diabetes farmacos sensibilizadores a la insulina Flashcards

1
Q

Biguanidas cuales son

A

metformina

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2
Q

Tiazolidinedionas

A
  • Pioglitazona
  • Rosiglitazona
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3
Q

Metformina MoA

A
  • aumenta AMPK
  • gluconeogenesis
  • aumenta sensibilidad a insulina - glucosa
  • aumenta beta occidacion acidos grasos
  • disminuye reabsorcion intestinal glucosa
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4
Q

metformina indicaciones

A

primer tratamiento para DM2

obesos

  • mortalidad - progresión
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5
Q

ADME metformina

A

alimentos disminuyen la absorcion

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6
Q

EA metfomina gastrointestinal

A

Anorexia, sabor metálico, dispepsia, flatulencia, dolor abdominal, náuseas, vómito, diarrea. Perdida de peso.

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7
Q

pioglitazona y rosiglitazona MoA

A

Agonistas del PPAR y
sensibilidad insulina
aumenta glut 4 - tej adip y mus
aumenta captacion de acidos graso

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8
Q

pioglitazona y rosiglitazona EA

A

edema - ICC
aumento de peso
adiposidad central

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9
Q

insulina participa en los organos

A

el higado, tejido adiposo y tejido muscular

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10
Q

la insulina se une al recpetor

A

tirosina cinasa - fosforila a multiples proteinas

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11
Q

EA metformina y Vit B 12

A

disminuye su absorcion

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12
Q

EA raros metformina

A

Acidosis láctica
CKD
enfermedad hepática grave

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13
Q

etanol aumenta

A

toxicidad de metformina

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14
Q

rosiglitazona EA Tiazolidinedionas

A

daño osea y cardiovascular

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15
Q

pioglitazona EA Tiazolidinedionas

A

edema macular
riesgo cancer vesical

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