Exam 4 PCAL Flashcards
Testosterone
Androgen
Depo Testosterone
Androgen
Androderm patch
Testosterone, Androgen
Androgel
Testosterone, Androgen
Testim
Testosterone, Androgen
Jatenzo
Testosterone, Androgen
- oral
Kyzatrex
Testosterone, Androgen
-oral
Tlando
Testosterone, Androgen
-oral
Methyltestosterone
Androgen
- HRT for postmenopausal women
Danocrine
Androgen
- Use: endometriosis
fluoxymesterone
Halotestin,
Anabolic Steroids
- Use: erythropoiesis, bone disorder
- ADR: liver damage
Halotestin
fluoxymesterone,
Anabolic Steroids
- Use: erythropoiesis, bone disorder
- ADR: liver damage
oxandrolone
Anavar,
Anabolic steroids
- Use: erythropoiesis, bone disorder
- ADR: liver damage
Anavar
oxandrolone,
Anabolic steroids
- Use: erythropoiesis, bone disorder
- ADR: liver damage
oxymetholone
Anadrol,
Anabolic steroids
- Use: erythropoiesis, bone disorder
- ADR: liver damage
Anadrol
oxymetholone,
Anabolic steroids
- Use: erythropoiesis, bone disorder
- ADR: liver damage
GnRH receptor antagonists
Androgen Deprivation Therapy
GnRH receptor agonists
Androgen Deprivation Therapy
5-alpha reductase inhibitors
Androgen Deprivation Therapy
Androgen receptor antagonists
Androgen Deprivation Therapy
degarelix
Firmagon,
GnRH receptor antagonist
- Use: prostate cancer
Firmagon
degarelix,
GnRH receptor antagonist
- Use: prostate cancer
elagolix
Orilissa,
GnRH receptor antagonist
- Use: endometriosis
Orilissa
elagolix,
GnRH receptor antagonist
- Use: endometriosis
relugolix
Orgovyx,
GnRH receptor antagonist
- Use: prostate cancer
Orgovyx
relugolix,
GnRH receptor antagonist
- Use: prostate cancer
leuprolide
Lupron,
GnRH receptor agonists
- long acting in
- ADR: hot flashes (M/F)
- CONTRA: prego
Lupron
leuprolide,
GnRH receptor agonists
- long acting inj
- ADR: hot flashes (M/F)
- CONTRA: prego
nafarelin
Synarel,
GnRH receptor agonists
- ADR: hot flashes (M/F)
- CONTRA: prego
Synarel
nafarelin,
GnRH receptor agonists
- ADR: hot flashes (M/F)
- CONTRA: prego
goserelin
Zoladex,
GnRH receptor agonists
- ADR: hot flashes (M/F)
- CONTRA: prego
Zoladex
goserelin,
GnRH receptor agonists
- ADR: hot flashes (M/F)
- CONTRA: prego
buserelin
Suprefact,
GnRH receptor agonists
- nasal spray, inj
- ADR: hot flashes (M/F)
- CONTRA: prego
Suprefact
buserelin,
GnRH receptor agonists
- nasal spray, inj
- ADR: hot flashes (M/F)
- CONTRA: prego
histrelin
Vantas,
GnRH receptor agonists
- SQ impant
- ADR: hot flashes (M/F)
- CONTRA: prego
Vantas
histrelin,
GnRH receptor agonists
- SQ impant
- ADR: hot flashes (M/F)
- CONTRA: prego
triptorelin
GnRH receptor agonists
- ADR: hot flashes (M/F)
CONTRA: prego
finasteride
(Propecia, Proscar)- type 2 selective
5-alpha reductase inhibitors
Propecia
finasteride, - type 2 selective
5-alpha reductase inhibitors
- Use: low dose > male patterned baldness
- ADR: Prego- male develop
Proscar
finasteride, - type 2 selective
5-alpha reductase inhibitors
- Use: high dose > BPH
- ADR: Prego- male develop
dutasteride
Avodart, - non- selective
5-alpha reductase inhibitors
- ADR: Prego- male develop
Avodart
dutasteride, - non- selective
5-alpha reductase inhibitors
- ADR: Prego- male develop
bicalutamide
Casodex,
Androgen receptor antagonists
- Use: prostate cancer
- Note: co-therapy w/ GnRH receptor antagonists
Casodex
bicalutamide,
Androgen receptor antagonists
- Use: prostate cancer
- Note: co-therapy w/ GnRH receptor antagonists
apalutamide
Erleada,
Androgen receptor antagonists
- Use: prostate cancer
- Note: co-therapy w/ GnRH receptor antagonists
Erleada
apalutamide,
Androgen receptor antagonists
- Use: prostate cancer
- Note: co-therapy w/ GnRH receptor antagonists
enzalutamide
