Ch 31- Meds Affecting Rep Tract Flashcards

1
Q

Estrogens adverse effects

A

Endometrial and ovarian cancers

Estrogen- dependent breast cancer

MI, pulmonary embolism, DVT, stroke

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2
Q

Estrogen interactions

A

Estrogens reduce warfarin

Phenytoin/Dilantin decreases estrogen

Corticosteroids increase estrogen

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3
Q

Progesterones adverse effects

A

Breast cancer

Thromboembolic events

Edema

Jaundice

Migraine

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4
Q

Progesterone interactions

A

Carbazdpine (Tegretol), phenobarbital, phenytoin (Dilantin), rifampin decrease contraceptive effectiveness

Use with Bromocriptine (parlodel) can cause amenorrhea

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5
Q

Hormonal contraceptives adverse effects

A

Thromboembolic events

Hypertension

Breakthrough or abnormal uterine bleeding

Breast cancer

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6
Q

Hormonal contraceptives interactions

A

Effects decrease with carbamazepine (Tegretol), phenobarbital, antibiotics, penicillins, cephalosporins, phenytoin (Dilantin), rifampin

Contraceptives decrease effects of warfarin and hypoglycemics

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7
Q

Androgens adverse effects

A

Premature closure of epiphyseal

Cholestatic hepatitis, jaundice

Hypercholesterolemia

Increase prostate cancer

Polycythemia

Edema

High abuse potential

Deepening of voice, etc women

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8
Q

Androgen interactions

A

Oral anticoagulant

Insulin’s

Anti diabetic agents

Hepatotoxicity

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9
Q

5-alpha reductase inhibitors adverse effects

A

Decreased libido

Gyemcomastia

Ortho hypo

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10
Q

5-alpha reductase inhibitors use

A

Decrease usable testosterone

Reduce prostate

Increase hair growth

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11
Q

5-alpha reductase inhibitors interactions

A

Cimetidine decrease tamsulosin clearance

Antihypertensives

Nitro

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12
Q

Phosphodieterase type 5 (PDE5) adverse effects

A

MI

Sudden death

Priapism (erection longer than 4 hr)

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13
Q

Phosphodieterase type 5 (PDE5) interactions

A

Organic nitrates (nitrostat and isordil)

Katoconazole, erythromycin, cimetidine, ritonavir, grapefruit juic inhibit metabolism of sildebafil

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