Adrenal Drugs

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Questions and Answers

What primary function do glucocorticoids serve in the body?

  • Stimulate production of sex hormones
  • Reduce inflammation and suppress immune response (correct)
  • Increase blood potassium levels
  • Promote sodium excretion in the kidneys

Which drug acts on mineralocorticoid receptors to manage sodium and water retention?

  • Spironolactone
  • Cosyntropin
  • Fludrocortisone (correct)
  • Metyrapone

What is the role of cosyntropin in the adrenal system?

  • It inhibits adrenal steroidogenesis
  • It blocks aldosterone receptors
  • It serves as a precursor to adrenal hormones
  • It stimulates cortisol production from the adrenal cortex (correct)

What is the purpose of metyrapone in clinical treatment?

<p>Inhibit adrenal steroidogenesis (A)</p> Signup and view all the answers

What property do adrenal androgens like DHEA possess?

<p>Weak androgenic effects and serve as a precursor to sex hormones (D)</p> Signup and view all the answers

Flashcards

Glucocorticoids function

Reduce inflammation, suppress the immune response, and regulate metabolism by altering gene expression through receptors.

Mineralocorticoid effect

Increase sodium and water retention, and potassium excretion in the kidneys, acting by affecting mineralocorticoid receptors.

Adrenal Androgens role

Serve as a precursor to sex hormones and have weak androgenic effects.

ACTH's function

Stimulates the adrenal cortex to produce cortisol.

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Corticosteroid Inhibitors purpose

Inhibit adrenal steroidogenesis enzymes, used in Cushing syndrome & adrenal tumor management.

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Study Notes

Glucocorticoids

  • Glucocorticoids, such as hydrocortisone and prednisone, have powerful effects on the body.
  • They work by altering receptors, impacting gene expression.
  • This leads to reduced inflammation suppression of the immune response, and regulation of metabolism.

Mineralocorticoids

  • Mineralocorticoids, like fludrocortisone, primarily affect the kidneys.
  • They act on mineralocorticoid receptors to increase sodium and water retention.
  • They also promote potassium excretion.

Adrenal Androgens

  • DHEA is an adrenal androgen.
  • It's a precursor to sex hormones.
  • It also has modest androgenic properties.

ACTH

  • Cosyntropin is a synthetic form of ACTH.
  • It stimulates the adrenal cortex to produce cortisol.

Corticosteroid Inhibitors

  • Metyrapone inhibits enzymes in adrenal steroidogenesis.
  • This use is for managing Cushing syndrome and adrenal tumours.

Aldosterone Antagonists

  • Spironolactone blocks aldosterone receptors.
  • This reduces sodium and water retention, aiding in blood pressure control.

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