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Antidepressant_agents
Antidepressant_agents

... Nonselective: block both A and B types Form a permanent chemical bond with part of the MAO enzyme (enzyme function returns only as new enzyme is biosynthesized) Have a rapid rate of elimination, excess drug is rapidly metabolized Inhibition occurs slowly ...
pharm 22 A [4-20
pharm 22 A [4-20

... a. High bleeding risk in patients over 75 years or under 60 kg 3 antagonists of GP IIb-IIIa? What is their common, clinically serious side effect? Why is abciximab unique and what are the clinical implications? a. eptifibatide, abciximab, and tirofiban [don’t FIB about being sick] i. used for ischem ...
C
C

... registered for once-daily administration. However, only fosinopril, ramipril, imidapril and trandolapril have trough-to-peak effect ratios exceeding 50%,[18] with imidapril being one of the highest at 84%[7]. The half-life of imidapril is adequate for once-daily administration, but there are indicat ...
Doctor Leaflet Mesulid 100 mg caplets
Doctor Leaflet Mesulid 100 mg caplets

... agents (e.g. misoprostol or proton pump inhibitors) should be considered for these patients, and also for patients requiring concomitant low dose aspirin, or other drugs likely to increase gastrointestinal risk (see below and 4.5). Patients with a history of GI toxicity, particularly when elderly, s ...
PHARM4515-16 (NSAIDs)
PHARM4515-16 (NSAIDs)

... Searching for a less toxic better tolerated derivative of salicylic acid produced aspirin. The knowledge that acetylation of the very toxic aniline produced the less toxic acetanilide, acetylation of salicylic acid with acetic anhydride produced Aspirin The name. Aspirin was coined by adding an a fo ...
06 Gout
06 Gout

...  Define each group of drugs  Describe the mechanism of action, clinical uses & ...
Simvastatin and atorvastatin: beware of potential CYP3A4
Simvastatin and atorvastatin: beware of potential CYP3A4

... isoenzyme CYP3A4. Medicines that inhibit or induce this enzyme (Table 1) are likely to affect the plasma concentration of these statins, resulting in either an increased risk of adverse effects (e.g. myopathy and rhabdomyolyis) or a reduction in the effectiveness of treatment.2 For example, one stud ...
Acute Coronary Syndrome Therapeutic Intervention
Acute Coronary Syndrome Therapeutic Intervention

... 2. In order to activate the plasminogen into its active form; Plasmin, human kidneys secrete an enzyme called Urokinase. Urokinase will cleave the Plasminogen to Plasmin through proteolytic mechanism 3. Nevertheless, activated plasmin is vulnerable to be deactivated by plasma AntiPlasmin which can r ...
pharmacokinetics of 7-day multiple-dose tedizolid
pharmacokinetics of 7-day multiple-dose tedizolid

... for infections caused by Gram-positive bacteria, including MRSA. TZDP is rapidly converted into tedizolid (TZD), its active moiety, by non-specific phosphatases in vivo.3 Two recently completed Phase III clinical studies have demonstrated non-inferior efficacy of tedizolid 200 mg once-daily treatmen ...
Slide 1
Slide 1

... • Nonselective NSAIDs (including aspirin) cause gastric mucosal damage by two mechanisms: (1) a direct or topical irritation of the gastric epithelium, and (2) systemic inhibition of the cyclooxygenase-1 (COX-1) enzyme, which results in decreased synthesis of protective prostaglandins. Use of cortic ...
week01.2.biopharm
week01.2.biopharm

... Pharmacokinetics ...
SULFONAMIDES and TRIMETHOPRIM
SULFONAMIDES and TRIMETHOPRIM

... • When the 2 drugs are used in combination, antimicrobial synergy results from the sequential blockade of folate synthesis. • The drug combination is bactericidal against ...
Prescribing Information
Prescribing Information

... Methergine (methylergonovine maleate) acts directly on the smooth muscle of the uterus and increases the tone, rate, and amplitude of rhythmic contractions. Thus, it induces a rapid and sustained tetanic uterotonic effect which shortens the third stage of labor and reduces blood loss. The onset of a ...
2011
2011

