Mechanisms/Drug Class Flashcards
What is the mechanism of action of hormone replacement therapy?
Decrease bone resorption by osteoclasts
estrogen + progestin
hormone replacement therapy
What is the mechanism of action of selective receptor modulators (SERMs)?
Estrogen receptor agonist in bone, estrogen antagonist in endometrium and breast
raloxifene
SERM
What is the mechanism of action of bisphosphonates?
Decrease bone resorption by osteoclasts
alendronate
bisphosphonate
risedronate
bisphosphonate
ibandronate
bisphosphonate
pamidronate
bisphosphonate
zoledronate
bisphosphonate
What is the mechanism of action of RANKL antagonists?
Decrease bone resorption by osteoclasts
denosumab
RANKL antagonist
What is the mechanism of action of calcitonin?
Decrease bone resorption by osteoclasts
salmon calcitonin
calcitonin
What is the mechanism of action of bone anabolic agents?
Increase bone formation by osteoblasts
hPTH 1-34 (teriparatide)
bone anabolic agent
hPTH 1-84
bone anabolic agent
fluoride
bone anabolic agent
What is the mechanism of action of oral phosphate binders?
Decrease GI absorption of dietary inorganic phosphate
aluminum hydroxide
oral phosphate binder
calcium carbonate
oral phosphate binder
calcium acetate
oral phosphate binder
sevelamer
oral phosphate binder
What is the mechanism of action of vitamin D and analogues?
Increase GI absorption of dietary calcium, decrease transcription of PTH gene
cholecalciferol (vit D3)
vitamin D
ergocalciferol (vit D2)
vitamin D
calcifediol (25(OH)D3)
vitamin D analogue
calcitriol (1,23(OH)2D3)
vitamin D analogue
doxercalciferol (1alpha-(OH)D2)
vitamin D analogue
paricalcitol (19-nor-1,25(OH2)D2)
vitamin D analogue
What is the mechanism of action of calcimmetics?
Increases sensitivity of calcium-sensing receptor to calcium in parathyroid cells, causes decreased secretion of PTH
cinacalcet
calcimmetic
What is the mechanism of action of calcium?
Essential for bone mineralization
calcium gluconate
calcium (IV)
calcium carbonate
calcium (oral)
calcium citrate-malate
calcium (oral)
What is the mechanism of action of inorganic phosphate?
Essential for bone mineralization
potassium phosphate (pH 7)
inorganic phosphate