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31 Cards in this Set

  • Front
  • Back

Bromocriptine & Cabergoline

Dopa-Agonists used to treat Prolactionoma by inhibiting PRL release via Dopa

Somatropin

Recombinant GH


1st line to trx Dwarfism

Mecasermin

Recombinant IGF-1 to trx Dwarfism

Octreotide & Lanreotide

Somatotopin Receptor Ligand (SRL) that inhibit the release of GH to trx Acromegaly

Pegvisomant

GH antagonist to trx Acromegaly

Leuprolide & Goserelin

GnRH agonists to trx prostate cancer by inducing negative feedback to decrease LH and FSH and thus decrease testosterone

Degarelix

GnRH anatogonists to trx prostate cancer by decreasin LH and FSH

Phenoxybenzamine followed by a Beta-Blocker and surgery

Trx of Pheochromocytoma (order important! -- if you give Beta-blocker before alpha, it can cause a HTN crisis)

Cortisone, Hydrocortisone, Prednisone

Short-acting exogenous glucocorticoids that are the preferred trx for adrenal insufficiency in order to avoid iatrogenic Cushings

Ketaconazole & Metyrapone

Steroid synthesis inhibitors given to trx ACTH-dependent Pituitary Adenomas following surgical resection

Fludrocortisone

Mineralocorticoid replacement therapy for salt-wasting adrenal insufficiencies

Alendronate

Bisphosphonate incorporated into bone matrix to inhibit FDS needed to tether membrane proteins causing Clasts apoptosis



*SE: Osteonecrosis of jaw, atypical femur fracture, GI ulcers, decreased absorption with meals

Denosumab

Ab against RANKL to prevent blasts from stimulating clasts

Teriparatide (Forteo)

Recombinant PTH that builds bone

Raloxifene

SERM that decreases fractures and breast cancer risk

Levothyroxine

T4 replacement for hypothyroidism trx

Liothronine

T3 replacement for myxoedema coma hypothyroid pts in order to quickly raise active TH levels



*very narrow therapeutic range

Methimazole

1st line for hyperthyroidism.


Blocks TPO


Can't use in 1st trimester pregnant (scalp lesions)


May cause agranulocytosis

Propylthiouracil (PTU)

2nd line for hyperthryoidism


Blocks TPO


Safe for pregnancy


SE: Liver toxicity, agranulocytosis

I-131

Radioactive iodine for radioabation "cure" of hyperthyroidism or thyroid cancer

I-123

Iodine used in iodine uptake studies

Trx for Thyroid Strom

1. High dose Iodide (wolf-chiakoff effect)


2. PTU


3. Propranolol


4. Glucocorticoid

Glipizide

Sulfonurea that closes K+ channel to increase insulin release. DM2



*causes weight gain, not ok for sulfa allergy or renal pts

Repoglinide

Meglitinide that closes K+ channel to increase insulin release in DM2



*weight gain

Exonatide

GLP-1 agonists for DM2



*Increases insulin release from GI, prevents beta cell apoptosis, prevents glucagon release



*weight loss

Sitagliptin

DPP-IV anatoginists that prevents GLP-1 breakdown in DM-2

Intensive Basal Bolus Insulin Regime

Lispro (short-acting) before meals


Glargine (long, flat) before bed

Convential Insulin Regime

NPH (Int - 6 hr peak, gone in 12hrs) before breakfast and dinner

Metformin

1st line trx fro DM2



*decreases gluconeogenesis in DM2, weight loss, decrease in TG and FFAs

Pioglitazone

Thiazolidinedione that activates PPARa to increase GLUT4 and thus increases Glucose uptake, deceases TG



*weight gain, not ok for CHF or liver pts

Canoglifozin

SGLT-2 inhibitor to prevent Glucose reabsorption at prox tubule and thus increase its excretion



*SE: UTIs and yeast infectionw