Fitz - Male UG Disorders Flashcards
Converts testosterone to estradiol
Aromatse
GnRH/LHRH antagonist
Degarlix
GnRH/LHRH agonists
Leuprolide, nafarelin (nasal)
Natural version of GnRH/LHRH
Gonadorelin
Only drug in US approved to tx advanced prostate cancer
Degarelix
Causes desensitization of GnRH and LH receptors after continued admin
Leuprolide
Leuprolide initially causes
T surge!
Worry about leuprolide flare in pts who
Have ca that has met to bone
Maganement of leurprolide flair with
Androgen receptor antagonists
Androgen receptor antagonists
Bicalutamide, flutamide, nilutamide
MCly used androgen receptor antatgonist
Biclutamide
Drugs used in targets androgen biosythesis disruption
Abirateron, ketoconazole
Blocks CYP17 to lower tumor production of androgens
Abiraterone
Abiraterone must be used with
Prednisone or other corticosteroid
AEs: abiraterone alone
Cortisol depletion, aldoseterone enhancement