PHARMA endocrine Drugs Flashcards

(45 cards)

0
Q

Complex of rhIGF 1 and rhIGFBP 3

A

Mecasermin

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1
Q

Growth hormone side effect

A

Pseudotumor cerebri (intracranial hpn)
Scoliosis in children
Hyperglycemia

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2
Q

Most important side effect of Mecasermin

A

Hypoglycemia

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3
Q

Tx for GH resistant cases

A

Mecasermin

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4
Q

Novel GH receptor antagonist, for small gh-secreting adenomas

A

Pegvisomant (withpolyethyleneglycol)

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5
Q

Somatostatin analog

A

Octreotide

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6
Q

Advantage of octreotide vs somatostatin

A

Octreotide lasts 30x longer

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7
Q

Octreotide clinical use

A

For hormone secreting tumors

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8
Q

Diagnostic method to localize neuroendocrine tumors ha ing sst receptor

A

Somatostatin receptor scintigraphy

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9
Q

Other use of octreotide

A

Aute esophageal varices

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10
Q

Approved tx of acromegaly

A

Lanreotide

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11
Q

Human menopausal gonadotropins

A

Menotropins

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12
Q

urofollitropin

A

FSH

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13
Q

Lutropin alfa

A

Recombinant human LH

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14
Q

Choriogonadotropin alfa

A

Rh cg

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15
Q

Gonadotropin clinical use

A

Anovulation
Female infertility
Hypogonadotropic hypogonadism male infertility
Assisted reproductive therapy

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16
Q

Alternative for ovulation induction

A

Clomiphene

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17
Q

Conventional therapy for male infertility

A

HCG

HMG

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18
Q

Characteristics of ovarian hyperstimulation syndrome

A

Ovarian enlargement
Ascites
Hypovolemia

19
Q

Gnrh pulsatile vs sustained non pulsatile

A

Pulsatile - stimulate fsh and lh

Sustained non pulsatile - inhibit fsh and lh, for gonadal and ovarian suppression

20
Q

Acetate salt of synthetic human gnRH, pulsatile release

21
Q

Synthetic analogs of gnrh

A

Longer half life

22
Q

Biphasic response to continuous gonadorelin

A

Flare during first 7-10 days
Then
Receptor down regulation

23
Q

Clinical use of gonadotropin AND gonadorelin

A

Prevent premature lh surge and ovulation

Etc

24
Endometriosis treatment
Leuprolide and sometng
25
Uterine leiomyomata (fibrosis) treatment
Continuois gnrh agonist with iron supplement for 3-6 months
26
Prostate cancer treatment
Continuous gnrh agonist AND flutamide (androgen antagonist)
27
How to prevent tumor flare of trstosterone
Biclutamide (androgen antagonist)
28
Preferred tx of breast cancer after mastectomy
Tamoxifen in premenopausal | Aromatase inhibitors in postmenopausal
29
Controversial adjuvant tx for breast ca
Ovarian suppression or ovarian ablation
30
Treatment for central precociouspuberty
Leuprolide Histrelin Nafarelin
31
Gonadorelin toxicity
Something and Blindness
32
gonadorelin analog in nasal form
Nafarelin
33
Ganirelix | Cetrorelix
Controlled ovarian hyperstimulation
34
Dextrirrlix???
Prostate cancer
35
Dopamine agonists na ergot derivatives
Bromocriptine | Cabergoline
36
Non ergot dopamine agonist
Quinagolide
37
Dopamine agonist with longest duration of action
Cabergoline
38
Dopamine agonist toxicity
Erythromelalgia etc
39
Oxytocin effect at high concentrations
Weak adh action
40
Oxytocin
toxicityexcessive uterine contraction Excessive Fluid retention Hypotension
41
Oxytocin antagonist
Atosiban
42
Long acting synthetic analog of vasopressin
Desmopressin
43
Clinical use of desmopressin
Nocturnal enuresis in px with diabetes insipidus
44
Vasopressin antagonist
Conivaptan | Tolvaptan