Pharmacology for Endocrinology Flashcards
Lispro
Rapid acting insulin
Aspart
Rapid acting insulin
Glulisine
Rapid acting insulin
NPH
intermediate acting insulin
Glargine
long acting insulin
Detemir
long acting insulin
Biguanide
metformin
Contraindication for metformin
Creatinine >1.5
Most serious side effect of metformin
lactic acidosis
Tolbutamide
Sulfonurea, first generation
Chlorpropamide
Sulfonurea, first generation
Glyburide
Sulfonurea, second generation
Glimepiride
Sulfonurea, second generation
Glipizide
Sulfonurea, second generation
Mechanism of sulfonyureas
Close K+ channel in b cell membrane, depolarize cell, trigger insulin release
Glitazones (pioglitazone, Rosiglitazone) mechanism
bind PPARgamma, incr insulin sensativity in peripheral tissue
side effects of glitazones
weight gain, edema, hepatotoxicity, heart failure
Acarbose
a-glucosidase inhibitor
Miglitol
a-glucosidase inhibitor
Mechanism of a-glucosidase inhibitors
inhibit intenstinal brush border a-glucosidase, delayed sugar hydrolysis and glucose absorption
Pramlintide
Amylin analog
Mechanism of Amylin analog
decr gastric emptying, glucagon
Exanatide
GLP-1 analog
Liraglutide
GLP-1 analog
Linagliptin
DPP-4 inhibitor
Saxagliptin, sitagliptin
DPP-4 inhibitor
Mechanism of GLP-1 analog
incr insulin, decr glucagon release
Toxicity of GLP-1 analog
n/v, pancreatitis
Mechanism of DPP-4 inhibitor
incr insulin, decr glucagon release
Toxcicity of DPP-4 inhibitor
mild urinary or respiratory infections
Propylthiouracil
blocks thyroid peroxidase
Methimazole
blocks thyroid peroxidase
Side effects of propylthiouracil
rash, agranulocytosis, aplastic anemia, hepatotoxcicity
Hydrocortisone
glucocorticoid, Low anti-inflam
Prednisone
glucocorticoid, medium antiinflamm
Triamcinolone
glucocorticoid, long-acting antiinflam
Dexamethasone
glucocorticoid, high anti inflam
Fludrocortisone
glucocorticoid + mineralicorticoid activity
Beclomethasone
glucocorticoid, high anti inflam, used topically