... A drug, stable in the GI tract and in GI membranes (fu=0.5, t1/2=20 h, not transported by transporters), given orally, is cleared only through renal clearance (Clren=0.75 ml/min ;). After 5 months of treatment, the AUC is determined. It is half of what was found at the end of month one. Indicate for ...
Drug Discovery Pipeline Brief Report 2011
Drug Discovery Pipeline Brief Report 2011

... international data report that neither the first-line drug Gleevec or the second-line drugs Dasatinib or Nilotinib (approved by FDA for the treatment of CML) are effective in patients with the T315I mutation, because their IC50 values all exceed > 50 µM. The IC50 of D824 is <10 nM and its activity i ...
File
File

... • In plants and bacteria, isoleucine may be synthesized from threonine in a five-step reaction pathway. – In the first step of this process, threonine is converted into an intermediate compound by an enzyme (threonine deaminase). – Isoleucine can bind to an allosteric site on this enzyme and functio ...
Dosage and Administration Dorixina Relax
Dosage and Administration Dorixina Relax

1- Rheumatoid arthritis
1- Rheumatoid arthritis

HERE - INDIGO Biosciences
HERE - INDIGO Biosciences

... COX-2 drives the production of prostacyclins whilst platelet COX-1 drives the production of thromboxanes [4]. The model predicts that a balance between pro-thrombotic and antithrombotic state exist under normal physiological conditions. However, when an NSAID which inhibits COX-2 in endothelial cell ...
Anticoagulation Guidelines for Reversal
Anticoagulation Guidelines for Reversal

...  See apixaban guidelines for use for further information.  Antidote: Prothrombin complex concentrate (Kcentra®) is considered an antidote (see guidelines for use).  Other: Consider activated charcoal if acute (<2 hours) overdose. Apixaban is not dialyzable. Fresh frozen plasma or packed red blood ...
GOUT
GOUT

... mg/day till the attack subsides steroids should be tapered after acute phase. Local injections possible if one or two joint swellings ...
ISIS 301012: The Reduction of Atherogenic Lipids in
ISIS 301012: The Reduction of Atherogenic Lipids in

...  Not well studied in children; no registration  Mechanism of action is complex and largely unknown  Decreased production of very low-density lipoprotein cholesterol (VLDL-C) and an increased clearance of triglycerides  Adverse reactions are similar to those of statins  In children, fibrates are ...
Etopan 400, 500, 600 mg XL Tablets
Etopan 400, 500, 600 mg XL Tablets

... patients, administration of a nonsteroidal anti-inflammatory drug may cause a dosedependent reduction in prostaglandin formation and, secondarily, in renal blood flow, which may precipitate overt renal decompensation. Patients at greatest risk of this reaction are those with impaired renal function, ...
Initial dose per day (mg)
Initial dose per day (mg)

... events, including MI, in patients with established heart disease.  If NSAIDs are required, they should be used at the lowest effective dose & for the shortest duration necessary for the given indication. ...
Non-competitive inhibition
Non-competitive inhibition

... • Enzymes are specialized proteins that function as catalysts to increase the rate of biochemical reactions. By interacting with substrates (reactant molecules upon which an enzyme acts), enzymes catalyze chemical reactions involved in the biosynthesis of many cellular products. Enzymes derive their ...
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Discovery and development of cyclooxygenase 2 inhibitors



Cyclooxygenases are enzymes that take part in a complex biosynthetic cascade that results in the conversion of polyunsaturated fatty acids to prostaglandins and thromboxane(s).Their main role is to catalyze the transformation of arachidonic acid into the intermediate prostaglandin H2, which is the procursor of a variety of prostanoids with diverse and potent biological actions.Cyclooxygenases have two main isoforms that are called COX-1 and COX-2 (as well as a COX-3). COX-1 is responsible for the synthesis of prostaglandin and thromboxane in many types of cells, including the gastro-intestinal tract and blood platelets. COX-2 plays a major role in prostaglandin biosynthesis in inflammatory cells and in the central nervous system. Prostaglandin synthesis in these sites is a key factor in the development of inflammation and hyperalgesia.COX-2 inhibitors have analgesic and anti-inflammatory activity by blocking the transformation of arachidonic acid into prostaglandin H2 selectively.
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