Endocrine and reproductive drugs Flashcards
What is the master control gland?
Pituitary
Anterior Pituitary
adenohypophysis
secretes TSH,ACTH, GH(BST), FSH, LH, LTH (PROLACTIN), BST
Posterior pituitary
neurohypophysis
secretes ADH (vasopressin) and OXY
Stages of estrus cycle
Proestrus: period of cycle before receptive; FSH
Estrus: female is receptive; FSH lower and LH higher; follicle ruptures
Metestrus: no longer receptive; CL forms and produces progesterone if pregnant
Diestrus: short phase of inactivity between cycles in polyestrus animals
Anestrus: sexually quiescen; long phase in seasonally polyestrous or monestrous animals
Male-hormone like drugs
Androgens= male sex hormones
Adrongergic: development of male sex hormones and secondary sexual characteristics
Anabolic: promote tissue building such as weight gain, red blood cell production
Testosterone
Uses: treat infertility and hypogonadism; produce teaser cattle; urinary incontinence in male dogs
Side Effects: premature growth plate closure, vaginitis
Dosage Form: Testosterone
Mibolerone
Blocks the release of LH from pituitary; start 30 days prior proestrus
Uses: prevent estrus and treat pseudocyesis
DO NOT USE IN CATS: LOW MARGIN SAFETY AND DEVELOPMENT OF DIABETES
Dosage Forms: Cheque Drops
Female Hormone-like drugs
Ovaries and placenta mainly produce estrogen, but also testes and adrenal glands
-Estrogen promotes female sex characteristics, stimulates and maintains female repro tract, necessary for uterus to contact and respond to oxytocin
Estrogens
Uses: treat urinary incontinence in dogs, treat persistent CL in cattle, aid expulsion retained in cattle, induce estrus in horses
Side Effects: pyometra, bone marrow suppression, follicular cysts, endometrial hyperplasia
Dosage Forms:
- Estradiol (ECP) injection
- Diethylstilbesterol (DES) tablets
Progestins
Uses: block estrus in bitch; maintain pregnancy in cattle and horses, delay/synchronize estrus
Side Effects: in dogs- hyperglycemia, adrenal suppression, pyometra
Dosage Forms:
- megesterol acetate (ovaban) for dogs
- Altrenogest (for horses; can be absorbed through the skin)
Prostaglandins
PG F 2x in female repro tract causes lysis of CL, contraction of uterine muscle
Uses: estrus synchronization in cattle and horses. Treatment of pyometra. Induce parturition in small animals and induce abortion in animals carrying dead fetus, twins, or young animal.
PREGNANT WOMEN AND ASTHMATICS SHOULD NOT HANDLE
Dosage Form: Dinoprost (Lutalvse)
Stimulating Uterine Contraction
Oxytocin
Uses: induction of labor, retained placenta, involution, induce milk let down
Neutersol
- A nonsurgical neutering drug; approved use for 3-10 month old male dogs
- Should not be used in cryptorchids
- still sterile for 60 days
Side Effects: vocalization upon injection, vomiting
Hypothyroidism
characterized by deficiency of thyroid hormone
Signs: decrease coat luster or alopecia, weight gain without appetite, listlessness, intolerance to cold, reporoductive failure, susceptibility to skin infections
Drug of Choice:
-Levothryroxine sodium(T4)
(Soloxine)
Hyperthyroidism
-excessive function of gland–>excessive hormone, increased nervous activity, increased metabolism
MOST COMMON IN OLDER CATS
Signs: polydipsia, polyphagia with weight loss, polyuria, tachycardia
Drug of Choice: Methimazole(Tapazole) – antithyroid drug
Diabetes Mellitus
-The pancreas produces two hormones:
Insulin by beta cells and glucagon by alpha cells
-Insulin promotes the uptake of glucose by cells and its storage in the form of glycogen
Diabetic animals have hyperglycemia, glucosuria, PU, PD, and alterations in fat metabolism that can lead to toxic effects and coma
Insulin
concentraion expressed in units of insulin per milliliter
-Available in 40 units.ml (U-40), 100 units per ml (U-100)
Insulin overdose: weakness, ataxia, tremors or seizures, treat by administering Karo Syrup
Categories of Insulin
- Short-acting (regular)
- used to treat diabetic ketoacidosis
- IV
- Intermediate acting
- NPH, PZI, Lente, Humulin-N
- used to treat uncomplicated diabetes in dogs/cats
- SQ 4-24hrs
- Long Acting
- Glargine(Lantus)
- SQ
Oral hypoglymic agents
stimulate pancreatic beta cells to produce insulin
NOT EFFECTIVE IN DOGS
Dosage Form: Glipizide (Glucotrol) tablets
Adrenocotical Insufficiency (Addisons)(hypoadrenocorticism)
Treat with mineralocorticoids and glucocorticoids
Hyperadrenocorticism (Cushings)
Dosage Form:
- Mitotane(Lysodren)
- Selegiline (Anipryl)
- Vetoryl (Trilostane)
Anabolic Steroids
C-III controlled substance
Dosage Form:
-Stanozol (Winstrol-V)