Endocrine pharm FA (INSULINS), injectable Flashcards
LISPRO? time
Rapid acting, 1h peak
ASPART? time
Rapid acting, 1h peak
GLULISINE? time
Rapid acting, 1h peak
REGULAR? time
short acting, peak 2-3h
NPH? time
intermediate acting, 4-10h
detemir? time
long acting, no real peak
glargine?
long acting, no real peak
What bind insulin preparations?
insulin receptors (tyrosine kinase activity)
Insulins on liver?
incr. glucose stored as glycogen
insulins on muscle?
incr. glycogen, protein synthesis
insulins on fat?
incr. TG storage
insulins on cells membrane?
incr. K uptake
insulins - adverse? 4
hypoglycemia, lipodistrophy, hypersensitivity reactions (rare), weight gain
What is amylin analog?
pramlintide
pramlintide (amylin analog) efect?
decr. glucagon release, DECR. GASTRIC EMPTYING -> incr. satiety