Block 9 Drugs - Pituitary Hormones Flashcards
Somatotropin (rHGH)
MOA: GH receptor agonist
USE: GH deficiency
Turner Syndrome
Short bowel syndrome
Wasting syndromes
S/E: Rare in children
Intracranial hypertension
Vision issues
Headache
Unique: Most effects are through IGF-1
Mescarmin
MOA: IGF-1 receptor agonist
USE: IGF-1 deficiency
S/E: Hypoglycemia
Intracranial hypertension
Octreotide
MOA: Somatostatin receptor agonist
USE: Gigantism
Acromegaly
S/E: GI issues
Nausea
Lanreotide
MOA: Somatostatin receptor agonist
USE: Gigantism
Acromegaly
S/E: GI issues
Nausea
Unique: Longer lasting than Octreotide
Pegvisomant
MOA: GH receptor antagonist
USE: Gigantism
Acromegaly
Bromocriptine
MOA: Dopamine receptor agonist
USE: Prolactinemia
S/E: Nausea
Vomiting
Headache
Postural hypotension
Cabergoline
MOA: Dopamine receptor agonist
USE: Prolactinemia
S/E: Nausea
Vomiting
Headache
Postural hypotension
CI: Linked to valvular heart disease
Unique: Preferred over Bromocriptine due to lowere side effects
Leuprolide
MOA: GnRH agonist
USE: Endometriosis
Uterine Fibroids
Prostate cancer
Precocious puberty
S/E: Hot flashes
Tiredness
Headache
Nausea
Unique: Down-regulates receptor over time to inhibit signaling
Goserelin
MOA: GnRH agonist
USE: Endometriosis
Prostate cancer
Breast cancer
S/E: HOt flashes
Tiredness
Headache
Nausea
Unique: SubQ implant
Down-regulates receptor
Histrelin
MOA: GnRH agonist
USE: Precocious puberty
prostate cnacer
S/E: Hot flashes
Tiredness
Headache
Nausea
Unique: SubQ implant
Down-regulates receptor
Naferelin
MOA: GnRH agonist
USE: Endometriosis
Precocious puberty
S/E: Hot flashes
Tiredness
Headache
Nausea
Unique: Nasal spray
Down-regulates receptor
Follitropin α, ß
MOA: FSH receptor agonist
USE: Fertility drug
CI: Uterine or breast cancer
Multiple births
Lutropin α
MOA: LH receptor agonist
USE: Fertility drug
CI: Uterine or breast cancer
Multiple births
Oxytocin
MOA: Oxytocin receptor agonist
USE: Augment labor
S/E: Rare if used correctly
Atosiban
MOA: Oxytocin receptor antagonist
USE: Tocolysis (preterm labor)
Unique: NOT FDA APPROVED
(Used in Europe)