Female Pharmacology Flashcards
Clomiphene
MOA
TU
Tox
MOA: selective estrogen antagonist in hypothalamus, decreases negative feedback in hypothalamus leading to increased levels of FSH and LH
TU: fertility drug, folliculogenesis
Tox: hot flashes
Leuprolide
MOA
TU
MOA: GnRH agonist
initial surge in LH and FSH –> eventual desensitization after 10 days
OR
pulse doses –> continued increase of LH and FSH
TU: follicle stimulation (pulses), endometriosis when given continuously
-relix
MOA
TU
MOA: GnRH antagonists
TU: prevent endogenous LH surge while promoting folliculogenesis w/ exogenous gonadotropin
Clomiphene
MOA
TU
Tox
MOA: antagonist at estrogen receptors in hypothalamus
=> upregulation of FSH and LH -> stimulates ovulation
TU: pregnancy due to anovulation
Tox: hot flashes, multiple pregnancies
Tamoxifen
MOA
TU
Tox
MOA: estrogen antagonist in breast, agonist in endometrium and bone
TU: estrogen-sensitive breast ca
Tox: thromboembolic events, endometrial ca
Raloxifene
MOA
TU
Tox
MOA: estrogen antagonist in breast and endometrium, agonist in bone
TU: osteoporosis
Tox: thromboembolic events
Toremifene
MOA
TU
Tox
MOA: estrogen antagonist in breast and endometrium
TU: estrogen-sensitive breast ca
Tox: hot flashes, improve cholesterol
Fulvestrant
MOA
TU
Tox
MOA: full estrogen antagonist
TU: estrogen-sensitive breast ca
Tox: thromboembolic events, hot flashes
Anastrozole
MOA
TU
Tox
MOA: reversible aromatase inhibitor
TU: estrogen-positive breast ca
Tox: hot flashes
Letrozole
MOA
TU
Tox
MOA: reversible aromatase inhibitor
TU: estrogen-sensitive breast ca
Tox: hot flashes
Exemestane
MOA
TU
Tox
MOA: irreversible aromatase inhibitor
TU: estrogen-sensitive breast ca
Tox: hot flashes
Levonogestrel
MOA
TU
MOA: progesterone agonist -> prevents ovulation
TU: emergency contraception
Mefepristone
MOA
TU
MOA: progesterone antagonist -> pregnancy termination
TU: pregnancy termination
Ulipristal
MOA
TU
MOA: progesterone antagonist -> pregnancy termination
TU: emergency contraception, pregnancy termination
Misoprostol
MOA
TU
MOA: PGE1 agonist
TU: pregnancy termination w/ high dose mefepristone