Xtandi,
Androgen receptor antagonists
- Use: prostate cancer
- Note: co-therapy w/ GnRH receptor antagonists
Xtandi
enzalutamide,
Androgen receptor antagonists
- Use: prostate cancer
- Note: co-therapy w/ GnRH receptor antagonists
Nubeqa
darolutamide,
Androgen receptor antagonists
- Use: prostate cancer
- Note: co-therapy w/ GnRH receptor antagonists
darolutamide
Nubeqa,
Androgen receptor antagonists
- Use: prostate cancer
- Note: co-therapy w/ GnRH receptor antagonists
clascoterone
Winlevi,
Androgen receptor antagonists
Use: acne (topical)
Winlevi
clascoterone,
Androgen receptor antagonists
Use: acne (topical)
teplizumab
Tzield
- Use: early-stage T1D to delay disease progression
Tzield
teplizumab
- Use: early-stage T1D to delay disease progression
Afreeza
Ultra rapid-acting Insulin
- Use: inhaled- variable absorb
- ADR: bonchospams (REMS)
- ADR: Wt gain, hypoglycemia
Lispro
(Humalog, Admelog, Lyumjev)
Rapid-acting Insulin
- Eat before meal
- ADR: Wt gain, hypoglycemia
Humalog
Lispro,
Rapid-acting Insulin
- Eat before meal
- ADR: Wt gain, hypoglycemia
Admelog
Lispro,
Rapid-acting Insulin
- Eat before meal
- ADR: Wt gain, hypoglycemia
Lyumjev
Lispro,
Rapid-acting Insulin
- Eat before meal
- ADR: Wt gain, hypoglycemia
aspart
(Novolog, Fiasp)
Rapid-acting Insulin
- Eat before meal
- ADR: Wt gain, hypoglycemia
Novolog
Aspart,
Rapid-acting Insulin
- Eat before meal
- ADR: Wt gain, hypoglycemia
Fiasp
Aspart,
Rapid-acting Insulin
- Eat before meal
- ADR: Wt gain, hypoglycemia
glulisine
Apidra,
Rapid-acting Insulin
- Eat before meal
- ADR: Wt gain, hypoglycemia
Apidra
glulisine,
Rapid-acting Insulin
- Eat before meal
- ADR: Wt gain, hypoglycemia
Humulin R
Regular insulin, Short acting
- ADR: Wt gain, hypoglycemia
Novolin R
Regular insulin, Short acting
- ADR: Wt gain, hypoglycemia
Humulin N
NPH insulin,
Intermediate acting Insulin
- contain protamine, suspension
- ADR: Wt gain, hypoglycemia
Novolin N
NPH insulin,
Intermediate acting Insulin
- ADR: Wt gain, hypoglycemia
detemir
Levemir,
Long-acting Insulin
- ADR: Wt gain, hypoglycemia
Levemir
detemir,
Long-acting Insulin
- ADR: Wt gain, hypoglycemia
degludec
Tresiba,
Long-acting Insulin
- ADR: Wt gain, hypoglycemia
Tresiba
degludec,
Long-acting Insulin
- ADR: Wt gain, hypoglycemia
glargine
(Lantus, Basaglar, Toujeo)
Long-acting Insulin
- ADR: Wt gain, hypoglycemia
Lantus
glargine,
Long-acting Insulin
- ADR: Wt gain, hypoglycemia
Basaglar
glargine,
Long-acting Insulin
- ADR: Wt gain, hypoglycemia
Toujeo
glargine,
Long-acting Insulin
U-300
- ADR: Wt gain, hypoglycemia
glargine-yfgn
Semglee,
Long-acting Insulin
- ADR: Wt gain, hypoglycemia
Semglee
glargine-yfgn,
Long-acting Insulin
- ADR: Wt gain, hypoglycemia
glucose
Treatment of hypoglycemia
glucagon
(Baqsimi, Gvoke),
Treatment of hypoglycemia
- SQ or intranasal
- emergency use
Baqsimi
glucagon,
Treatment of hypoglycemia
- SQ or intranasal
- emergency use
Gvoke
glucagon,
Treatment of hypoglycemia
- SQ or intranasal
- emergency use
dasiglucagon
Zegalogue,
Treatment of hypoglycemia
Zegalogue
dasiglucagon,
Treatment of hypoglycemia
pramlintide
Symlin
- inj peptide amylin analog peptide
- co-admin w/ insulin, decr dose of insulin initially to prevent hypoglycemia
- Use: T1D, last stage T2D
- Effects:
1. decr glucagon secretion
2. decr gastric emptying rate
3. appetite suppression
Symlin
pramlintide
- inj amylin analog peptide
- co-admin w/ insulin, decr dose of insulin initially to prevent hypoglycemia
- Use: T1D, last stage T2D
- Effects:
1. decr glucagon secretion
2. decr gastric emptying rate
3. appetite suppression
metformin
Glucophage
- Use: ONLY T2D
