Wk (Deliver + Male) Flashcards
Methyl Testosterone is what?
Oral T analog
Methyl Testosterone specific SE?
Hepatotoxicity
Oxandrolone is what?
Oral DHT analog
Oxandrolone use?
Anabolic steroid
Male SE of synthetic Androgens?
Gynecomastia
Low Sperm
Baldness
Female SE of synthetic Androgens?
Short lighter menses
Clitorus enlargment
Increased body hair
Cyproterone Acetate is what?
Androgen R antagonist
Flutamide is what?
Pure non-steroidal Androgen R antagonist
Bicalutamide is what?
Pure non-steroidal Androgen R antagonist
Nilutamide is what?
Pure non-steroidal Androgen R antagonist
Cyproterone Acetate Use?
Decreases male libido
Hirsutism in women
Pure non-steroidal Androgen R antagonist uses?
Advanced Prostate Cancer
SE of Pure non-steroidal Androgen R antagonists?
Gynecomastia
Hepatotoxicity
Gonadorelin is what?
GnRH agonist
Gonadorelin is administered how?
IV
Gonadorelin is used for what? How is it administered?
Pulsatile = Improved sperm count
Leuprolide is what?
GnRH R Agonist
Leuprolide is used or what? How is it administered?
Non-pulsatile for Medical castration
Degarelix is what?
GnRH Antagonist
Ganirelix is what?
GnRH Antagonist
Cetrorelix is what?
GnRH Antagonist
Which GnRH antagonist is used for PBH or Male chemical castration?
Degarelix
Which GnRH antagonist(s) are used for Ovulation stimulation?
Ganirelix
Cetrorelix
Finasteride is what?
5-a-reductase inhibitor
Dutasteride is what?
5-a-reductase inhibitor
5-a-reductase inhibitors are used for what?
Male pattern baldness
BPH
What drug classes are used for chemical castration in males?
Androgen R antagonists GnRH agonists (Non-pulsatile) GnRH antagonists (Non-pulsatile)
Sildenafil is what?
PD5 inhibitor
Sildenafil is used for?
ED
What should Sildenafil never be given with?
Nitrates
a-blockers
Pitocin is what?
Synthetic Oxytocin
Oxytocin receptor signals via what?
Gq GPCR –> IP3
Pitocin Use?
Stimulate uterine contractions
Decreases post-partum bleeding
Milk Let down
When don’t you use Pitocin?
For Abortion
If head to big/pelivs to small
If hypertonic contractions
PGE vs. PGF in labor?
PGE
- softens cervix
- Stimulates uterine contractions
- Gs signalling
PGF
- Stimulates uterine contractions
- Gq signalling
Dinoprostone is what?
Natural PGE
Misoprostol is what?
Synthetic PGE
Carboprost is what?
Synthetic PGF2
Which PG can be used to treat hyatidiform mole formation?
Dinoprostone
Which PG can be used with Mifepristone as an abortifacient?
Misoprostol
Which PG is Injected IM to to induce labor at ANY TIME DURING PREGNANCY?
Carboprost
SE of PGs?
Flu-like
Erogts MOA?
Toxin that stimulate SM contraction via a, DA, and 5HT Rs
Ergonovine is used for?
Post-partum bleeding
Ergotamine is used for?
Migranes
Terbutaline is what?
B2 agonist
Terbutaline acts via what signalling?
B2 –> Gs –> cAMP –> PKA –> Decreased MLCK –> SM relaxation
Terbutaline is used for what?
Reduce contractions
Terbutaline SE?
Tachy –> MI
Pulm edema
Hyperglycemia
Magnesium Sulfate MOA?
Binds and blocks L-Ca Channels –> SM relaxation
Magnesium Sulfate Use?
Prevent seizures during eclampsia
Atosiban is what?
Oxytocin R antagonist
Atosiban use?
Delay labor
Atosiban good and bad?
Good = less SE than terbutaline Bad = Higher infant mrtality
Indomethacin use?
Inhibits PG stimulation of contractions