Reproductive Health Part 2: Hormone Replacement Therapy (Androgen) and Erectile Flashcards
Phosphodiesterase 5 inhibitors:
a. Sildenafil
b. Testosterone
c. Finasteride
d. Saw Palmetto
e. Black Cohosh
a. Sildenafil
Androgens
a. Sildenafil
b. Testosterone
c. Finasteride
d. Saw Palmetto
e. Black Cohosh
b. Testosterone
5-alpha reductase inhibitors
a. Sildenafil
b. Testosterone
c. Finasteride
d. Saw Palmetto
e. Black Cohosh
c. Finasteride
•USED TO TREAT • Erectile Dysfunction a. Sildenafil b. Testosterone c. Finasteride d. Saw Palmetto e. Black Cohosh
a. Sildenafil
•USED TO TREAT •Newer: Pulmonary Arterial Hypertension a. Sildenafil b. Testosterone c. Finasteride d. Saw Palmetto e. Black Cohosh
a. Sildenafil
•ADVERSE EFFECTS: • Small drop in BP a. Sildenafil b. Testosterone c. Finasteride d. Saw Palmetto e. Black Cohosh
a. Sildenafil
•ADVERSE EFFECTS: • Priapism a. Sildenafil b. Testosterone c. Finasteride d. Saw Palmetto e. Black Cohosh
a. Sildenafil
•ADVERSE EFFECTS: • Loss of Vision a. Sildenafil b. Testosterone c. Finasteride d. Saw Palmetto e. Black Cohosh
a. Sildenafil
•ADVERSE EFFECTS: • Loss of Hearing a. Sildenafil b. Testosterone c. Finasteride d. Saw Palmetto e. Black Cohosh
a. Sildenafil
Use caution in patients with hx of hypo/hypertension, MI/HF/Angina a. Sildenafil b. Testosterone c. Finasteride d. Saw Palmetto e. Black Cohosh
a. Sildenafil
• Cannot use with nitrates
a. Sildenafil
b. Testosterone
c. Finasteride
d. Saw Palmetto
e. Black Cohosh
a. Sildenafil
Virilization (Androgenic Effects)
a. Sildenafil
b. Testosterone
c. Finasteride
d. Saw Palmetto
e. Black Cohosh
b. Testosterone
• Males- acne, priapism, ^^ hair, penile enlargement, rarely gynecomastia
a. Sildenafil
b. Testosterone
c. Finasteride
d. Saw Palmetto
e. Black Cohosh
b. Testosterone
• Females- irregular/absent menses, hirsutism, acne, lowering of voice, growth of clitoris, vaginitis, baldness a. Sildenafil b. Testosterone c. Finasteride d. Saw Palmetto e. Black Cohosh
b. Testosterone
Epiphyseal Closure- can reduce mature height
a. Sildenafil
b. Testosterone
c. Finasteride
d. Saw Palmetto
e. Black Cohosh
b. Testosterone
Cholestatic Hepatitis/Jaundice
a. Sildenafil
b. Testosterone
c. Finasteride
d. Saw Palmetto
e. Black Cohosh
b. Testosterone
CONTRA-INDICATIONS • History of Liver disease • Pregnancy Category X a. Sildenafil b. Testosterone c. Finasteride d. Saw Palmetto e. Black Cohosh
b. Testosterone
USED TO TREAT Hypogonadism in males Delayed puberty in boys Postmenopausal breast cancer a. Sildenafil b. Testosterone c. Finasteride d. Saw Palmetto e. Black Cohosh
b. Testosterone
•USED TO TREAT ◦ Benign Prostatic Hyperplasia (BPH) a. Sildenafil b. Testosterone c. Finasteride
c. Finasteride
•USED TO TREAT ◦ Male Pattern Baldness/Hair Loss a. Sildenafil b. Testosterone c. Finasteride d. Saw Palmetto e. Black Cohosh
c. Finasteride
◦ DHT is a very potent androgen-this drug INHIBITS DHT!
a. Sildenafil
b. Testosterone
c. Finasteride
d. Saw Palmetto
e. Black Cohosh
c. Finasteride
◦ The extraordinary case of the Guevedoces
a. Sildenafil
b. Testosterone
c. Finasteride
d. Saw Palmetto
e. Black Cohosh
c. Finasteride
ADVERSE EFFECTS: ◦ Reduced libido + reduce ejaculate volume ◦ Gynecomastia ◦ Slow results (6+ months) a. Sildenafil b. Testosterone c. Finasteride d. Saw Palmetto e. Black Cohosh
c. Finasteride
◦ Do NOT touch with bare hands!
a. Sildenafil
b. Testosterone
c. Finasteride
d. Saw Palmetto
e. Black Cohosh
c. Finasteride
•USED TO TREAT
◦ Herbal 5 alpha reductase inhibitor
d. Saw Palmetto
e. Black Cohosh
d. Saw Palmetto
•PRECAUTIONS
◦ Can interact with anticoagulants, anti-platelets
d. Saw Palmetto
e. Black Cohosh
d. Saw Palmetto
•USED TO TREAT
◦ Menopause Symptoms
d. Saw Palmetto
e. Black Cohosh
e. Black Cohosh
•PRECAUTIONS ◦ Enhances effects of other drugs (antihypertensive and diabetes meds) d. Saw Palmetto e. Black Cohosh
e. Black Cohosh
•USED TO TREAT
◦ Benign Prostatic Hyperplasia (BPH)
d. Saw Palmetto
e. Black Cohosh
d. Saw Palmetto