- MOA: incr insulin sensitivity >
incr glucose intake
- does NOT stimulate pancreas or incr endogenous insulin
- ADR: metallic taste, lactic acidosis
- NO hypoglycemia risk
- Excreted unchanged > need GOOD renal function
- STOP when iodinated contrast media scan bc kidney will stop elim med > 1. build-up, lactic acidosis
2. acute renal failure
Glucophage
metformin
- Use: ONLY T2D
- MOA: incr insulin sensitivity >
incr glucose intake
- does NOT stimulate pancreas or incr endogenous insulin
- ADR: metallic taste, lactic acidosis
- NO hypoglycemia risk
- Excreted unchanged > need GOOD renal function
- STOP when iodinated contrast media scan bc kidney will stop elim med > 1. build-up, lactic acidosis
2. acute renal failure
rosiglitazone
Avandia,
Thiazolidinediones
- Use: T2D ONLY
ADR: anemia, edema (wt gain)
- CONTRA: HF, cardiovascular risk
Avandia
rosiglitazone, Thiazolidinediones
- Use: T2D ONLY
ADR: anemia, edema (wt gain)
- CONTRA: HF, cardiovascular risk
pioglitazone
Actos,
Thiazolidinediones
- Use: T2D ONLY
- ADR: anemia, edema (wt gain)
- CONTRA: HF, cardiovascular risk
Actos
pioglitazone,
Thiazolidinediones
- Use: T2D ONLY
ADR: anemia, edema (wt gain)
- CONTRA: HF, cardiovascular risk
acarbose
Precose,
Alpha-glucosidase inhibitors
Effect: slow breakdown/absorption of glucose, no effect on gastric emptying
Precose
acarbose,
Alpha-glucosidase inhibitors
Effect: slow breakdown/absorption of glucose, no effect on gastric emptying
miglitol
Glyset,
Alpha-glucosidase inhibitors
Effect: slow breakdown/absorption of glucose, no effect on gastric emptying
Glyset
miglitol,
Alpha-glucosidase inhibitors
Effect: slow breakdown/absorption of glucose, no effect on gastric emptying
dapagliflozin
Farxiga,
SGLT2 inhibitors
- No stimulation of insulin > No hypoglycemia risk
- beneficial for HF and CKD
- ADR: polyuria, UTI
Farxiga
dapagliflozin,
SGLT2 inhibitors
- No stimulation of insulin > No hypoglycemia risk
- beneficial for HF and CKD
- ADR: polyuria, UTI
canagliflozin
Invokana,
SGLT2 inhibitors
- No stimulation of insulin > No hypoglycemia risk
- beneficial for HF and CKD
- ADR: polyuria, UTI
Invokana
canagliflozin,
SGLT2 inhibitors
- No stimulation of insulin > No hypoglycemia risk
- beneficial for HF and CKD
- ADR: polyuria, UTI
Jardiance
empagliflozin,
SGLT2 inhibitors
- No stimulation of insulin > No hypoglycemia risk
- beneficial for HF and CKD
- ADR: polyuria, UTI
empagliflozin
Jardiance,
SGLT2 inhibitors
- No stimulation of insulin > No hypoglycemia risk
- beneficial for HF and CKD
- ADR: polyuria, UTI
Inpefa
sotagliflozin,
SGLT2 inhibitors
- No stimulation of insulin > No hypoglycemia risk
- beneficial for HF and CKD
- ADR: polyuria, UTI
sotagliflozin
Inpefa,
SGLT2 inhibitors
- No stimulation of insulin > No hypoglycemia risk
- beneficial for HF and CKD
- ADR: polyuria, UTI
bexagliflozin
Brenzavvy,
SGLT2 inhibitors
- No stimulation of insulin > No hypoglycemia risk
- beneficial for HF and CKD
- ADR: polyuria, UTI
Brenzavvy
bexagliflozin,
SGLT2 inhibitors
- No stimulation of insulin > No hypoglycemia risk
- beneficial for HF and CKD
- ADR: polyuria, UTI
ertugliflozin
Steglatro,
SGLT2 inhibitors
- No stimulation of insulin > No hypoglycemia risk
- beneficial for HF and CKD
- ADR: polyuria, UTI
Steglatro
ertugliflozin,
SGLT2 inhibitors
- No stimulation of insulin > No hypoglycemia risk
- beneficial for HF and CKD
- ADR: polyuria, UTI
Micronase
glyburide,
Sulfonylureas- Insulin Secretagogues
- AVOID in renal impairment bc ACTIVE metabolite
- Long acting, given daily
- MOA: close K+ channels (diff site than ATP binding site) > stimulate insulin release
