Hormone Medications: GnRH Agonists
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Questions and Answers

What is a common side effect of GnRH receptor agonists?

  • Hyperglycaemia
  • Psychotic symptoms
  • Gallbladder disease
  • Symptoms of hypogonadism (correct)
  • What is the primary clinical use of somatostatin analogues?

  • Prolactinomas
  • Haemophilia A
  • Dwarfism
  • Acromegaly (correct)
  • Which of the following describes the mechanism of action of dopamine agonists?

  • Binds to the somatostatin receptors
  • Inhibits prolactin secretion (correct)
  • Stimulates ADH receptors
  • Increases water reabsorption
  • What is a potential side effect of growth hormone analogues?

    <p>Hyperglycaemia</p> Signup and view all the answers

    Which is a common clinical use for vasopressin analogues?

    <p>Central Diabetes Insipidus</p> Signup and view all the answers

    What condition might be treated using ADH antagonists?

    <p>Congestive heart failure</p> Signup and view all the answers

    Which of the following hormones is directly inhibited by somatostatin analogues?

    <p>Growth hormone</p> Signup and view all the answers

    What is a significant side effect of ADH antagonists?

    <p>Hypokalemia</p> Signup and view all the answers

    In which condition is pulsatile administration of GnRH agonists indicated?

    <p>Amenorrhea</p> Signup and view all the answers

    What is the mechanism of action for growth hormone analogues?

    <p>Binds to growth hormone receptors in target cells</p> Signup and view all the answers

    What is the primary effect of GnRH receptor agonists when administered continuously?

    <p>Suppression of ovarian hormone secretion</p> Signup and view all the answers

    Which side effect is NOT commonly associated with growth hormone analogues?

    <p>Gallbladder disease</p> Signup and view all the answers

    Somatostatin analogues primarily inhibit the secretion of which type of hormone?

    <p>Insulin</p> Signup and view all the answers

    What is the main indication for the use of dopamine agonists?

    <p>Prolactinomas</p> Signup and view all the answers

    Which medication is an example of a vasopressin analogue?

    <p>Desmopressin</p> Signup and view all the answers

    Which side effect is specifically associated with ADH antagonists?

    <p>Hypernatremia</p> Signup and view all the answers

    What physiological action is expected from the administration of GnRH receptor agonists in pulsatile fashion?

    <p>Stimulation of LH secretion</p> Signup and view all the answers

    What condition is primarily treated with somatostatin analogues?

    <p>Acromegaly</p> Signup and view all the answers

    Which of the following is NOT a characteristic side effect of growth hormone analogues?

    <p>Pancreatitis</p> Signup and view all the answers

    Which medication is utilized in the management of both central diabetes insipidus and hemophilia A?

    <p>Desmopressin</p> Signup and view all the answers

    Study Notes

    GnRH Receptor Agonist

    • Stimulates FSH and LH release from the anterior pituitary, elevating serum estradiol and testosterone via the hypothalamic-pituitary-gonadal (HPG) axis
    • Continuous administration used in endometriosis and leiomyomas; pulsatile in amenorrhea, also used for prostate and breast cancer
    • Common side effects include hypogonadism symptoms, bone pain, and peripheral swelling
    • Example medication: Leuprolide

    Growth Hormone Analogue

    • Binds to growth hormone receptors in liver and cartilage, stimulating bone growth, muscle increase, fat reduction, and regulating glycemic and lipid levels
    • Treats conditions like dwarfism and muscle wasting associated with AIDS or malignancies
    • Side effects include edema in extremities, arthralgias, carpal tunnel syndrome, and altered glucose metabolism
    • Example medication: Somatotropin

    Somatostatin Analogue

    • Inhibits secretion of several hormones including growth hormone, glucagon, and insulin by binding to somatostatin receptors (predominantly SSTR2 and SSTR5)
    • Clinical applications include treatment for esophageal varices, VIPomas, carcinoid syndrome, acromegaly, and Zollinger-Ellison syndrome
    • Potential side effects are gallbladder disease, pancreatitis, and fluctuations in thyroid and glucose levels
    • Example medication: Octreotide

    Dopamine Agonists

    • Act by inhibiting prolactin secretion, beneficial in cases of prolactinomas and requiring higher doses in Parkinson's disease
    • Side effects can include psychotic symptoms, dizziness, headache, nausea, and confusion
    • Examples of medications: Bromocriptine and Cabergoline

    Vasopressin Analogue (ADH)

    • Primarily targets V2 receptors in renal tubules to enhance water reabsorption and release von Willebrand factor for platelet aggregation, with minimal effect on V1 causing vasoconstriction
    • Used in central diabetes insipidus, hemophilia A, and von Willebrand disease
    • Side effects may involve hyponatremia, transient headaches, and flushing
    • Example medication: Desmopressin

    ADH Antagonists

    • Directly inhibit ADH receptors (V1 and V2), leading to reduced effects of antidiuretic hormone
    • Indicated for hyponatremia due to SIADH, congestive heart failure, and liver cirrhosis
    • Side effects can include hypernatremia and hypokalemia

    GnRH Receptor Agonist

    • Stimulates FSH and LH release from the anterior pituitary, elevating serum estradiol and testosterone via the hypothalamic-pituitary-gonadal (HPG) axis
    • Continuous administration used in endometriosis and leiomyomas; pulsatile in amenorrhea, also used for prostate and breast cancer
    • Common side effects include hypogonadism symptoms, bone pain, and peripheral swelling
    • Example medication: Leuprolide

    Growth Hormone Analogue

    • Binds to growth hormone receptors in liver and cartilage, stimulating bone growth, muscle increase, fat reduction, and regulating glycemic and lipid levels
    • Treats conditions like dwarfism and muscle wasting associated with AIDS or malignancies
    • Side effects include edema in extremities, arthralgias, carpal tunnel syndrome, and altered glucose metabolism
    • Example medication: Somatotropin

    Somatostatin Analogue

    • Inhibits secretion of several hormones including growth hormone, glucagon, and insulin by binding to somatostatin receptors (predominantly SSTR2 and SSTR5)
    • Clinical applications include treatment for esophageal varices, VIPomas, carcinoid syndrome, acromegaly, and Zollinger-Ellison syndrome
    • Potential side effects are gallbladder disease, pancreatitis, and fluctuations in thyroid and glucose levels
    • Example medication: Octreotide

    Dopamine Agonists

    • Act by inhibiting prolactin secretion, beneficial in cases of prolactinomas and requiring higher doses in Parkinson's disease
    • Side effects can include psychotic symptoms, dizziness, headache, nausea, and confusion
    • Examples of medications: Bromocriptine and Cabergoline

    Vasopressin Analogue (ADH)

    • Primarily targets V2 receptors in renal tubules to enhance water reabsorption and release von Willebrand factor for platelet aggregation, with minimal effect on V1 causing vasoconstriction
    • Used in central diabetes insipidus, hemophilia A, and von Willebrand disease
    • Side effects may involve hyponatremia, transient headaches, and flushing
    • Example medication: Desmopressin

    ADH Antagonists

    • Directly inhibit ADH receptors (V1 and V2), leading to reduced effects of antidiuretic hormone
    • Indicated for hyponatremia due to SIADH, congestive heart failure, and liver cirrhosis
    • Side effects can include hypernatremia and hypokalemia

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    Description

    Explore the mechanism of action and clinical uses of GnRH receptor agonists in this informative quiz. Learn how these medications play a vital role in treating conditions such as endometriosis and uterine fibroids. Test your knowledge on the hypothalamic-pituitary-gonadal axis and its impact on hormone levels.

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