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Chapter 24 Review Question Answers
Chapter 24 Review Question Answers

... 5. The salicylic acid ring binds to the ∆5–∆8 double-binding region of the enzyme with which the carboxylic group interacts, via an ionic interaction, with an Arg 120 residue on the active site of the enzyme. The fluorine-containing ring binds to the ∆11 doublebinding region of the enzyme, thereby e ...
Eschenbacher High Alert Medication Presentation October 2007
Eschenbacher High Alert Medication Presentation October 2007

... The number of adverse drug events (ADEs) associated with an anticoagulant per 100 admissions in which the patient was administered at least one dose of an anticoagulant, as detected using the IHI Global Trigger Tool (using only the Medication Module and Care Module triggers). The percentage of patie ...
Doctor Leaflet Mesulid 100 mg caplets
Doctor Leaflet Mesulid 100 mg caplets

... The occurrence of these interactions should be taken into consideration in patients who have to take Mesulid in association with ACE inhibitors or AIIA. Consequently, this drug association should be administered with precaution, especially in elderly patients. Patients should be properly hydrated, ...
factor ix (human) - DavisPlus
factor ix (human) - DavisPlus

... ● Dose varies with degree of clotting factor deficit, desired level of clotting factors, ...
Carbamazepine Toxicity - Anticonvulsant structurally similar to TCA`s
Carbamazepine Toxicity - Anticonvulsant structurally similar to TCA`s

... methemoglobin reductase enzyme in erythrocytes. Methemoglobin is useless for oxygen carrying. In addition, methemoglobin shifts the oxygen-hemoglobin dissociation curve to the left and changes the sigmoid shape of the curve into a more hyperbolic one, thus hindering unloading of oxygen to tissues. T ...
Atrial fibrillation
Atrial fibrillation

... randomised trials. Lancet. 2014;383(9921):955-962. (11) Connolly SJ, Ezekowitz MD, Yusuf S, et al. Dabigatran versus Warfarin in Patients with Atrial Fibrillation. N Engl J Med. 2009;361(12):1139-1151. (12) Patel MR, Mahaffey KW, Garg J, et al. Rivaroxaban versus warfarin in nonvalvular atrial fibri ...
Drugs Interactions May 2010
Drugs Interactions May 2010

... Drugs can either inhibit/ induce drug-metabolizing enzymes. Enzyme inducers (stimulation of cytochrome P450 in liver): requires some days - Barbiturates - Ethanol - Carbamazepine?? - Phenytoin - Rifampicin?? - Efavirenz?? - They also increase glucuronidation (phase II) metabolism ...
Cardiovascular drugs: some important interaction
Cardiovascular drugs: some important interaction

... If the patient is at increased risk for gastrointestinal event caused by aspirin or naproxen (eg. age > 60 years, history of ulcers, etc.), then a gastroprotective agent can be added (a proton pump inhibitor or misoprostol) ...
Outpatient Oral Anticoagulant protocols
Outpatient Oral Anticoagulant protocols

... Patients with proximal DVT or PE should be treated for at least 3 months. A recent analysis of data from seven trials (Boutitie, et al 2011) concluded that three months of treatment achieves a similar risk of recurrent venous thromboembolism after stopping anticoagulation as a longer course of treat ...
20101-viscera
20101-viscera

... 1. Please tell the probable adverse reactions after long-time and high-dose use of glucocorticoids? (1)Iatrogenic Cushing’s syndrome: mainly caused by metabolism disorder of lipid, protein, glucose and water-electrolyte. The symptoms include sodium retention, hypokalemia, hypertension, moon face, bu ...
Falls Prevention Service Level 2
Falls Prevention Service Level 2

... Phenothiazines as first-line treatment, since safer and more efficacious alternatives exist (phenothiazines are sedative, have significant antimuscarinic toxicity in older people, with the exception of prochlorperazine for nausea/ vomiting/ vertigo, chlorpromazine for relief of persistent hiccoughs ...
CLINICALLY IMPORTANT DRUG INTERACTIONS
CLINICALLY IMPORTANT DRUG INTERACTIONS

... Drug interaction refers to modification of response to one drug by another when they are administered simultaneously or in quick succession. ...
Atrial Fibrillation / Atrial Flutter Management Pathway (AF)
Atrial Fibrillation / Atrial Flutter Management Pathway (AF)

...  Where Warfarin is not indicated, give aspirin 75 to 300 mg/day +/- clopidogrel 75mg daily (both reduce stroke risk additively by 1/5 each). Consider gastroprotection.  If Warfarin is appropriate, do not co administer aspirin purely for thromboprophylaxis, as it provides no additional benefit. Asp ...
Wytensin - Honors Human Physiology
Wytensin - Honors Human Physiology

