Drugs Affecting the Reproductive System Flashcards
Drugs that affect the female reproductive system
estrogen preparation
SERM
Progesterone/progestin
Combination products
Ovarian stimulants
Uterine motility drugs
Estregon preparation drugs
estradiol (Estrace)
estrogens, conjugated (Premarin)
estrogens, esterified (Menest)
estropipate (Ogen)
Indications of estrogen preparation
- hormone replacement therapy
- relief of moderate to severe symptoms of menopause
- components of combinations contraceptives
- hypogonadism
- atrophic vaginitis
- primary ovarian failure
- amenorrhea
- oophorectomy
- osteoporosis after menopause
Adverse effects of estrogen preparations
- menstrual irregularities
- amenorrhea
- dysmenorrhea
- nausea/vomiting
- bloating
- decreased libido
- breast swelling
- edema, hypertension
- dizziness
- migraine
- pancreatitis
- hepatic adenoma
- other estrogen dependent cancers
estrogen drug interactions:
increased serum level of ________ when given with ______
estradiol
grape juice
estrogen drug interactions:
increased therapeutic or toxic effects of
corticosteroids
estrogen drug interactions:
increased risk for emboli and thrombi formation when combined with ______
nicotine
estrogen drug interactions:
decreased serum level of estrogen when given in combination with
barbiturates, rifampin, tetracyclines, phenytoin, and St. John’s wort
Selective Estrogen
Receptor Modulators drugs
raloxifene (Evista)
toremifene (Fareston)
Indications of SERMs
breast cancer
post-menopausal osteoporosis
Adverse effects of SERMs
GI upset
nausea
vomiting
headache
dizziness
visual changes
mental changes
Stimulations of estrogen receptors at different sites may also cause?
hot flashes
skin rash
edema
vaginal bleeding
Drug interactions (SERMs):
reduces the absorption of raloxifene
Cholestyramine
Drug interactions (SERMs):
may interfere with binding
sites
highly protein-bound drugs
highly protein-bound drugs
diazepam (Valium)
ibuprofen (Motrin),
indomethacin (Indocin)
naproxen (Naprosyn)