- ADR: wt gain, hypoglycemia (less than insulin)
- DDI: BB
- CONTRA: prego
glyburide
Micronase,
Sulfonylureas- Insulin Secretagogues
- AVOID in renal impairment bc ACTIVE metabolite
- Long acting, given daily
- MOA: close K+ channels (diff site than ATP binding site) > stimulate insulin release
- ADR: wt gain, hypoglycemia (less than insulin)
- DDI: BB
- CONTRA: prego
glipizide
Glucotrol,
Sulfonylureas- Insulin Secretagogues
- PREFERRED in renal impairment bc INactive metabolite
- Long acting, given daily
- MOA: close K+ channels (diff site than ATP binding site) > stimulate insulin release
- ADR: wt gain, hypoglycemia (less than insulin)
- DDI: BB
- CONTRA: prego
Glucotrol
glipizide,
Sulfonylureas- Insulin Secretagogues
- PREFERRED in renal impairment bc INactive metabolite
- Long acting, given daily
- MOA: close K+ channels (diff site than ATP binding site) > stimulate insulin release
- ADR: wt gain, hypoglycemia (less than insulin)
- DDI: BB
- CONTRA: prego
glimpepiride
Amaryl,
Sulfonylureas- Insulin Secretagogues
- Long acting, given daily
- MOA: close K+ channels (diff site than ATP binding site) > stimulate insulin release
- ADR: wt gain, hypoglycemia (less than insulin)
- DDI: BB
- CONTRA: prego
Amaryl
glimpepiride,
Sulfonylureas- Insulin Secretagogues
- Long acting, given daily
- MOA: close K+ channels (diff site than ATP binding site) > stimulate insulin release
- ADR: wt gain, hypoglycemia (less than insulin)
- DDI: BB
- CONTRA: prego
repaglinide
Prandin,
Meglitinides- Insulin Secretagogues
- short acting, given before meals
- MOA: close K+ channels (diff site than ATP binding site) > stimulate insulin release
- ADR: wt gain, hypoglycemia (less than insulin)
- DDI: BB
Prandin
repaglinide,
Meglitinides- Insulin Secretagogues
- short acting, given before meals
- MOA: close K+ channels (diff site than ATP binding site) > stimulate insulin release
- ADR: wt gain, hypoglycemia (less than insulin)
- DDI: BB
nateglinide
Starlix,
Meglitinides- Insulin Secretagogues
- short acting, given before meals
- MOA: close K+ channels (diff site than ATP binding site) > stimulate insulin release
- ADR: wt gain, hypoglycemia (less than insulin)
- DDI: BB
Starlix
nateglinide,
Meglitinides- Insulin Secretagogues
- short acting, given before meals
- MOA: close K+ channels (diff site than ATP binding site) > stimulate insulin release
- ADR: wt gain, hypoglycemia (less than insulin)
- DDI: BB
exenatide
(Byetta, Bydureon),
GLP-1 receptor agonists- Insulin Secretagogues
ADR: N/V
CONTRA: prego
Low risk hypoglycemia
Byetta
exenatide,
GLP-1 receptor agonists- Insulin Secretagogues
ADR: N/V
CONTRA: prego
Low risk hypoglycemia
Bydureon
exenatide,
GLP-1 receptor agonists- Insulin Secretagogues
ADR: N/V
CONTRA: prego
Low risk hypoglycemia
liraglutide
(Victoza, Saxenda),
GLP-1 receptor agonists- Insulin Secretagogues
ADR: N/V
CONTRA: prego
Low risk hypoglycemia
Victoza
liraglutide,
GLP-1 receptor agonists- Insulin Secretagogues
ADR: N/V
CONTRA: prego
Low risk hypoglycemia
Saxenda
liraglutide,
GLP-1 receptor agonists- Insulin Secretagogues
ADR: N/V
CONTRA: prego
Low risk hypoglycemia
semaglutide
(Ozempic, Rybelsus),
GLP-1 receptor agonists- Insulin Secretagogues
ADR: N/V
CONTRA: prego
Low risk hypoglycemia
Ozempic
semaglutide,
GLP-1 receptor agonists- Insulin Secretagogues
ADR: N/V
CONTRA: prego
Low risk hypoglycemia
Rybelsus
semaglutide,
GLP-1 receptor agonists- Insulin Secretagogues
ORAL
ADR: N/V
CONTRA: prego
Low risk hypoglycemia
dulaglutide
Trulicity,
GLP-1 receptor agonists- Insulin Secretagogues
ADR: N/V
CONTRA: prego
Low risk hypoglycemia
Trulicity
dulaglutide,
GLP-1 receptor agonists- Insulin Secretagogues
