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**Pharm 27
Golan Second Edition
16
Pharmacology
Graduate
03/24/2011

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Cards

Term
Glucocorticoid Receptor Agonists
Definition
Prednisone, Predisolone, Methylprednisolone, Dexamethazone, Hydrocortisone, Fluticasone, Beclomethasone, Flunisolide, Triamcinolone, Budesonide
Term
Glucocorticoid Agonist Information
Definition
Inflammatory conditions, autoimmune diseases {Immunosuppression, cataracts, hyperglycemia, hypercortisolism, depression, euphoria, osteoporosis, growth retardation, muscle atrophy, poor healing, HTN, fluid retention} [fungal infection] Taper slowly off of these. Inhaled: fluticasone, beclomethasone, flunisolide, triamcinolone, budesonide
Term
Hydrocortisone
Definition
Replacement therapy for adrenal insufficiency
Term
Gluco/Mineral-corticoid Relative potency
Definition
Hydrocortisone: 1/1; Prednisolone: 4.5/.25; Methylprednisolone: 5.5/.25; Dexamethasone: 18/0
Term
Glucocorticoid Receptor Antagonists
Definition
Mifepristone
Term
Mifepristone (RU-486)
Definition
Abortion through day 49 {Prolonged bleeding, bacterial infection/sepsis, nausea, vomiting, diarrhea, cramps, vaginal bleeding, headache} [adrenal failure, ectopic pregnancy, henorrhagic disorders, anticoagulation, inherited porphyrias, IUD, adnexal mass] Also blocks progesterone receptor
Term
Glucoorticoid Synthesis Inhibitors
Definition
Mitotane, Aminoglutethimide, Metyrapone, Trilostane, Ketoconazole
Term
Mitotane
Definition
Medical adrenalectomy in Cushing's or adrenocortical carcinoma {Visual disturbance, hemorrhagic cystitis, hypercholesterolemia, somnolence, nausea, depression} [Live rotavirus vaccine] analogue of DDT. Hypercholesterolemia
Term
Aminoglutethimide
Definition
Cushing's syndrome {Cortisol insufficiency, agranulocytosis, leukopenia, neutropenia, pancytopenia, pruritus, nausea, hypotension, somnolence} [Hypersensitivity to glutethimide] Inhibits side-chain cleavage enzyme as well as aromatase. Potential for breast cancer.
Term
Metyrapone
Definition
Diagnosis ofr hypothalamic-pituitary-adrenal axis, Cushing's {Cortisol insufficiency, HTN} [Cortical insufficiency] Inhibits 11beta-hydrozyltion, disinhibition of ACTH secretion to test reserve
Term
Trilostane
Definition
Cushing's syndrome, Aldosteronism {Addisonian crisis, Postural ypotension, hypoglycemia, diarrhea, nausea} [cortical insufficiency, renal/hepatic dysfunction] reversible 3beta-hydroxysteroid dehydrogenase inhibitor
Term
Mineralocorticoid Receptor Agonists
Definition
Fludrocortisone
Term
Fludrocortisone
Definition
Hypoaldosteronism {HTN, hypokalemia, HF, thrombophlebitis, hypocortisolism, increased intracranial pressure, edema, impaired healing, rash, mypathy, hyperglycemia, menstrual irregularities} [fungal infection]
Term
Mineralocorticoid Receptor Antagonists
Definition
Spironolactone, Eplerenone
Term
Adrenal Sex Steroid
Definition
Dehydroepiandresterone (DHEA)
Term
DHEA (Dehydroepiandrosterone)
Definition
Hypoaldosteronism, Chronic fatigue syndrome {Acne, hepatitis, hirsutism, androgenization} [Breast/ovarian/prostate cancer] Replacement for addison's with DHEA deficiency.
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