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Pharm -- Repro
First Aid 2012 pp553-556
24
Medical
Graduate
02/05/2013

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Cards

Term
leuprolide
Definition
GnRH analog
pulsatile --> agonist
continuous --> antagonist!
Term
weird indication for testosterone
Definition
after burn or injury (stimulate anabolism)
Term
exemestane
Definition
aromatase inhibitors
Term
anastrozole
Definition
aromatase inhibitors
Term
finasteride
Definition
5alpha-reductase inhibitor
Term
flutamide (and indication)
Definition
testosterone receptor antagonist
admin with leuprolide to prevent LH increase due to decreased neg feedback
prostate cancer
Term
ketoconazole
Definition
inhibits desmolase (anti-androgen -- tx PCOS hirsutism, causes gynecomastia/amenorrhea)
Term
spironolactone (indication, side effects)
Definition
inhibits steroid binding (anti-androgen -- tx PCOS hirsutism, causes gynecomastia/amenorrhea)
Term
clomiphene
Definition
SERM -- partial agonist in hypothalamus --> decreased neg feedback --> increased FSH/LH --> ovulation
Term
tamoxifen
Definition
SERM
anti -- breast
pro -- bone, endometrium (endometrial cancer), cardiovascular (DVTs)
Term
raloxifene
Definition
SERM
anti -- breast, endometrium
pro -- bone, cardiovascular (DVTs)
Term
do you ever give estrogen replacement alone?
Definition
NO!! increased risk of endometrial cancer
Term
mifepristone
Definition
progesterone receptor antagonist
Term
RU-486
Definition
progesterone receptor antagonist
Term
ritodrine
Definition
beta2-agonist
Term
terbutaline
Definition
beta2-agonist
Term
SERMs -- better for pre- or post-menopausal women??
Definition
post-menopausal -- no estrogen to compete with!!
Term
misoprostol
Definition
PGE1 analog
Term
what progestins do (in OCPs)
Definition
1) thicken cervical mucus
2) inhibit endometrial prolif (used to tx endometrial cancer)
Term
tamsulosin
Definition
alpha1 agonist (selective for 1A/D on prostate; not 1B on vascular receptors)
Term
sildenafil
Definition
inhibit phosphodiesterase --> increased cGMP
impaired blue-green color vision!!
Term
vardenafil
Definition
inhibit phosphodiesterase --> increased cGMP
impaired blue-green color vision!!
Term
danazol
Definition
partial agnoist at androgen recpetors --> decreased FSH/LH
used for hereditary angioedema!!
Term
vastectomy warning!!
Definition
viable sperm for 3 months!!
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