Podcast
Questions and Answers
Which of the following is NOT a focus of the pharmacodynamic evaluations discussed in the provided text?
Which of the following is NOT a focus of the pharmacodynamic evaluations discussed in the provided text?
- Hormone receptor interaction similarities
- New classes of oral antidiabetics
- Neuroendocrinology pharmacodynamic evaluation (correct)
- The classical hypothalamus-pituitary-adrenal-gonadal axis
What concept related to hormone-receptor interaction is prominently featured in the discussion?
What concept related to hormone-receptor interaction is prominently featured in the discussion?
- Intracellular signaling pathways
- Hormone metabolism and degradation
- The presence of hormone agonists and antagonists (correct)
- Hormone synthesis mechanisms
Which endocrine disorders are reviewed separately from the classical hypothalamus-pituitary-adrenal-gonadal axis?
Which endocrine disorders are reviewed separately from the classical hypothalamus-pituitary-adrenal-gonadal axis?
- Pituitary disorders
- Gonadal disorders
- Adrenal disorders
- Thyroid disorders (correct)
Among the listed drug classes, which one is NOT specifically mentioned as being evaluated as part of the pharmacodynamic evaluations?
Among the listed drug classes, which one is NOT specifically mentioned as being evaluated as part of the pharmacodynamic evaluations?
What is the general focus of the pharmacological review in relation to endocrine disorders?
What is the general focus of the pharmacological review in relation to endocrine disorders?
According to the provided text, which of the following is given particular focus?
According to the provided text, which of the following is given particular focus?
What aspect of hormone action receives specific attention within the context of pharmacodynamics?
What aspect of hormone action receives specific attention within the context of pharmacodynamics?
Which hormone is mentioned in the text as being evaluated, but that is not primarily secreted by the pituitary gland?
Which hormone is mentioned in the text as being evaluated, but that is not primarily secreted by the pituitary gland?
Which of the following accurately describes the primary function of glucagon?
Which of the following accurately describes the primary function of glucagon?
Which of the following hormones does not directly stimulate glucagon secretion?
Which of the following hormones does not directly stimulate glucagon secretion?
Glucagon belongs to the secretin family of hormones; what mechanism does it use to elicit its response?
Glucagon belongs to the secretin family of hormones; what mechanism does it use to elicit its response?
Under what condition does glucagon induce lipolysis?
Under what condition does glucagon induce lipolysis?
Which of the following is a scenario in which glucagon would likely be considered a critical treatment option?
Which of the following is a scenario in which glucagon would likely be considered a critical treatment option?
What is the name of short-acting insulin?
What is the name of short-acting insulin?
What is the approximate duration of action of insulin glargine?
What is the approximate duration of action of insulin glargine?
Which of the following best describes premixed insulin Humulin I?
Which of the following best describes premixed insulin Humulin I?
What is the primary role of progesterone during the luteal phase of the menstrual cycle?
What is the primary role of progesterone during the luteal phase of the menstrual cycle?
What effect does progesterone have on the immune response during pregnancy?
What effect does progesterone have on the immune response during pregnancy?
Which of the following is NOT a known effect of progesterone?
Which of the following is NOT a known effect of progesterone?
What is the primary hormonal component found in morning-after pills and abortion pills?
What is the primary hormonal component found in morning-after pills and abortion pills?
A drop in progesterone levels most likely facilitates the onset of which process?
A drop in progesterone levels most likely facilitates the onset of which process?
Which uterine tissue is altered by progesterone?
Which uterine tissue is altered by progesterone?
Which of the following best describes the role of progestogens in combined oral contraceptive pills?
Which of the following best describes the role of progestogens in combined oral contraceptive pills?
What is the effect of progesterone specifically on the uterus during pregnancy?
What is the effect of progesterone specifically on the uterus during pregnancy?
What is the primary mechanism by which dihydrotestosterone (DHT) exerts its androgenic effects?
What is the primary mechanism by which dihydrotestosterone (DHT) exerts its androgenic effects?
Besides an increase in muscle mass, which of the following is an additional anabolic effect of AASs?
Besides an increase in muscle mass, which of the following is an additional anabolic effect of AASs?
What is the role of 5-alpha reductase in the context of androgenic effects?
What is the role of 5-alpha reductase in the context of androgenic effects?
Which of the following conditions in men is NOT typically treated with antiandrogens?
Which of the following conditions in men is NOT typically treated with antiandrogens?
