diuretic response& Probencid /  NSAIDs inhibit tubular  Antagonize uricosuric effect methotrexate  uric acid   secretion
NSAIDs:  Salicylate Toxicity ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],Aspirin Toxicity - Treatment
ASPIRIN vs PARACETAMOL ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Paracetamol (Para-amino phenol derivative)  Aspirin (salicylate)
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],PARACETAMOL/ acetaminophen (non-NSAID):
PARACETAMOL ( acetaminophen):   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
PARACETAMOL POISONING:   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
PHARMACOLOGICAL BASIS FOR USE OF  N-ACETYLCYSTEINE IN TREATMENT OF PARACETAMOL POISONING: ,[object Object],[object Object],[object Object],[object Object]
COMPARATIVE PHARMACOLOGICAL PROFILE OF NSAIDS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],1.Phenylbutazone/ ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Diclofenac   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Ibuprofen /Ketoprofen Properties  Route & formulations Drug  Sr.  no
COMPARATIVE PHARMACOLOGICAL PROFILE OF NSAIDS ,[object Object],[object Object],[object Object],[object Object],[object Object],Ketorolac ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Piroxicam  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],2.Metamizole Properties  Route & formulations Drug  Sr.no
COMPARATIVE PHARMACOLOGICAL PROFILE OF NSAIDS ,[object Object],[object Object],[object Object],[object Object],[object Object],Nimesulide  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Mephenamic acid ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Properties  Route & formulations Drug  Sr. no.
COMPARATIVE PHARMACOLOGICAL PROFILE OF NSAIDS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Coxibs  (etorocoxib, rofecoxib, parecoxib)  Properties  Route & formulations Drug  Sr. no.
Non selective Vs selective COX2 inhibitors ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
NSAIDs:  Nursing Implications ,[object Object],[object Object],[object Object],[object Object],[object Object]
NSAIDs:  Nursing Implications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
NSAIDs:  Nursing Implications ,[object Object],[object Object],[object Object]
NSAIDs:  Nursing Implications ,[object Object],[object Object],[object Object]
NSAIDs:  Nursing Implications ,[object Object],[object Object]
Summary
NSAIDs:  Drug Effects ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
NSAIDs:  Therapeutic Uses ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
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Nsaids

  • 1. DR.UMA KADAM M.B.B.S. MD ASSOCIATE PROFESSOR PHARMACOLOGY SKNMC
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  • 13. COX Enzyme:Prostaglandin Effects vasodilation Kidney aggregation Platelets protect mucosa Stomach Modulate pain perception Promote fever (hypothalamus) Brain Inflammation Peripheral injury site COX-2: harmful COX-1: beneficial
  • 14. Effects of COX Inhibition by Most NSAIDS NSAIDs : anti-platelet—decreases ability of blood to clot COX-1 Gastric ulcers Bleeding Acute renal failure COX-2 Reduce inflammation Reduce pain Reduce fever
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  • 25. ASPIRIN (NSAIDs) INTERACTIONS: / Diuretics diuretic response& Probencid / NSAIDs inhibit tubular Antagonize uricosuric effect methotrexate uric acid secretion
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