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Pharmacology - Endocrine
Drug lists, pharmacokinetics, side effects, mechanism of action
24
Medical
Professional
05/02/2006

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Term
sermorelin acetate
Definition
GHRH
Term
somatotropin, recombinant
Definition
GH
Term
ortreotide
Definition
somatostatin analog

1. longer lasting than SS

2.more selective for GH, rather than insulin

3. uses: acute variceal bleeding, metastatic carcinoid tumor, VIP secreting tumor, acromegaly

4. note that the pharamcological t1/2 is less than biological t1/2

Term
bromocriptine mesylate
Definition
dopamine agonist

uses: hyperprolactinemia, acromegaly, detrusor instability

Term
cabergoline
Definition
dopamine agonist

uses: hyperprolactinermia, acromegaly, detrusor instability

Term
protirelin
Definition
thyrotropin releasing hormone (TRH)

uses: diagnostic tool only, if pituitary working, should see increase in TSH. If problem is with pituitary, no increase will be seen. t1/2 is very short (4m)

Term
gonadorelin
Definition
synthetic GnRH

uses: give pulsitile to induce ovulation, treat delayed puberty

Term
nafarelin acetate
Definition
GnRH analog

uses: constant admin causes down-regulation of receptors, causing decrease in FSH/LH. Use for precocious puberty, endometriosis, prostate cancer, infertility (can better control ovulation)

ROA: intranasal

Term
goserelin
Definition
GnRH analog

uses: constant admin causes down-regulation of receptors, causing decrease in FSH/LH. Use for precocious puberty, endometriosis, prostate cancer, infertility (can better control ovulation)

Term
leuprolide
Definition
GnRH analog

uses: constant admin causes down-regulation of receptors, causing decrease in FSH/LH. Use for precocious puberty, endometriosis, prostate cancer, infertility (can better control ovulation)

Term
ganirelex
Definition
prototypical GnRH anatagonist

advantages: prevents initial LH/FSH surge seen in GnRH analog therapy

uses: infertility

Term
urofollitropin
Definition
FSH
Term
HCG
Definition
activity like LH (induce ovulation, stimulates corpus luteum, increase testosterone in males

ROA: IM

Term
menotropins
Definition
human menopausal gonadotropins

FSH=LH activation

ROA: IM

Term
alendronate
Definition
decreases bone resorption; slows bone turnover, inhibits formation, growth and dissolution of crystals.

Uses: osteoporosis, hypercalcemia

Term
calcitonin
Definition
Decreases bone resorption

uses: Paget's, osteoporosis, hypercalcemia (hypervitaminosis D)

Term
teriparatide
Definition
increases bone formation, structure similar to PTH.

-Once daily low dosing, stimulates osteoblasts without activating osteoclasts

uses: hypercalcemia

Term
thiazides (Ca2+ effects)
Definition
stimulates increased Ca2+ absorption from the distal tubule.

uses: hypocalcemia

Term
vitamin D
Definition
promotes Ca uptake in GI

uses: hyperparathyroidism, vit D deficiency, malabsorption.

10-14d lag time!

Term
Ca carbonate
Definition
Converted to Ca salt by HCl

uses: treats mild hypocalcemia, maintenance therapy.

Term
Ca gluconate
Definition
Ca salt

given i.v.

DOC for severe hypocalcemia.

careful with patients also on dig, can precipitate arrhythmias

Term
furosemide (effects on Ca2+)
Definition
promotes Ca excretion at loop of henle

uses: hypercalcemia

Term
phosphate salts
Definition
promote bone formation

give p.o.

uses: hypercalcemia

Term
glucocorticoids
Definition
Act as vit D anatagnoist (i.e., prevents Ca2+ absorption from gut)

uses: hypercalcemia

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