What is a known side effect of AASs related to hair and skin?
What is a known side effect of AASs related to hair and skin?
In women, which of the following is a condition antiandrogens are used to treat?
In women, which of the following is a condition antiandrogens are used to treat?
What is the mechanism of action of antiandrogens?
What is the mechanism of action of antiandrogens?
Which of the following is NOT a clinical application of AASs?
Which of the following is NOT a clinical application of AASs?
Elevated glucagon levels may be associated with which condition?
Elevated glucagon levels may be associated with which condition?
Which hormone is NOT synthesized in the anterior pituitary?
Which hormone is NOT synthesized in the anterior pituitary?
Pegylation of a GH analogue is primarily used for what purpose?
Pegylation of a GH analogue is primarily used for what purpose?
Which factor does NOT directly modify GH receptor expression?
Which factor does NOT directly modify GH receptor expression?
Which of the following is primarily used to measure a pharmacodynamic response to GH analog injection in GH-deficient children?
Which of the following is primarily used to measure a pharmacodynamic response to GH analog injection in GH-deficient children?
Synthetic human growth hormone is NOT typically used for which condition?
Synthetic human growth hormone is NOT typically used for which condition?
ACTH (Synachten) is primarily used for:
ACTH (Synachten) is primarily used for:
Which of the following is a product released by the hypothalamus?
Which of the following is a product released by the hypothalamus?
Which medication is associated with reduced rates of prostate surgery for benign prostate hyperplasia?
Which medication is associated with reduced rates of prostate surgery for benign prostate hyperplasia?
What type of drug is Elagolix, used in the treatment of endometriosis-associated pain?
What type of drug is Elagolix, used in the treatment of endometriosis-associated pain?
Which medication has been historically linked to the treatment of diabetes and is also being researched for potential effects on longevity?
Which medication has been historically linked to the treatment of diabetes and is also being researched for potential effects on longevity?
What is one of the studied side effects of peptide receptor radionuclide therapy for neuroendocrine tumors?
What is one of the studied side effects of peptide receptor radionuclide therapy for neuroendocrine tumors?
Which of the following is described as a less expensive option for treating type 2 diabetes?
Which of the following is described as a less expensive option for treating type 2 diabetes?
In treating hypoparathyroidism, which is associated with less severe hypocalcemia?
In treating hypoparathyroidism, which is associated with less severe hypocalcemia?
Which medication class is associated with functional outcomes, death, and rehospitalization in elderly nursing home residents after myocardial infarction?
Which medication class is associated with functional outcomes, death, and rehospitalization in elderly nursing home residents after myocardial infarction?
Which of these medications is discussed in the context of opioid addiction?
Which of these medications is discussed in the context of opioid addiction?
Flashcards
Thiazolidinediones
Thiazolidinediones
These medications work by increasing the sensitivity of body tissues to insulin, leading to improved glucose control. Examples include pioglitazone and rosiglitazone.
DPP-4 Inhibitors
DPP-4 Inhibitors
These drugs slow down the breakdown of incretin hormones, leading to increased insulin secretion and reduced glucagon release, improving glucose control.
GLP-1 Agonists
GLP-1 Agonists
These medications mimic the action of the naturally occurring hormone GLP-1, leading to increased insulin secretion, reduced glucagon release, and slower gastric emptying.
SGLT-2 Inhibitors
SGLT-2 Inhibitors
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Prandial Glucose Regulators
Prandial Glucose Regulators
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Amylin Analogues
Amylin Analogues
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What are Androgen Anabolic Steroids (AASs)?
What are Androgen Anabolic Steroids (AASs)?
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What is testosterone?
What is testosterone?
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What is the testosterone receptor?
What is the testosterone receptor?
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What is Dihydrotestosterone (DHT)?
What is Dihydrotestosterone (DHT)?
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What are antiandrogens?
What are antiandrogens?
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Glucagon
Glucagon
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What is gynecomastia?
What is gynecomastia?
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What is aromatization of testosterone?
What is aromatization of testosterone?
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Glucagonoma
Glucagonoma
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Necrolytic Erythema Migrans
Necrolytic Erythema Migrans
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What is benign prostate hyperplasia (BPH)?
What is benign prostate hyperplasia (BPH)?
