Endocrine drugs Flashcards
Fludrocortisone: Action
Binds to mineralocorticoid receptor => increase ion and water transport => increase fluid volume, bp and potassium
Fludrocortisone: Indication
Adrenocortical insufficiency (Addison’s)
Fludrocortisone: Side Effects (3)
Hypertension
Sodium/water retention
Potassium/calcium loss
Insulin: Action
Stimulates uptake of blood glucose (drive potassium into cells).
Stimulate glycogen, lipid and protein synthesis
Insulin: Indications (3)
DM
Diabetic emergencies
Hyperkalaemia
Insulin: Side Effects (2)
Hypoglycaemia
Lipohypertrophy
Insulin: Interaction
Increased insulin requirements with corticosteroids
Gliclazide: Action
Sulphonylurea
Stimulate pancreatic insulin secretion
Gliclazide: Indication
DM T2
Gliclazide: Side Effects (2)
Hypoglycaemia
Hepatic toxicity
Gliclazide: Interaction
Decreased efficacy with prednisolone, thiazide and loop diuretics
Metformin: Action
Biguanide
Increases insulin sensitivity. Suppress hepatic glucose production and intestinal absorption
Metformin: Indication
DM T2
Metformin: Contraindication (3)
Severe renal impairment
AKI
Tissue hypoxia
Metformin: Side Effects (2)
Weight loss
Lactic acidosis