Final Exam Flashcards - Prostate Disease & ED

1
Q

Benign Prostatic Hyperplasia (BPH)

A

-Non-cancerous condition that increases the size of the prostate gland which obstructs urine flow

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2
Q

BPH Pharmacological Treatment

A
  • a1 Blockers
  • 5a-reductase inhibitors
  • Combination of the above
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3
Q

A1 Blockers

A
  • common ending: “osin”
  • Bind to a1 receptor sites
  • Relax the prostate and bladder smooth muscle and improve flow of urine
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4
Q

A1-Adrenergic Antagonists ADR’s

A
  • Postural Hypotension
  • Reflex tachycardia
  • Dizziness
  • Headache
  • Fatigue
  • Weakness
  • Nasal stuffiness
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5
Q

5a- Reductase Inhibitors

A
  • Common ending: “steride”

- Inhibit 5a-Reductase

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6
Q

5a-Reductase Inhibitors ADR’s

A
  • Erectile disfunction
  • Decreased desire for sex
  • Reduced semen
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7
Q

Finasteride Tech Note!

A

-Finasteride 1 mg is prescribed for male pattern baldness

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8
Q

Erectile Dysfunction

A

-The total or inconsistent inability to achieve erection, or difficulty maintaining erection

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9
Q

Pharmacological Treatment of ED

A
  • PDE5 inhibitors

- Prostaglandins

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10
Q

PDE5 Inhibitors

A
  • Common ending: “afil”
  • Require sexual stimulation for effect
  • When PDE5 is inhibited, the vasodilatory effect of nitric oxide is enhanced causing relaxation of smooth muscle and blood vessels or the corpus cavernosum, enabling an erection
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11
Q

PDE5 Inhibitors ADR’s

A
  • Sudden hearing loss
  • Prolonged erection
  • Visual disturbances
  • Dizziness
  • Headache
  • Flushing
  • Diarrhea
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12
Q

PDE5 Inhibitors Tech Note!

A
  • Nitrates are contraindicated while taking PDE5 inhibitors

- A-adrenergic antagonists are to be used with caution due to risk of low blood pressure

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13
Q

Prostaglandins

A

-aloprostadil

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