Pituitary Pharmacology Flashcards
Sermorelin
GHRH analogue
When is Sermorelin used in children?
Promote growth in children with: Hypopituiarism Idiopathic shortness Turner Syndrome SHOX mutations Trauma
When is Sermorelin used in adults?
Structural hypothalmic/pituitary deficiency
Surgery, irradiation
Trauma
Omnitrope
recombinant human growth hormone
Siazin
recombinant human growth hormone
Norditropin
recombinant human growth hormone
What do you monitor for rhGH dosing regimens?
IGF-1 and IBP3 levels
When are rhGH’s used?
Children: Growth
Adults: Lipid profile, fasting glucose, bone density
What are some side effects of rhGH’s?
Antibodies to GH sometimes
Scoliosis during rapid growth
Diabetogenic
Mecasermin
rhIGF
What are the side effects of mecasermin?
Hypoglycemia
CP450 induction
Bromocriptine
Dopamine agonist
Octreotide
Somatostatin analogue
Octreotide side effects?
Loos stools, cramps, malabsorption, nausea, flatulence, gall stones
Pegvisomant?
GH receptor antagonist