Pharmacology revision Flashcards

1
Q

GH agonists example (2)

A

Somatropin

Mecasermin

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2
Q

GH agonist uses

A

Growth hormone deficiency/ Growth disorders

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3
Q

GH antagonists example and use

A

Pegyisomant

- Acromegaly

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4
Q

Prolactin antagonist and uses

A

Cabergoline
Bromocritine
Quinagolide

Use
- Hyperprolactinoma

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5
Q

ADH antagonist

  • Example
  • Use
A

Demeclocycline

- Use for SIADH

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6
Q

Thyroid agonist

A

Thyroxine

Tri-iodothyronine

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7
Q

Teriparatide

A

PTH agonist

- Use for osteoporosis

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8
Q

PTH antagonist

- Use

A

Cinacelcet
- Calcium receptor agonist

Treats tertiary hyperparathyroidism

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9
Q

Insulin antagonist

- And its use

A

Diazoxide

- Insulinoma

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10
Q

Oestrogen agonist examples and uses

A

Estradiol
- Menopausal hormonal replacement

Ethinylestradiol

  • Female hypogonadism
  • Contraception
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11
Q

Mifepristone

A

Progesterone antagonist

- Used for termination of pregnancy

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12
Q

Mineralocorticoid antagonist example and uses

A

Spironolactone

  • Conn’s syndrome
  • Liver cirrhosis
  • Severe heart failure
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13
Q

Goserlin/ Zoladex

  • Drug type
  • Administration
  • Mechanism
  • Indication
  • Adverse effects
A

GnRH agonist

  • Down regulates GnRH receptors
  • Initiate increase then decreased progesterone/ testosterone

Administration

  • Injection
  • Non-pulsatile fashion

Indication

  • Endometriosis
  • Breast cancer
  • Prostate cancer

Adverse effects
- Menopausal like symptoms

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14
Q

Clomifene

  • Drug type
  • Administration
  • Mechanism
  • Indication
  • Adverse effects
A

Oestrogen receptor antagonist
- Inhibits negative feedback control of oestrogen on gonadotrophins

Indications
- Female infertility (ovarian hyperstimulation/ stimulation)

Adverse effects

  • Vasomotor flushes
  • Abdominal discomfort
  • Visual blurring
  • Cyst formation/ ovarian enlargement
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15
Q

Progesterone- only oral contraceptive

  • Example
  • Mechanism
  • Indication
  • Adverse effects
A

Example

  • Norethisterone
  • Levonorgestrel
  • Desogestrel

Mechanism

  • suppresses LH surge, inhibits ovulation
  • Thickens cervical mucus
  • Hostile endometrium

Adverse effects

  • Menstrual irregularity
  • Nausea
  • Vomitting
  • Headache
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16
Q

Somatropin

  • Description
  • Adverse effects
A

Synthetic growth hormone
- indicated for growth deficiency

Adverse effects

  • Diabetes
  • Hypothyroidism/ Hypopituitary
  • Malignancies
17
Q

Mecasermin

A

Insulin-like growth factor

- Treats growth failure in those with IGF-1 deficiency (Laron syndrome)

18
Q

Pegvisomant

A

GH receptor antagonist

- Acromegaly treatment

19
Q

Thyrotrophin

A

TSH

- Detects thyroid remnants and thyroid cancer

20
Q

Oestrogen alpha receptor

A

Found in the hypothalamus, breast and endometrium

Tamoxifen antagonises it