PHARMA endocrine Drugs Flashcards
Complex of rhIGF 1 and rhIGFBP 3
Mecasermin
Growth hormone side effect
Pseudotumor cerebri (intracranial hpn)
Scoliosis in children
Hyperglycemia
Most important side effect of Mecasermin
Hypoglycemia
Tx for GH resistant cases
Mecasermin
Novel GH receptor antagonist, for small gh-secreting adenomas
Pegvisomant (withpolyethyleneglycol)
Somatostatin analog
Octreotide
Advantage of octreotide vs somatostatin
Octreotide lasts 30x longer
Octreotide clinical use
For hormone secreting tumors
Diagnostic method to localize neuroendocrine tumors ha ing sst receptor
Somatostatin receptor scintigraphy
Other use of octreotide
Aute esophageal varices
Approved tx of acromegaly
Lanreotide
Human menopausal gonadotropins
Menotropins
urofollitropin
FSH
Lutropin alfa
Recombinant human LH
Choriogonadotropin alfa
Rh cg
Gonadotropin clinical use
Anovulation
Female infertility
Hypogonadotropic hypogonadism male infertility
Assisted reproductive therapy
Alternative for ovulation induction
Clomiphene
Conventional therapy for male infertility
HCG
HMG
Characteristics of ovarian hyperstimulation syndrome
Ovarian enlargement
Ascites
Hypovolemia
Gnrh pulsatile vs sustained non pulsatile
Pulsatile - stimulate fsh and lh
Sustained non pulsatile - inhibit fsh and lh, for gonadal and ovarian suppression
Acetate salt of synthetic human gnRH, pulsatile release
Gonadorelin
Synthetic analogs of gnrh
Longer half life
Biphasic response to continuous gonadorelin
Flare during first 7-10 days
Then
Receptor down regulation
Clinical use of gonadotropin AND gonadorelin
Prevent premature lh surge and ovulation
Etc
Endometriosis treatment
Leuprolide and sometng
Uterine leiomyomata (fibrosis) treatment
Continuois gnrh agonist with iron supplement for 3-6 months
Prostate cancer treatment
Continuous gnrh agonist AND flutamide (androgen antagonist)
How to prevent tumor flare of trstosterone
Biclutamide (androgen antagonist)
Preferred tx of breast cancer after mastectomy
Tamoxifen in premenopausal
Aromatase inhibitors in postmenopausal
Controversial adjuvant tx for breast ca
Ovarian suppression or ovarian ablation
Treatment for central precociouspuberty
Leuprolide
Histrelin
Nafarelin
Gonadorelin toxicity
Something and Blindness
gonadorelin analog in nasal form
Nafarelin
Ganirelix
Cetrorelix
Controlled ovarian hyperstimulation
Dextrirrlix???
Prostate cancer
Dopamine agonists na ergot derivatives
Bromocriptine
Cabergoline
Non ergot dopamine agonist
Quinagolide
Dopamine agonist with longest duration of action
Cabergoline
Dopamine agonist toxicity
Erythromelalgia etc
Oxytocin effect at high concentrations
Weak adh action
Oxytocin
toxicityexcessive uterine contraction
Excessive Fluid retention
Hypotension
Oxytocin antagonist
Atosiban
Long acting synthetic analog of vasopressin
Desmopressin
Clinical use of desmopressin
Nocturnal enuresis in px with diabetes insipidus
Vasopressin antagonist
Conivaptan
Tolvaptan