ADR: N/V
CONTRA: prego
Low risk hypoglycemia
tirzepatide
(Mounjaro, Zepbound)
GIP/GLP-1 receptor agonist- Insulin Secretagogues
- MOA: biased agonist
- ADR: pancreatitis (reversible), N/V
- Contra: prego
Mounjaro
tirzepatide,
GIP/GLP-1 receptor agonist- Insulin Secretagogues
- MOA: biased agonist
- ADR: pancreatitis (reversible), N/V
- Contra: prego
Zepbound
tirzepatide,
GIP/GLP-1 receptor agonist- Insulin Secretagogues
- MOA: biased agonist
- ADR: pancreatitis (reversible), N/V
- Contra: prego
sitagliptin
Januvia,
DPP-IV inhibitors-Insulin Secretagogues
Januvia
sitagliptin,
DPP-IV inhibitors-Insulin Secretagogues
saxagliptin
Onglyza,
DPP-IV inhibitors-Insulin Secretagogues
Onglyza
saxagliptin,
DPP-IV inhibitors-Insulin Secretagogues
Tradjenta
linagliptin,
DPP-IV inhibitors-Insulin Secretagogues
linagliptin
Tradjenta,
DPP-IV inhibitors-Insulin Secretagogues
vidagliptin
Galvus,
DPP-IV inhibitors-Insulin Secretagogues
Galvus
vidagliptin,
DPP-IV inhibitors-Insulin Secretagogues
somatropins
human recombinant growth hormones,
to incr GH effects
- Use: GH deficiency, idiopathic short stature (ISS)
- Risk: malignancy bc incr cell growth
- CONTRA: leukemia or cancer
somatrem
human recombinant growth hormones,
to incr GH effects
- Use: GH deficiency, idiopathic short stature (ISS)
- Risk: malignancy bc incr cell growth
- CONTRA: leukemia or cancer
somatrogon
human recombinant growth hormones,
to incr GH effects
- Use: GH deficiency, idiopathic short stature (ISS)
- Risk: malignancy bc incr cell growth
- CONTRA: leukemia or cancer
somapacitan
human recombinant growth hormones,
to incr GH effects
- Use: GH deficiency, idiopathic short stature (ISS)
- Risk: malignancy bc incr cell growth
- CONTRA: leukemia or cancer
sermorelin
to incr GH effects
- MOA: mimic GHRH
- Use: test pituitary GH secretion
tesamorelin
to incr GH effects
- MOA: mimic GHRH
- Use: test pituitary GH secretion
recombinant human IGF-1
to incr GH effects
- Used when GH receptor is defective/ mutated
- Use: GH deficiency, Idiopathic short stature (ISS)
octreotide
To decr GH effects,
Somatostatin Receptor Agonist
Use: gigantism (children), acromegaly (adults)
MOA: agonist at SST5 receptor > decr GH
ADR: abdomo pain, decr fat absorb, hyperglycemia
lanreotide
To decr GH effects,
Somatostatin Receptor Agonist
Use: gigantism (children), acromegaly (adults)
MOA: agonist at SST5 receptor > decr GH
ADR: abdomo pain, decr fat absorb, hyperglycemia
pasireotide
To decr GH effects,
Somatostatin Receptor Agonist
Use: gigantism (children), acromegaly (adults)
MOA: agonist at SST5 receptor > decr GH
ADR: abdomo pain, decr fat absorb, hyperglycemia
bromocriptine
To decr GH effects,
D2 receptor agonist
Use: gigantism (children), acromegaly (adults), and breast cancer
pegvisomant
Somavert, To decr GH effects,
GH receptor Antagonist
Somavert
pegvisomant, To decr GH effects
GH receptor Antagonist
Anti-resorptive drugs
Prevention and treatment of osteoporosis
Anabolic drugs
Prevention and treatment of osteoporosis
Estrogen
Anti-resorptive drugs
- short term
- Use: postmenopausal women
- decr bone osteoclast, incr cancer risk (breast, uterine)
Fosamax
alendronate,
bisphosphonates- Anti-resorptive drugs
- dose: once a week or daily
- Eat on an empty stomach w/ a full glass of water
- Eat daily Ca2+, but NOT at the same time as med
- stay upright 45-60min > prevents erosive esophagitis (could lead to esophageal cancer)
- ADR: muscle/ joint pain, osteonecrosis of the jaw (ONJ)
- Avoid: GERD, esophageal motility
alendronate
Fosamax,
bisphosphonates- Anti-resorptive drugs
- dose: once a week or daily
