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Exam 1 Nura 221 COX inhibitors and Opioids

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Exam 1 Nura 221 COX inhibitors and Opioids COX - answercyclo-oxygenase an important enzyme in the synthesis of prostaglandin Cox is found in all tissues and helps regulate many processes COX inhibitors - answerNSAIDs (Non-Steroidal Anti-Inflammatory Medications) and selective COX2 inhibitors ...

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  • September 7, 2024
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  • 2024/2025
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  • NURA 221
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Exam 1 Nura 221 COX inhibitors and
Opioids

COX - answer✔✔cyclo-oxygenase


an important enzyme in the synthesis of prostaglandin
Cox is found in all tissues and helps regulate many processes

COX inhibitors - answer✔✔NSAIDs (Non-Steroidal Anti-Inflammatory Medications)
and selective COX2 inhibitors

COX-1 (5 things) - answer✔✔*This is the protective cox and is located in all tissues


1. Protects the gastric area by reducing secretion of gastric acid


2. Increasing secretion of bicarbonate and cytoprotective mucus


3.Maintenance of sub-mucosal blood flow


4. Catalyzes synthesis of PGE2 and PGI2 which promote vasodilation and therefore increased
renal blood flow


5. Promotes synthesis of TXA2 (which stimulates platelet aggregation, which can be a negative
event) in positive way it can clot (stop bleeding) a cut

COX-2 - answer✔✔*reactive cox
This is present only at the site of tissue injury and the brain

, ©THEBRIGHTSTARS 2024


When activated it:
Causes inflammation
Causes pain
Causes fever (increased heat at site of injury)

Two types of COX - answer✔✔COX-1
COX-2

Examples of NSAIDs - answer✔✔- Ibuprofen (Advil/Motrin)
- Naproxen & Naproxen Sodium (Naprosyn & Aleve)
- Aspirin
- Indomethacin (Indocin)
- Ketorolac (Toradol)

3 primary functions of NSAIDS - answer✔✔•Suppression of inflammation
•Relief of pain (analgesic)
•Reduction of fever (anti-pyretic)

Two types of Cox inhibitors - answer✔✔specific and non-specific

What are non-specific cox inhibitors? - answer✔✔NSAID that blocks the action of cox1 and
cox2


also called First-generation

What are specific cox inhibitors? - answer✔✔NSAIDs that mostly block cox2


also called Second Generation

What will non-specific (first gen) COX inhibitors do? - answer✔✔Blockage of Cox2
•Suppression of inflammation
•Suppression of fever
•Suppression of pain

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