Indications Flashcards
L-triiodothyronine (T3)
Liothyronine Sodium
Not used much
Shorter HL because T3 so must be given multiple times a day
L-thyroxin (T4)
Levothyroid Sodium
Drug of choice for hypothyroidism
1x daily
Liotrix
T4:T3 at 4:1
Not usually necessary because body converts T4 to T3 (may be good if polymorphism in deiodinase enzyme)
Thioamides - PTU and MMI
Mild -Moderate hyperthyroidism
Tx for preop thyroidectomy for ~6 wk until euthyroid
Propylthiouracil
PTU
Thyroid storm
Anion Inhibitors- (ClO4-) and (TeO4-)
Block thyroidal uptake of iodide in patients with iodide induced hyperthyroidism
(such as amiodarone induced hyperthyroidism)
Iodide
Hyperthyroidism rarely used (thioamides are better)
Can use in combo with PTU and B-blocker in thyroid storm (acute thyroid crisis)
Radioactive Iodine
I131
Thyrotoxicosis
First line tx for DM2
exercise & weight control
Metformin
First line med for type 2 diabetes
Glipizide
DM2
Repaglinide
DM2
Pioglitazone
DM2
Exenatide
DM2
Sitagliptin
DM2
Acarbose
DM2
Canagliflozin
DM2
What are agonist uses of Estrogens and Progestins?
Menopausal hormone therapy
Contraception
What are antagonist uses of Estrogens and Progestins?
Hormone-responsive breast cancer therapy
Emergency contraception, medical abortion
Estrogens
Contraceptive (not used as single agent)
Estrogen deficiency
Hirsuitism, amenorrhea, dysfunctional uterine bleeding, dysmenorrhea
Progestins
Contraception
Levonorgest
Emergency Contraceptive within first 120 hrs post-unprotected sex
Norethindrone
contraception
Progesterone
contraception
Progestin only pill
contraception
Estrogen/Progestin Combo Pill
Contraception
Ulipristal
Emergency Contraceptive within first 120 hrs post-unprotected sex
Uterine fibroids
Mifepristone
RU486
Termination of early pregnancies along with PGE1(misoprostal)
Emergency contraception (not drug of choice)
Tamoxifen
Treat early stage or metastatic ER+ breast cancer in pre- or post- menopausal patients
↓ risk of cancer
development
Note that ER+/PR+/HER2- pts respond best to SERMs
Toremifene
Treat metastatic ER+ breast cancer in post- menopausal patients
Leuprolide
Treat metastatic or early stage ER+ breast cancer in pre- menopausal patients
May be combined with SERMs
Note: ASCO does not consider this to be best treatment option for early stage breast cancer → consider tamoxifen
Aromatase Inhibitors
Treat early stage or metastatic ER+ breast cancer in post- menopausal patients
More effective than tamoxifen (greater survival) in post- menopausal patients
Trastuzumab
Metastatic HER2+ breast cancer resistant to trastuzumab and/or taxanes
Pertuzumab
Metastatic HER2+ breast cancer; used in conjunction with trastuzumab and docetaxel
Cyclophosphamide
Lymphomas
Leukemias
MM
Breast and ovarian ca
Small cell lung cancer
Some autoimmune conditions
Cisplatin
Testicular/Ovarian ca
Bladder ca
Small and non-small cell lung ca
Colon ca
Carmustine (bi-fn)
Lomustine and Semustine (mono-fn)
Brain tumors
Streptozocin
Insulin-secreting islets carcinoma cells
Methotrexate
Breast ca
Head & Neck ca
Bladder ca
Lung
carcinomas
Lymphomas
ALL
5-Fluorouracil
Colon ca
Breast ca
Gastroesophageal ca
Hepatocellular ca
Pancreatic
carcinomas
6-Mercaptopurine
ALL and AML
Crohn’s
Vinblastine
Breast
cancer
Hodgkin’s and
non-Hodgkin’s lymphoma
Vincristine
Childhood
leukemias and cancers
Paclitaxel
Ovarian, breast, bladder,ca
Non-small cell lung
cancers
Etoposide
Testicular ca
Non-small
cell and small cell
lung ca
AML and ALL
Hodgkin’s and non-Hodgkin’s
lymphoma
Irinotecan
Metastatic
colon cancer
Doxorubicin
Hodgkin’s
and non-Hodgkin’s
Breast, ovarian and
bladder ca
ALL
NOT good for solid tumors
Bleomycin
Testicular carcinoma
SCC
Hodgkin’s and non-Hodgkin’s
lymphomas
What drug can you use to prevent hyperuricemia during 6-MP tx of leukemias?
Allopurinol