WK1 Flashcards
Omnitrope is what?
rhGF
Nutropin is what?
rhGF
Norditropin is what?
rhGF
Genotropin is what?
rhGF
Siazen is what?
rhGF
Mescarin is what?
rhIGF1
Mescarin Rinfabate is what?
rhIGF1 + IGF1BP
When do you use rhGF?
For hyposecretion of GH
SHOX
Hypopitutarism
When do you use rhIGF1?
For Laron Syndome GF problems
Why rhIGF1 instead of rhGF?
Because Laron Syndrome is a defect in the GH receptor so recombinant GH won’t work. IGF attenuates well enough
SE of rhGF?
Ab production (No consequence)
Scoliosis
Diabetogenic
SE of rhIGF1?
Hypoglycemia
CYP induction
When shouldn’t you use rIGF?
Cancer
For growth if epiphyseal plates are closed
Bromocriptine is what?
DA analog
Octreotide is what?
SST analog
Pegvisomant is what?
GH antagonist
What are treatment options for hypersecretion of GH?
DA analog
SST analog
GH Receptor Antagonist
SE of Octreotide?
Diarrhea
Flatulence
Malabsorption
SE of Pegvisomant?
Ab formation
Liver Toxicity
Cabergoline is what?
DA agonist
Cabergoline is most effective for what disease?
Hypersecretion of prolactin
- Shrinks Tumor
SE of Cabergoline
Nausea, vomiting, dizziness, hypotension
Stroke
Psych manifestations
Levothyroxine is what?
T4 analog
Liothyronine is what?
T3 analog
Methimazole is what?
Thiamide that blocks Thyroid Peroxidase
Carbimazole is what?
Thiamide that blocks Thyroid Peroxidase
Propylthiouracil is what?
Thiamide that blocks Thyroid Peroxidase and Deiodinase 1
Which Thyroid analog has a longer half life?
Levothyroxine
SE of Thyroid Analogs?
Hyperthyroidism symptoms
Afib
Bone loss
SE of Methimazole?
Embryopathy if pregnant
SE of propylthiuracil
LIVER TOX
Which Thiamide has a longer duration of action?
Methimazole
How long until steady state of thyroxine?
6-8wks
How long for full effect of Ptopylthiouracil?
2 wks
First line treatment for Graves’?
Methimazole
Radioactive 131-I used for?
Destruction of thyroid
Radioactive 123-I used for?
Thyroid Scan
Iodine used for?
Thyroid Storm TX
Prep for thyroidectomy
SE of Iodine administration
Allergic
Sore Gums and Teeth
Excessive Salivation
Why would you give Iodine for Thyroid Storm or prep for thyroidectomy?
High levels of Iodine inhibit all aspects of I- metabolism