Adrenocortical Flashcards
MoA of aminoglutethimide
Blocks the conversion of cholesterol to pregenolone
Aminoglutethimide is combined with what if the px has breast cancer
Dexamethasone of hydrocortisone
Tamoxifen
AE of aminoutethimide
Lethargy
Skin Rash
Non selective inhibitor of adrenal and gonadal steroid synthesis
Ketoconazole
Clinical use of ketoconazole
Cushing’s syndrome
Inhibitor for hypercortisolism
AE of ketoconazole
Hepatoxicity
What is the primary use of etomidatw
General anesthesia and sedation
Reduces synthesis of adrenal and gonadal steroids
Abiraterone
Used for refractory prostate cancer
Abiraterone
This drug stabilizes HSP and steroid receptor
Miferistone
Reduces cortisol production
Metyrapone
Excretion of spironolactone
Renal and bile
Excretion of eplerenone
renal and gi
More selective to aldosterone receptor
Eplerenone
They can increase eplerenone concentrations
Itraconazole
Ribonavir
Calrithromycin