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Details

USMLE1 Endocrine Pharm
N/A
25
Medical
Graduate
04/15/2011

Additional Medical Flashcards

 


 

Cards

Term
Treatment for central DI?
Nephrogenic DI?
Definition
Central: dDAVP (desmopressin, ADH analog)
Nephrogenic: HCTZ, indomethacin, amiloride
Term
Treatment for SIADH?
Definition
Demeocycline, H2O restriction
Term
Lispro
Mech
Use
Tox
Definition
Rapid acting insulin
Type 1DM, Type 2DM, gestational DM, hyperkalemia, stress-induced hyperglycemia
Hypoglycemia, hypersensitivity (rare), orthostatic hyptotension (rare)
Term
Aspart
Mech
Use
Tox
Definition
Rapid acting insulin
Type 1DM, Type 2DM, gestational DM, hyperkalemia, stress-induced hyperglycemia
Hypoglycemia, hypersensitivity (rare), orthostatic hyptotension (rare)
Term
NPH
Mech
Use
Tox
Definition
Intermediate acting insulin
Type 1DM, Type 2DM, gestational DM, hyperkalemia, stress-induced hyperglycemia
Hypoglycemia, hypersensitivity (rare), orthostatic hyptotension (rare)
Term
Glargine
Mech
Use
Tox
Definition
Long acting insulin
Type 1DM, Type 2DM, gestational DM, hyperkalemia, stress-induced hyperglycemia
Hypoglycemia, hypersensitivity (rare), orthostatic hyptotension (rare)
Term
Detemir
Mech
Use
Tox
Definition
Long acting insulin
Type 1DM, Type 2DM, gestational DM, hyperkalemia, stress-induced hyperglycemia
Hypoglycemia, hypersensitivity (rare), orthostatic hyptotension (rare)
Term
Tolbutamide
Mech
Use
Tox
Definition
1st generation sulfonylurea; close K channel in beta-cell membrane, triggers insulin release
Type 2 DM only.
Disulfiram-like effects
Term
Chlorpropamide
Mech
Use
Tox
Definition
1st generation sulfonylurea; close K channel in beta-cell membrane, triggers insulin release
Type 2 DM only.
Disulfiram-like effects
Term
Glyburide
Mech
Use
Tox
Definition
2nd generation sulfonylurea; close K channel in beta-cell membrane, triggers insulin release
Type 2 DM only.
Hypoglycemia, rare agranulocytosis
Term
Glimepiride
Mech
Use
Tox
Definition
2nd generation sulfonylurea; close K channel in beta-cell membrane, triggers insulin release
Type 2 DM only.
Hypoglycemia, rare agranulocytosis
Term
Glipizide
Mech
Use
Tox
Definition
2nd generation sulfonylurea; close K channel in beta-cell membrane, triggers insulin release
Type 2 DM only.
Hypoglycemia, rare agranulocytosis
Term
Metformin
Mech
Use
Tox
Definition
A biguanide; decreases gluconeogenesis (main action), also increases glycolysis, increases peripheral insulin sensitivity. Mechanism unknown.
Type 2DM, less often in type 1DM.
Lactic acidosis (CI in renal failure).
Term
Pioglitazone
Mech
Use
Tox
Definition
A thiazolidinedione. Increases insulin sensitivity in peripheral tissue by binding to PPAR-gamma nuclear TF. Increase adiponectin levels, fatty acid transport protein, insulin receptor, GLUT4.
Monotherapy for DM2, or with other agents.
Weight gain, edema. Hepatotoxic. CV toxic.
Term
Rosiglitazone
Mech
Use
Tox
Definition
A thiazolidinedione. Increases insulin sensitivity in peripheral tissue by binding to PPAR-gamma nuclear TF. Increase adiponectin levels, fatty acid transport protein, insulin receptor, GLUT4.
Monotherapy for DM2, or with other agents.
Weight gain, edema. Hepatotoxic. CV toxic.
Term
Acarbose
Mech
Use
Tox
Definition
alpha-glucosidase inhibitor. Delays sugar hydrolysis/absorption at brush border, lowers post-prandial hyperglycemia.
Monotherapy in DM2, or combo with other agents.
Osmotic diarrhea, flatulence.
Term
Miglitol
Mech
Use
Tox
Definition
alpha-glucosidase inhibitor. Delays sugar hydrolysis/absorption at brush border, lowers post-prandial hyperglycemia.
Monotherapy in DM2, or combo with other agents.
Osmotic diarrhea, flatulence.
Term
Pramlintide
Mech
Use
Tox
Definition
Amylin analog (usually released with insulin). Slows gastric emptying, promotes satiety, inhibits glucagon secretion.
DM1 and insulin-using DM2.
Hypoglycemia, nausea, diarrhea.
Term
Exenatide
Mech
Use
Tox
Definition
GLP-1 analog. Mechanism unknown. Enhances insulin secretion, suppresses glucagon secretion, slows gastric emptying.
DM type 2, adjunct to other oral meds.
Nausea, vomiting, pancreatitis.
Term
Propylthiouracil
Mech
Use
Tox
Definition
Inhibit thyroperoxidase; prevent organification of iodide and DIT/MIT coupling. Also inhibit peripheral conversion of T4 to T3.
Hyperthyroidism.
Skin rash, agranulocytosis, aplastic anemia.
Term
Methimazole
Mech
Use
Tox
Definition
Inhibit thyroperoxidase; prevent organification of iodide and DIT/MIT coupling.
Hyperthyroidism.
Skin rash, agranulocytosis, aplastic anemia, teratogen.
Term
Levothyroxine
Mech
Use
Tox
Definition
Thyroxine replacement
Hypothyroidism, myxedema
Tachycardia, heat intolerance, tremors, arrythmias
Term
Triiodothyonine
Mech
Use
Tox
Definition
Thyroxine replacement
Hypothyroidism, myxedema
Tachycardia, heat intolerance, tremors, arrythmias
Term
Mitotane
Use?
Definition
Adrenocorticolytic; used for adrenocortical carcinoma.
Term
Metyrapone
Definition
Inhibits 11-beta-hydroxylase, preventing cortisol synthesis.
Used to test HPA axis - if intact, should see rise in urine 11-deoxycortisol metabolites (17-hydroxy-corticosteroids).
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