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Multiple Endocrine Neoplasia (MEN) Type 1
Multiple Endocrine Neoplasia (MEN) Type 1
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Growth Hormone (GH)
Growth Hormone (GH)
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Pegylation
Pegylation
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Pegvisomant (Somavert)
Pegvisomant (Somavert)
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Acromegaly
Acromegaly
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Rapid-acting Insulin
Rapid-acting Insulin
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Short-acting Insulin
Short-acting Insulin
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Intermediate-acting Insulin
Intermediate-acting Insulin
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Long-acting Insulin
Long-acting Insulin
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Premixed Insulin
Premixed Insulin
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Glucagon-Insulin Feedback System
Glucagon-Insulin Feedback System
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Glucagon as Emergency Treatment
Glucagon as Emergency Treatment
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What is progesterone's nickname?
What is progesterone's nickname?
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How does progesterone prepare the uterus for implantation?
How does progesterone prepare the uterus for implantation?
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What happens to progesterone levels if pregnancy does not occur?
What happens to progesterone levels if pregnancy does not occur?
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How does progesterone affect the immune system during pregnancy?
How does progesterone affect the immune system during pregnancy?
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How does progesterone affect uterine contractions?
How does progesterone affect uterine contractions?
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How does progesterone influence lactation?
How does progesterone influence lactation?
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What possible role does progesterone play in labor onset?
What possible role does progesterone play in labor onset?
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What is the difference in the hormonal composition of combined oral contraceptives, morning-after pills, and abortion pills?
What is the difference in the hormonal composition of combined oral contraceptives, morning-after pills, and abortion pills?
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Study Notes
Pharmacodynamic Evaluation: Endocrinology
- This chapter discusses pharmacodynamic evaluations for common clinical endocrine disorders
- Special focus on new oral antidiabetics and sophisticated insulin analogues
- Clinical pharmacology reviews the hypothalamus-pituitary-adrenal-gonadal axis, and thyroid disorders separately
- Emphasis on hormone receptor interactions and drug-ligand-receptor binding
- Concepts of hormone agonists and antagonists are featured
- Neuroendocrinology pharmacodynamic evaluation is excluded
Thiazolidinediones
- DPP-4 Inhibitors
- GLP-1 Agonists
- SGLT-2 Inhibitors
- Prandial Glucose Regulators
- Amylin Analogues
- Insulin Types and Forms
- Glucagon
- ACTH
- Growth Hormone
- Prolactin
- Somatostatin
- Melanocyte-Stimulating Hormones
- Oxytocin
- Antidiuretic Hormone
Contents
- Introduction
- Diabetes Mellitus
- Metformin-Biguanides
- Sulfonylureas
- Alpha-Glucosidase Inhibitors
- Thiazolidinediones
- The Thyroid Gland: Hyper- and Hypothyroidism
- Methimazole
- Propylthiouracil
- The Parathyroids
- The Adrenals
- Epinephrine
- The Renin-Angiotensin-Aldosterone System
Diabetes Mellitus
- Pharmacodynamics in DM are studied at a population level, mechanistic mode, metric model, or drug-targeted-mediated approach
- Metformin improves glucose tolerance by decreasing hepatic glucose production, intestinal glucose absorption, and increasing peripheral glucose uptake
- Metformin does not cause hypoglycemia under normal conditions
- Metformin bioavailability is around 50-60%, and increasing doses result in absorption decrease
- Food delays Metformin absorption; peak plasma levels are observed around 7 hours
- Metformin is not metabolized in the liver and is excreted unchanged by the kidneys with a half-life of approximately 17 hours (plasma 6 hours)
- Metformin contraindicated in severe renal impairment, known hypersensitivity, and acute/chronic metabolic acidosis
- Lactic acidosis is an infrequent complication
Sulfonylureas
- Acts as insulin secretagogues by binding to ATP potassium channels in the pancreas
- Examples include Glimepiride, Glibenclamide, Gliclazide, Glipizide, and Tolbutamide
- Sulfonylureas have extended effect despite short half-life due to active metabolites
- Renal dysfunction prolongs half-life
- Genetic mutations affect response to sulfonylureas
Alpha-Glucosidase Inhibitors
- Slows carbohydrate digestion, reducing post-meal blood glucose
- Examples include Acarbose and Miglitol
- Primarily used as single treatment or combined with sulfonylureas
- Gastrointestinal side effects (meteorism, flatulence, diarrhea) are common
Thiazolidinediones (TZDs) or Glitazones
- Acts by targeting PPAR-gamma receptors affecting glucose and fat metabolism
- Examples include Pioglitazone
- Potential for boosting insulin sensitivity
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