thyroid drugs Flashcards

1. Describe the synthesis and release of thyroid hormone and describe the relationship between T3 and T4 in terms of production, potency, protein binding, and metabolism. 2. Describe the rationale for the approaches used in the pharmacological treatment of hyperthyroidism. 3. List the prototype oral drugs used to treat hyperthyroidism, describe their mechanism of action and list their major side effects and clinical uses. 4. Explain the source and function of circulating iodide and its dual a (39 cards)

1
Q

Levothyroxine

A

Thyroid replacement

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2
Q

liothyronine

A

Thyroid replacement

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3
Q

liotrix

A

Thyroid replacement

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4
Q

thyroglobulin

A

Thyroid replacement

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5
Q

DOC for hypothyroidism

A

levothyroxine

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6
Q

levothyroxine mimics

A

T4

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7
Q

liothyronine

A

T3

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8
Q

issue with generic levothyroxines

A

different generics are absorbed at different rates

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9
Q

rapid onset, short DOA Thyroid replacement

A

liothyroxine

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10
Q

can cause myxedema coma

A

liothyroxine

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11
Q

can be cardiotoxic

A

liothyroxine

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12
Q

mixture of T3 and T4

A

liotrix

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13
Q

purified hog thyroid extract

A

thyroglobulin

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14
Q

instable, variable product that can cause antigenic issues

A

thyroglobulin

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15
Q

most potent Thyroid replacement

A

liothyroxine

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16
Q

general SE of Thyroid replacement drugs

A

hyperthyroidism

CV side effects

17
Q

population needed to be cautious with with Thyroid replacement drugs

A

elderly, esp with CV disease

18
Q

MOA of Propylthiouracil

A

interferes with deionization of T4 into Active T3

19
Q

organification

A

creating I2 out of ionized Iodine

20
Q

coupling

A

DIT to T4 step

21
Q

hormone created by the thyroid

22
Q

active thyroid hormone

23
Q

MOA of thioamides in general

A

prevents synthesis of active T3 by blocking organification, coupling or deiodination

24
Q

SE of thioamides in general

A

skin rash, headache, nausea, leukopenia, agranulocytosis

25
MOA of iodides
decreases the size and vascularity of the hyperplastic thyroid gland. blocks organification and release of T4
26
drug to use before thyroid removal
iodide
27
contraindications to iodides
use before I 131
28
increased iodine stores will
delay thionamide onset
29
withdrawal of iodide therapy can
precipitate thyrotixicosis
30
iodide drugs (3)
lugol's solution, KI Sodium ipodate
31
used to asess thyroid responsiviness
Radioactive iodide
32
destroys iodide tissues
I 131
33
suppresses clinical sx of hyperthyroidism
propranolol
34
use of propranolol in thyroid dx
shortterm until definitive therapy
35
steps of Thyroid hormone biosynthesis
trapping, organification, incorporation, coupling, proteolysis and release
36
intermediate thyroid hormone products
``` thyroglobiln MIT DIT T4 T3 ```
37
T4 converted to T3 where?
bloodstream
38
amino acid used in thyroid hormone sythesis
thyrosine
39
effect of THs and catcholamines
potientate each other