glucocorticoids Flashcards
Etomidatte/metyrapone
blocks cortisol production by inhibiting CYP11B1
can be given to see if a patient has adrenal insufficiency at either the adrenal gland or the hypothalamic-pituitary axis
hydrocortisone
anti finlammatory, good for adrenal insufficiency
inducer of cyp450
dexamethasone
more intense
can dx cushings syndrome, aid in fetal lung development by increasing surfectant production
Can be utilized to help provide relief of clinical symptoms of CINV; help to increase efficacy by being a serotonin antagonist & promoting the release of endorphins to help with relief of symptoms
prednisone
immunosuppressive and anti infkammatory
triamcinolone
first line for cortisone responses dermatoses
mifepristone
Glucocorticoid antagonist
Used to treat hypercortisolism and at lower does as an anti-progestin for termination of early pregnancy
Tetracosactide or cosyntropin
test for addisons
ketoconazole
blocks cyp17 and cyp11 to block steroid synthesis, blcoks downstream hormones, high doses
GLUCOCORTICOIDS CAN BE.
absorbed orally, iv, and Im(later release)
glucocorticoids can induce
P450 cytochrome enzymes.
Fludrocortisone
strong mineralo-activity