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13 Cards in this Set

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Hydrocortisone (cortisol)
Use- Adrenal fail, anti-inflammatory, immunosuppresive therapy (auto-immune dis, transplant rejection), neoplasia (treat malignancies, reduce edema, anti-emetic).
SidEf- hyperglycemia, redistribution of fat, protein catabolism, decrease response to infection, osteoporosis, Cushing's syn.
Drug of choice in replacement therapy.
t1\2- 8-12h.
Relative potency in clinic use:
Anti-Inf- 1
Na+ retaining- 1
Cortisone
Use- Adrenal fail, anti-inflammatory, immunosuppresive therapy (auto-immune dis, transplant rejection), neoplasia (treat malignancies, reduce edema, anti-emetic).
SidEf- hyperglycemia, redistribution of fat, protein catabolism, decrease response to infection, osteoporosis, Cushing's syn.
cheap, activation by conversion to cortisol, not used as an anti-inflammatory due to mineralocor' effect.
t1\2- 8-12h.
Relative potency in clinic use:
Anti-Inf- 0.8
Na+ retaining- 0.8
Corticosterone
Use- Adrenal fail, anti-inflammatory, immunosuppresive therapy (auto-immune dis, transplant rejection), neoplasia (treat malignancies, reduce edema, anti-emetic).
SidEf- hyperglycemia, redistribution of fat, protein catabolism, decrease response to infection, osteoporosis, Cushing's syn.
t1\2- 8-12h.
Relative potency in clinic use:
Anti-Inf- 0.3
Na+ retaining- 15
Prednisolone
Use- Adrenal fail, anti-inflammatory, immunosuppresive therapy (auto-immune dis, transplant rejection), neoplasia (treat malignancies, reduce edema, anti-emetic).
SidEf- hyperglycemia, redistribution of fat, protein catabolism, decrease response to infection, osteoporosis, Cushing's syn.
Drug of choice for systemic anti-inflam & immunosuppres effects.
t1\2- 12-36h.
Relative potency in clinic use:
Anti-Inf- 4
Na+ retaining- 0.8
Prednisone
Use- Adrenal fail, anti-inflammatory, immunosuppresive therapy (auto-immune dis, transplant rejection), neoplasia (treat malignancies, reduce edema, anti-emetic).
SidEf- hyperglycemia, redistribution of fat, protein catabolism, decrease response to infection, osteoporosis, Cushing's syn.
activated by conversion to Prednisolone. largely used for systemic anti-inflam & immunosupres effects.
t1\2- 12-36h.
Relative potency in clinic use:
Anti-Inf- 4
Na+ retaining- 0.8
Methylprednisolone
Use- Adrenal fail, anti-inflammatory, immunosuppresive therapy (auto-immune dis, transplant rejection), neoplasia (treat malignancies, reduce edema, anti-emetic).
SidEf- hyperglycemia, redistribution of fat, protein catabolism, decrease response to infection, osteoporosis, Cushing's syn.
Anti inflam & immunosuppres.
t1\2- 12-36h.
Relative potency in clinic use:
Anti-Inf- 5
Na+ retaining- minimal
Triamcinolone
Use- Adrenal fail, anti-inflammatory, immunosuppresive therapy (auto-immune dis, transplant rejection), neoplasia (treat malignancies, reduce edema, anti-emetic).
SidEf- hyperglycemia, redistribution of fat, protein catabolism, decrease response to infection, osteoporosis, Cushing's syn.
Relatively more toxic then others.
t1\2- 12-36h.
Relative potency in clinic use:
Anti-Inf- 5
Na+ retaining- none
Dexamethasone
Use- Adrenal fail, anti-inflammatory, immunosuppresive therapy (auto-immune dis, transplant rejection), neoplasia (treat malignancies, reduce edema, anti-emetic).
SidEf- hyperglycemia, redistribution of fat, protein catabolism, decrease response to infection, osteoporosis, Cushing's syn.
Anti-inflm & immunosuppres, used especially where water retention is a problem (cerebral), drug of choice for suppres of ACTH production.
t1\2- 36-72h.
Relative potency in clinic use:
Anti-Inf- 30
Na+ retaining- minimal
Betamethasone
Use- Adrenal fail, anti-inflammatory, immunosuppresive therapy (auto-immune dis, transplant rejection), neoplasia (treat malignancies, reduce edema, anti-emetic).
SidEf- hyperglycemia, redistribution of fat, protein catabolism, decrease response to infection, osteoporosis, Cushing's syn.
Anti-inflm & immunosuppres, used especially where water retention is a problem (cerebral).
t1\2- 36-72h.
Relative potency in clinic use:
Anti-Inf- 30
Na+ retaining- negligible
Beclometasone dipropionate
Use- Adrenal fail, anti-inflammatory, immunosuppresive therapy (auto-immune dis, transplant rejection), neoplasia (treat malignancies, reduce edema, anti-emetic).
SidEf- hyperglycemia, redistribution of fat, protein catabolism, decrease response to infection, osteoporosis, Cushing's syn.
Anti-inflam & immunosuppres, effective topically & aerosol.
Relative potency in clinic use:
Anti-Inf- (+)
Na+ retaining- (-)
Deoxycortone
mineralocorticoid
Uses- replacement therapy, addison's disease.
SidEf- edema, HyperTens, muscle weakness (hypo K+).
Relative potency in clinic use:
Anti-Inf- negligible
Na+ retaining- 50
Fludrocortisone
mineralocorticoid
Uses- replacement therapy, addison's disease.
SidEf- edema, HyperTens, muscle weakness (hypo K+).
drug of choice for mineralocorticoid effect.
t1\2- 8-12h
Relative potency in clinic use:
Anti-Inf- 15
Na+ retaining- 150
Aldosterone
mineralocorticoid
Uses- replacement therapy, addison's disease.
SidEf- edema, HyperTens, muscle weakness (hypo K+).
endogenous mineralocorticoid.
Relative potency in clinic use:
Anti-Inf- none
Na+ retaining- 500