GH Flashcards
(39 cards)
Clomifene
Estrogen receptor agonist/antagonist
Gn RH stimulates release of
LH and FSH
Growth hormone receptor agonist
Somatropin
Somatostatin receptor agonist
Octreotide
Growth hormone receptor antagonist
Pegvisomant
Dopamine receptor agonists
Bromocrptine and cabergoline
Acromegaly due to
Long lasting growth or somatotropic hormone hypersecretion with 2 dairy growth for IGF 1
Hyperprolactinemia cause
Galactorrhoea,menstrual cycle disturbance (oligomenorrhea or amenorrhea) , infertility,benign tumors
Turner syndrome
Chromosome changes,in women,affect height and sexual development
IGF 1 promote anabolic processes like
Protein synthesis, development of bone growth plate formation,cell proliferation
Somatropin use
Replacement therapy in case of diagnosed growth hormone deficiency like turner syndrome
Prolonged somatropin overdose cause
Gigantism and acromegaly
STH is antagonist to insulin as it IGF 1 works similar to
Insulin
Octreotide action
Inhibits STH secretion and suppress TSH secretion,so it reduce several gastroenteropancreatic peptide secretion and may also cause hypothyroidism
Hypothyroidism may manifest as
Bradycardia, cardiac arrythmia
Octreotide is
Anti secretary
Use of octreotide
Acromegaly, gastroenteropancreatic carcinoid tumours, treatment of TSH secretary pituitary adenomas
SE of octreotide
Hypothyroidism
Pegvisomant action
Only decrease in IGF 1 secreti,but STH secretion unaffected
Use of pegvisomant
Acromegaly
D 2 receptor agonist action
Delays STH secretion,inhibits prolactin secretion
Use of D2 receptor agonist
Acromegaly, hyperprolactinemia,Malignant neuroleptic malignant syndrome (bromocrptine)
SE of D2 receptor agonists
Impulse control disorders -pathological gambling, increase in sex drive,hypersexuality,compulsive spending of money and shopping
GnRH receptor agonists
Goserelin,Triptorelin