IP 7 Lecture 4 - Pain Pathophysiology | Mechanism of Action

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Last updated 9:40 PM on 10/1/26
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23 Terms

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Salicylates / Acetylsalicyclic acid / ASA

Non Competitive & Irreversible COX 1 & COX 2 Inhibitor via Acetylation

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Ibuprofen

Ketoprofen

Reversible & Non Selective COX 1 & COX 2 Inhibitor

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Diclofenac

Reversible & Non Selective COX 1 & COX 2 Inhibitor

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Ketorolac

Reversible & Non Selective COX 1 & COX 2 Inhibitor

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Naproxen

Reversible & Non Selective COX 1 & COX 2 Inhibitor

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Celecoxib

Reversible & COX 2 Selective (> COX 1) Inhibitor

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Acetaminophen / APAP

Central PGE Production / 5HT Modulation

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Ketamine

Noncompetitive NMDA Antagonist

Dissociative Anesthetic

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Suzetrigine

Selective NaV 1.8 Inhibitor

(AP Inhibitor in the peripheral nociceptive neurons)

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Tramadol

MuOR Full Agonist & 5HT / NE Reuptake Inhibitor

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Tapentadol

MuOR Full Agonist & 5HT / NE Reuptake Inhibitor

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Loperamide

Peripherally-restricted opioid agonist with poor bioavailability

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Buprenorphine

MOR Partial Agonist

& KOR Weak Antagonist

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Naloxone

Opioid Antagonist with no oral bioavailbility

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Naltrexone

Opioid Antagonist

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Methylnaltrexone / Naloxegol

Opioid Antagonist Adjuvent used for preventing opioid-induced constipation

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Nalmefene

Opioid Antagonist

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Gabapentin

Binds to the α2-δ subunit of Voltage Gated Calcium Channels to reduce NTM release

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Pregabalin

Binds to the α2-δ subunit of Voltage Gated Calcium Channels to reduce NTM release

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Carbamazepine

Inhibit Voltage Gated Sodium Channels

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Desipramine

Inhibit NE & 5HT Reuptake Inhibitor

& Blocks Na, Ca Channels

& Blocks NMDA receptors

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Nortriptyline

Inhibit NE & 5HT Reuptake Inhibitor

& Blocks Na, Ca Channels

& Blocks NMDA receptors

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Duloxetine

Selective NE & 5HT Reuptake Inhibitor