Wk3 Female Repro Drugs Flashcards
Drug used to stimulate FSH secretion by blocking estrogen receptors:
clomiphine citrate
MOA of clomiphine citrate:
estrogen receptor antagonist
block negative feedback
***increasing GnRH, LH, FSH release
menotropin
FSH/LH analog
urofolitropin
FSH/LH analog
used to stimulate induction of ovulation by acting like LH
hCG
Synthetic GnRH analog (agonist)
Leuprolide
What happens INITIALLY if a NONpulsatile dose of Leuprolide is administered?
transient RISE in FSH/LH
followed by decrease
What happens with pulsatile administration of Leuprolide?
increases FSH/LH –> follicle development
GnRH ANtagonists:
ganiRELIX
cetroRELIX
Pure estrogen antagonist in all tissue
Fulvestrant
NONsteroidal
Reversible
Aromatase inhibitors
anasTROZOLE
leTROZOLE
Steroidal
NONreversible
Aromatase inhibitor
Exemestane
Main idea with aromatase inhibitors:
prevent estrogen production
used in estrogen+ cancers
Progestin analog for contraception
Medroxyprogesterone acetate
estrane analog for contraception
progesterone receptor agonist
Norethindrone
gonane analog for contraception
progesterone receptor agonist
Levonorgestrel
Progesterone agonist used as emergency contraceptive
cannot terminate pregnancy
Levonogestrel (Plan B)
Selective Progesterone Receptor antagonist used to prevent ovulation (low dose) or terminate early pregnancy (high doses with misoprostol)
Mifepristone
PGE1 analog
misoprostol
Progesterone ANtagonist for emergency contraception
prevents or delays ovulation
Ulipristal acetate