Pharm Flashcards
1
Q
- Hypothryoid pregnant needs?
- Thyroid meds take how long to equilibrate?
- T4 –> T3 in periph blocked by? (3)
- Graves treatment? (3) Drugs? (5)
- Thyroid storm drugs? (4)
- Young with hyper? Old?
A
- T4 for fetus
- 6-8 weeks
- B-blockers, ipodate, corticosteroids
1. ) Interfere with prod: Thionamides, Iodides
2. ) Modify tissues: B Blockers/ Steroids
3. ) Destroy: RAI - Propranolol, NaI, PTU, Hydrocortisone
- Pharm; RAI
2
Q
Levothyroxine:
- AKA?
- Half life?
- Ther. Window?
A
- T4
- Long
- Narrow
3
Q
Liothyronine:
- AKA?
- Half life?
- Risk of? (2)
A
- T3
- Short
- Cardiac/osteoporosis
4
Q
Liotrix:
- AKA?
- SE?
A
- 4:1 T4:T3
- Osteoporosis
5
Q
USP:
- AKA?
- From where?
A
- Variable T3/T4
- Pig extract
6
Q
Methimaxole:
- Drug type?
- MOA? (2)
- High dose?
- SE? (4)
A
- Thionamides
- Block organo/ coupling
- Lowers periph conversion
- Pruritis, Arthralgias, Hepato, Agranulo
7
Q
PTU:
- Drug type?
- MOA? (2)
- High dose?
- SE? (4)
A
- Thionamides (Can use in pregnancy)
- Block organo/ coupling
- Lowers periph conversion
- Pruritis, Arthralgias, Hepato, Agranulo
8
Q
Iodides:
- MOA? (3)
- Risk?
- SE? (2)
A
- Decrease hormone release via high IC iodide, Inhibits TGB proteolysis
- Can make it worse
- Rash, rhinorrhea
9
Q
- GH Pharm:
- Gherlin leads to?
- GH increases? (2)
- Somatostatin/ IGF1?
- Nephrogenic DI can occur with? (3)
A
- Release of GH
- Insulin/ IGF-1
- Decrease GH
- Li, T2D, NSAIDS
10
Q
- Sermorelin:
- MOA?
- Effectiveness?
A
- Synthetic GHRH
- Not very
11
Q
- Somatropin:
- MOA?
- Route?
A
- Recomb. GH stim. IGF1
- IM
12
Q
- Somatrem:
- MOA?
- Route?
A
- Recomb. GH stim. IGF1
- IM
13
Q
- Mecaserem:
- MOA?
A
- GH resistant = IGF1 synthetic
14
Q
- Lanreotride:
- MOA?
- Decreases? (4)
- Route?
- Lasting?
A
- Somatostatin analog
- GH, Glucagon, Insulin, TSH
- Sub Q
- Long
15
Q
- Octeotride:
- MOA?
- Decreases? (4)
- Route?
- Lasting?
A
- Somatostatin analog
- GH, Glucagon, Insulin, TSH
- Sub Q
- Long
- Short
16
Q
- Bromocriptine:
- MOA?
- Decreases? (2)
A
- DA receptor agonist
- GH/ PRL