REPRO Flashcards
Labor Induction
Dinoprostone
Infertility (Male vs Female)
- Male: Leuprolide (when used in PULSATILE manner = GnRH analog / agonist)
- Female: Clomiphene
Abortion Induction (4)
- (-prost-)*
- Misoprostil (PGE1): Abortion due to vasoconstriction
- Dinoprostone (PGE2)
- Carboprost (PGF2)
- MTX
Male-Pattern Baldness
Finasteride (problem in male-pattern baldness = too much DHT)
BPH (2)
- Tamsulosin (α1 antagonist selective for α1A,D receptors on prostate)
- Finasteride (5a-Reductase Inhibitor)
Ectopic Pregnancy
MTX
Acne + Hirsutism in PCOS (2)
- Spironolactone
- Ketoconazole
PCOS women who want to get pregnant
Clomiphene
Breast Cancer in postmenopausal women
Anastrozole / Exemestane
Endometriosis
Danazol
Lobular Carcinoma In-Situ Malignant Breast Tumor
Tamoxifen
Breast + Ovarian Cancer (3)
- Paclitaxel (and other Taxols)
- (-platin)
- (-poside)
Ovarian Cancer
Topotecan
Prostate Cancer (2)
- Leuprolide (when used in CONTIN manner = GnRH antagonist)
- Flutamide
Testicular Cancer
Bleomycin
Syphilis
Penicillin G
Leuprolide
Mech (2 OPPOSITE, depending on use), Uses (4)?
MECH:
- GnRH AGONIST (THINK: Leu used “in lie”): when used pulsatile
- GnRH ANTAGONIST (downreg GnRH receptor in Pit): when used continuous
USES:
- Infertility (pulsatile)
- Precocious Puberty
- Uterine Fibroids
- Prostate Cancer (+ Flutamide)
Finasteride (2)
- Male-Pattern Baldness
- BPH
Clomiphene
Mech (4 steps), Use?
MECH:
ANTAG at Estrogen receptors in Hypothalamus.
(Downreg receptors -> Prevents normal feedback inhib ->
↑FSH + LH release -> Stim Ovulation)
USES:
- Infertility due to Anovulation
Tamoxifen
Mech (2 OPPOSITE, incl 2 sites in 1st category), Use?
MECH:
- AGONIST at Uterus + Bone
- ANTAGONIST on Breast tis
USES:
- ER+ Breast Cancer (rx + prev)
Raloxifene
Mech (2 OPPOSITE), Use?
MECH:
- AGONIST at Bone (↓bone resorption)
- ANTAGONIST at Uterus
USES:
- Osteoporosis
Hormone Replacement Therapy (HRT)
Uses (2)?
USES:
- Menopausal symptoms (rx or prev)
- Osteoporosis
Anastrozole / Exemestane
Mech, Use?
MECH: Aromatase inhibitors
USES:
- Breast Cancer in postmenopausal women
MTX (2)
- Abortion
- Ectopic Pregnancy
Danazol
Mech, Uses (2)?
Synthetic Androgen that acts as PARTIAL AGONIST at androgen receptors.
USES:
- Endometriosis
- Hereditary Angioedema