- Eat on an empty stomach w/ a full glass of water
- Eat daily Ca2+, but NOT at the same time as med
- stay upright 45-60min > prevents erosive esophagitis (could lead to esophageal cancer)
- ADR: muscle/ joint pain, osteonecrosis of the jaw (ONJ)
- Avoid: GERD, esophageal motility
Raloxifene
Evista,
Anti-resorptive drugs,
- decr osteoclast and cancer risk (breast, uterine)
- ADR: hot flashes
Evista
Raloxifene,
Anti-resorptive drugs
risedronate
Actonel,
bisphosphonates- Anti-resorptive drugs
- dose: once a week or daily
- Eat on an empty stomach w/ a full glass of water
- Eat daily Ca2+, but NOT at the same time as med
- stay upright 45-60min > prevents erosive esophagitis (could lead to esophageal cancer)
- ADR: muscle/ joint pain, osteonecrosis of the jaw (ONJ)
- Avoid: GERD, esophageal motility
Actonel
risedronate,
bisphosphonates- Anti-resorptive drugs
- dose: once a week or daily
- Eat on an empty stomach w/ a full glass of water
- Eat daily Ca2+, but NOT at the same time as med
- stay upright 45-60min > prevents erosive esophagitis (could lead to esophageal cancer)
- ADR: muscle/ joint pain, osteonecrosis of the jaw (ONJ)
- Avoid: GERD, esophageal motility
ibandronate
Boniva,
bisphosphonates- Anti-resorptive drugs
- dose: once a week or daily
- Eat on an empty stomach w/ a full glass of water
- Eat daily Ca2+, but NOT at the same time as med
- stay upright 45-60min > prevents erosive esophagitis (could lead to esophageal cancer)
- ADR: muscle/ joint pain, osteonecrosis of the jaw (ONJ)
- Avoid: GERD, esophageal motility
Boniva
ibandronate,
bisphosphonates- Anti-resorptive drugs
- dose: once a week or daily
- Eat on an empty stomach w/ a full glass of water
- Eat daily Ca2+, but NOT at the same time as med
- stay upright 45-60min > prevents erosive esophagitis (could lead to esophageal cancer)
- ADR: muscle/ joint pain, osteonecrosis of the jaw (ONJ)
- Avoid: GERD, esophageal motility
zoledronate
bisphosphonates- Anti-resorptive drugs
- dose: once a week or daily
- Eat on an empty stomach w/ a full glass of water
- Eat daily Ca2+, but NOT at the same time as med
- stay upright 45-60min > prevents erosive esophagitis (could lead to esophageal cancer)
- ADR: muscle/ joint pain, osteonecrosis of the jaw (ONJ)
- Avoid: GERD, esophageal motility
pamidronate
bisphosphonates- Anti-resorptive drugs
- dose: once a week or daily
- Eat on an empty stomach w/ a full glass of water
- Eat daily Ca2+, but NOT at the same time as med
- stay upright 45-60min > prevents erosive esophagitis (could lead to esophageal cancer)
- ADR: muscle/ joint pain, osteonecrosis of the jaw (ONJ)
- Avoid: GERD, esophageal motility
denosumab
Prolia,
Anti-resorptive drugs
- inj every few months
- MOA: bind to RANKL
- ADR: muscle/joint pain, lower back pain, incr inf risk, hypocalcemia
Prolia
denosumab,
Anti-resorptive drugs
- inj every few months
- MOA: bind to RANKL
- ADR: muscle/joint pain, lower back pain, incr inf risk, hypocalcemia
romosozumab
Evenity,
Anti-resorptive drugs
- Dual action: anti-resorptive and anabolic
- MOA: inhibits sclerostin > WNT signaling on > incr osteoblast
- ADR: muscle/ joint pain, incr cardio risk
- CONTRA: MI, stroke
Evenity
romosozumab,
Anti-resorptive drugs
- Dual action: anti-resorptive and anabolic
- MOA: inhibits sclerostin > WNT signaling on > incr osteoblast
- ADR: muscle/ joint pain, incr cardio risk
- CONTRA: MI, stroke
calcitonin
Anti-resorptive drugs
- Use: osteoporosis, minor analgesia
- Admin: nasal spray
- MOA: stop breaking down bone, stop reabsorption of Ca2+ > pee out
- Preferred over bisphosphonates: bedridden PT
ADR: fluid retention, salty tast, paresthesias
