Other important drugs: corticosteroids Flashcards
Glucocorticoids - production
Zona fasciculata and zona reticularis
Mineralocorticoids - production
Zona gllomerulosa
Main endogenous glucocorticoid
Hydrocortisone
Main endogenous mineralocorticoid
Aldosterone
Metabolic effects of glucocorticoids
Gluconeogenesis
Glycogen deposition and glucose release
Protein catabolism (therefore causes muscle weakness and wasting in long term use)
Anti-inflammatory effect of glucocorticoids
Stops production of tissue transudate and cell oedema
Stops production of inflammatory mediators by inhibition of phospholipase A2
Depresses macrophage function and reduces the number of circulating T-lymphocytes
Adrenal suppression during long term steroid therapy
Negative feedback on corticotrophin-releasing hormone and ACTH - causes adrenal atrophy