Pharmacology of Glucocorticoids Flashcards
Mineralocorticoid:
Aldosterone
Synthesis inhibitor drugs:
Aminoglutethimide
Abiraterone
Metyrapone
Ketoconazole
What does Aminoglutethimide inhibit?
Pregnenolone synthesis
What does Aminoglutethimide inhibit?
Pregnenolone synthesis
What does ketoconazole inhibit?
Side chain synthesis
What does Metyrapone inhibit?
11-hydroxylation
What is mifepristone?
Steroid receptor inhibitor
What is mifepristone?
Steroid receptor inhibitor
Natural glucocorticoids:
Hydrocortisone
Mineralocorticoids:
Deoxycorticosterone
Fludrocortisone
Inhaled glucocorticoids:
Fluticasone
Budesonide
Inhaled glucocorticoids:
Fluticasone
Budesonide
Addison’s disease replacement therapy acute and long term?
Acute: A.) hydrocortisone B.) hydrocortisone + fludrocortisone Chronic therapy: Hydrocortisone with increase dosage for times of physical stress
What is used in therapy for aldosterone deficiency?
Fludrocortisone
What does Aminoglutethimide do?
Inhibit formation of Pregnenolone from cholesterol
What is Aminoglutethimide used to treat?
Inhibitor therapy for estrogen-sensitive breast cancer
What is Abiraterone used to treat?
Refractory prostate cancer
What is the only drug for Cushing syndrome pregnancy use?
Metyrapone
What is ketoconazole used to treat?
Cushing syndrome
Mifepristone uses?
Cushing syndrome
Morning after pill
Anti-androgen