Calcium
Anti-resorptive drugs
Vitamin D
Anti-resorptive drugs
teriparatide
Forteo,
Anabolic bone drugs
- Use: severe osteoporosis/osteopenia,
- rapidly incr BMD(max.2y) before switch to maintenance therapy
- Risk: osteosarcoma (bone cancer)
-ADR: hyperuricemia, orthostatic hypotension, hypocalcemia
- Caution: gout
Forteo
teriparatide,
Anabolic bone drugs
- Use: severe osteoporosis/osteopenia,
- rapidly incr BMD(max.2y) before switch to maintenance therapy
- Risk: osteosarcoma (bone cancer)
-ADR: hyperuricemia, orthostatic hypotension, hypocalcemia
- Caution: gout
abaloparatide
Tymlos,
Anabolic bone drugs
- Use: severe osteoporosis/osteopenia,
- rapidly incr BMD(max.2y) before switch to maintenance therapy
- Risk: osteosarcoma (bone cancer)
-ADR: hyperuricemia, orthostatic hypotension, hypocalcemia
- Caution: gout
Tymlos
abaloparatide,
Anabolic bone drugs
- Use: severe osteoporosis/osteopenia,
- rapidly incr BMD(max.2y) before switch to maintenance therapy
- Risk: osteosarcoma (bone cancer)
-ADR: hyperuricemia, orthostatic hypotension, hypocalcemia
- Caution: gout
cinacalcet
Sensipar,
Drugs affecting PTH function
- Use: 2ndary hyperparathyroidism
Sensipar
cinacalcet,
Drugs affecting PTH function
- Use: 2ndary hyperparathyroidism
etelcalcitide
Parsabiv,
Drugs affecting PTH function
- Use: 2ndary hyperparathyroidism
Parsabiv
etelcalcitide,
Drugs affecting PTH function
-Use: 2ndary hyperparathyroidism
Natpara
Drugs affecting PTH function
- Use: hypothyroidism
palopegteriparatide
Yorvipath,
Drugs affecting PTH function
- Use: hypothyroidism
Yorvipath
palopegteriparatide,
Drugs affecting PTH function
- Use: hypothyroidism
Synthroid
T4: levothyroxine,
Thyroid hormone preparations
- Use: treat hypothyroidism
- ADR: insomnia, cardiac stimulation
- eat on empty stomach, first thing in the morning
- avoid: milk, vit
levothyroxine
T4: Synthroid, Levoxyl, Levothroid, Unithroid
Thyroid hormone preparations
- Use: treat hypothyroidism
- ADR: insomnia, cardiac stimulation
- eat on empty stomach, first thing in the morning
- avoid: milk, vit
Levoxyl
T4: levothyroxine,
Thyroid hormone preparations
- Use: treat hypothyroidism
- ADR: insomnia, cardiac stimulation
- eat on empty stomach, first thing in the morning
- avoid: milk, vit
Unithroid
T4: levothyroxine,
Thyroid hormone preparations
- Use: treat hypothyroidism
- ADR: insomnia, cardiac stimulation
- eat on empty stomach, first thing in the morning
- avoid: milk, vit
Levothroid
T4: levothyroxine,
Thyroid hormone preparations
- Use: treat hypothyroidism
- ADR: insomnia, cardiac stimulation
- eat on empty stomach, first thing in the morning
- avoid: milk, vit
liothyronine
T3: Cytomel,
Thyroid hormone preparations
- Use: treat hypothyroidism
- ADR: insomnia, cardiac stimulation
- eat on empty stomach, first thing in the morning
- avoid: milk, vit
Cytomel
T3: Liothyronine,
Thyroid hormone preparations
- Use: treat hypothyroidism
- ADR: insomnia, cardiac stimulation
- eat on empty stomach, first thing in the morning
- avoid: milk, vit
Liotrix
T3 + T4: Thyrolar,
Thyroid hormone preparations
- Use: treat hypothyroidism
- ADR: insomnia, cardiac stimulation
- eat on empty stomach, first thing in the morning
- avoid: milk, vit
Thyrolar
T3 + T4: Liotrix,
Thyroid hormone preparations
- Use: treat hypothyroidism
- ADR: insomnia, cardiac stimulation
- eat on empty stomach, first thing in the morning
- avoid: milk, vit
Dessicated thyroid
Armour thyroid,
Thyroid hormone preparations
- Use: treat hypothyroidism
- ADR: insomnia, cardiac stimulation
- eat on empty stomach, first thing in the morning
- avoid: milk, vit
Armour thyroid