... Wytensin is an orally active central alpha-2 adrenergic agonist. Its antihypertensive action appears to be mediated via stimulation of central alpha adrenergic receptors, resulting in a decrease of sympathetic outflow from the brain at the bulbar level to the peripheral circulatory system. PHARMACOK ...
Prescribing in the Elderly - Benton Franklin County Medical Society
Prescribing in the Elderly - Benton Franklin County Medical Society

... ↑ gastric pH ↓ absorption surface ...
iv-po stepdown program
iv-po stepdown program

... PRESCRIBING POLICIES: 4.6 PHARMACIST-MANAGED IV-PO CONVERSION PROGRAM POLICY The oral dosage form for treatment courses of select parenteral drugs will be promoted by permitting pharmacists to review and change the route of administration of selected medications in accordance to established criteria ...
Anti-platelets
Anti-platelets

... with aspirin & heparin or LMW heparin • Most common A/E is bleeding • May cause thrombocytopenia, hypotension, bradycardia • Non antigenic • Dose: 0.25 mg/kg IV before PCI followed by 10 g/min for 12 hrs 2) Eptifibatide • Cyclic peptide inhibitor of the fibrinogen binding site on GpIIb/IIIa recepto ...
Gianluca Botto, MD, FESC, Fibrillazione Atriale Non
Gianluca Botto, MD, FESC, Fibrillazione Atriale Non

... ■ NOACs provide a similar level of protection from ischemic stroke as VKAs but are associated with a significant lower rate of intracranial bleeding ■ NOACs are powerful drugs, can cause serious bleeding and should be used in strict accordance with their specific scientific evidence ...
infomedbaseproducts
infomedbaseproducts

... • SFINX gives a warning on the potential clinical problem with a specific drug interaction taking into account the formulation of the drug • SFINX provides medical expert recommendations on circumventing or controlling the clinical problem, e.g. by suggesting an alternative choice of drug • The data ...
الشريحة 1
الشريحة 1

... Drugs are categorized according to the process they target. An injured blood vessel  Contracts  Forms a platelet plug (1º hemostasis)  Forms a protein clot (2º hemostasis)  Once healed, solubilizes the clot (fibrinolysis) Drugs Affecting Hemostasis ...
acetylcholinesterase inhibitors: information for
acetylcholinesterase inhibitors: information for

... antidepressants affecting serotonin) and those with a previous history of peptic ulceration Although not very common, vagotonic effects including bradycardia have been noted with use of acetylcholinesterase inhibitors in particular galantamine. This should be considered in patients receiving drugs t ...
aspirin (acetylsalicylic acid, ASA)L  L(ass-purr
aspirin (acetylsalicylic acid, ASA)L L(ass-purr

... Baseline Assessment: Do not give to children/teenagers who have flu or chicken pox (increases risk of Reye’s syndrome). Do not use if vinegarlike odor is noted (indicates chemical breakdown). Assess type, location, duration of pain, inflammation. Inspect appearance of affected joints for immobility, ...
pharmacology mcq 1 (2009)
pharmacology mcq 1 (2009)

... a. ACE-inhibitors 17) An old woman takes a drug of some sort, and end s up with a potassium level of 6.2 Which drug is LEAST likely to cause this? a. Naproxen b. Alpha-methyldopa c. ACE-inhibitors 18) Anticonvulsants: match the drug with its adverse effect a. Phenytoin + Vitamin D deficience 19) Ant ...
Characterization of a Kunitz-type protease inhibitor peptide
Characterization of a Kunitz-type protease inhibitor peptide

... of D. r. russelii (unpublished observation). Functional characterization of such novel components of venom will not only advance our understanding of the molecular mechanism(s) of pathogenicity of snakebite, but also has the potential to contribute to the discovery of therapeutically important prote ...
JRCALC
JRCALC

... • Diazepam for Cocaine overdose • Atropine in children only for ...
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Discovery and development of direct thrombin inhibitors



Direct thrombin inhibitors (DTIs) are a class of anticoagulant drugs that can be used to prevent and treat embolisms and blood clots caused by various diseases. They inhibit thrombin, a serine protease which affects the coagulation cascade in many ways. DTIs have undergone rapid development since the 90's. With technological advances in genetic engineering the production of recombinant hirudin was made possible which opened the door to this new group of drugs. Before the use of DTIs the therapy and prophylaxis for anticoagulation had stayed the same for over 50 years with the use of heparin derivatives and warfarin which have some well known disadvantages. DTIs are still under development, but the research focus has shifted towards factor Xa inhibitors, or even dual thrombin and fXa inhibitors that have a broader mechanism of action by both inhibiting factor IIa (thrombin) and Xa. A recent review of patents and literature on thrombin inhibitors has demonstrated that the development of allosteric and multi-mechanism inhibitors might lead the way to a more safer anticoagulant.
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