Dessicated thyroid,
Thyroid hormone preparations
- Use: treat hypothyroidism
- ADR: insomnia, cardiac stimulation
- eat on empty stomach, first thing in the morning
- avoid: milk, vit
propylthiouracil (PTU)
Antithyroid drugs
- Use: hyperthyroidism
- 1-2 weeks to see effect
-ADR: skin, rash, joint pain, alopecia, hepatotoxicity, agranulocytosis
methimazole
Tapazole,
Antithyroid drugs
- Use: hyperthyroidism
- 1-2 weeks to see effect
-ADR: skin, rash, joint pain, alopecia, hepatotoxicity, agranulocytosis
Tapazole
methimazole,
Antithyroid drugs
- Use: hyperthyroidism
- 1-2 weeks to see effect
-ADR: skin, rash, joint pain, alopecia, hepatotoxicity, agranulocytosis
iodide
Antithyroid drugs
- Use: thyroid storm
131 I
Antithyroid drugs
- MOA: kill of thyroid gland
cortisol = hydrocortisone
Glucocorticoids
methylprednisolone
Medrol,
Glucocorticoids
Prednisone
Deltasone,
Glucocorticoids
Deltasone
Prednisone,
Glucocorticoids
prednisolone
Glucocorticoids
cortisone
Glucocorticoids
Medrol
methylprednisolone,
Glucocorticoids
triamcinolone
Glucocorticoids
betamethasone
Glucocorticoids
dexamethasone
Decadron,
Glucocorticoids
Decadron
dexamethasone,
Glucocorticoids
Vamorolone
Glucocorticoids
fludrocortisone
Florinef,
Mineralocorticoid receptor agonist
Florinef
fludrocortisone,
Mineralocorticoid receptor agonist
Synthetic CRF
Achthrel
- Use: test for adrenal insufficiency
Achthrel
synthetic CRF
- Use: test for adrenal insufficiency
Synthetic ACTH
Cosyntropin
- Use: test for adrenal insufficiency
Cosyntropin
Synthetic ACTH
- Use: test for adrenal insufficiency
metyrapone
Cortisol synthesis inhibitors
- Use: Cushing’s disease
- MOA: inhibit CYP450
ketoconazole
Cortisol synthesis inhibitors
-Use: Cushing’s disease
- MOA: inhibit CYP450
osilodrostat
Cortisol synthesis inhibitors
- Use: Cushing’s disease
calcipotriene
Dovonex,
Vitamin D analog
NON-retinoid
- Use: psoriasis
- ADR: skin irritation, hypercalcemia
Dovonex
calcipotriene,
Vitamin D analog
NON-retinoid
- Use: psoriasis
- ADR: skin irritation, hypercalcemia
tretinoin
Retin-A,
Retinoids
- Use: acne
- ADR: PHOTOLABILE- apply at night, dry skin, teratogenic
- DDI: peroxides
Retin-A
tretinoin,
Retinoids
- Use: acne
- ADR: PHOTOLABILE- apply at night, dry skin, teratogenic
- DDI: peroxides
isotretinoin
Accutane,
Retinoids
- Oral
- Use: severe acne
- ADR: severe teratogenicity, depression/suicide, dryness, desquamation, hyperlipidemia, hepatotoxicity ==> monitor
Accutane
isotretinoin,
Retinoids
- Oral
- Use: severe acne
- ADR: severe teratogenicity, depression/suicide, dryness, desquamation, hyperlipidemia, hepatotoxicity ==> monitor
adapalene
Differin,
Retinoids
- Use: acne
-ADR: photosensitivity (NOT photoliable), skin irritation, pregnancy risk
Differin
adapalene,
Retinoids
- Use: acne
-ADR: photosensitivity (NOT photoliable), skin irritation, pregnancy risk
acitretin
Soriatane,
Retinoids
- Oral
- Use: psoriasis
- ADR: prolonged teratogenicity (3 months)bc metabolized into etretinate, dry skin, mucous membrane irritation
trifarotene
Aklief,
Retinoids
Aklief
trifarotene,
Retinoids
Soriatane
acitretin,
Retinoids
- Oral
- Use: psoriasis
- ADR: prolonged teratogenicity (3 months)bc metabolized into etretinate, dry skin, mucous membrane irritation
tazarotene
Retinoids
- topical
- Use: psoriasis (no metabolite)
alitretinoin
Retinoids
- Topical
- Use: korpsoi’s sarcoma- used in HIV PT
- MOA: non-selective agonist at RAR and RXR
bexarotene
Retinoids
- oral, topical
- Use: cutaneous T-cell lymphoma
- MOA: selectively activates RXR receptors > induce apoptosis
palovarotene
Retinoids
- Use: treat rare FOB (fibrodysplasia ossificans progressiva)