Pituitary Drug Types and Mechanisms
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Questions and Answers

What is the primary function of dopamine agonists in relation to prolactin levels?

  • Stimulate growth hormone release
  • Increase prolactin secretion
  • Mimic somatostatin activity
  • Decrease prolactin secretion (correct)

What effect does somatostatin analogues have on pituitary gland tumors?

  • Enhance prolactin production
  • Increase hormone production
  • Stimulate tumor growth
  • Inhibit hormone secretion (correct)

Which drug is a synthetic form of growth hormone used to stimulate cell growth?

  • Ganirelix
  • Somatropin (correct)
  • Octreotide
  • Cosyntropin

What role does cosyntropin play in clinical diagnosis?

<p>Diagnoses adrenal insufficiency (A)</p> Signup and view all the answers

What is the mechanism of action of leuprolide?

<p>Stimulates LH and FSH production (C)</p> Signup and view all the answers

Which medication is primarily used to treat hyperprolactinemia?

<p>Bromocriptine (D)</p> Signup and view all the answers

What is the therapeutic effect of posterior pituitary drugs?

<p>Increase water reabsorption (A)</p> Signup and view all the answers

What is the main function of gonadotropin antagonists like ganirelix?

<p>Prevent premature ovulation (A)</p> Signup and view all the answers

Flashcards

Dopamine Agonists

Mimic dopamine to reduce prolactin (PRL) production by the pituitary gland.

Somatostatin Analogues

Reduce the release of hormones from pituitary tumors.

Posterior Pituitary Hormones

Increase water reabsorption by the kidneys and stimulate GI tract.

GH Agonists (Somatropin)

Stimulate growth hormone production, promoting cell growth and bone development.

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GH Antagonists (Octreotide)

Suppress growth hormone (GH) secretion by binding to somatostatin receptors.

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PRL Inhibitors (Dopamine Agonists)

Decrease prolactin levels by stimulating dopamine receptors in the pituitary.

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TSH Agonists (Recombinant TSH)

Stimulate the thyroid to produce hormones T3 and T4 for specific medical scenarios.

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Gonadotropin Agonist (Leuprolide)

Stimulates LH and FSH production, regulating reproductive functions.

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Study Notes

Pituitary Drug Types and Mechanisms

  • Dopamine Agonists: Mimic dopamine to reduce prolactin (PRL) production by the pituitary.
  • Somatostatin Analogues: Reduce hormone secretion from pituitary tumors.
  • Posterior Pituitary Hormones: Increase water reabsorption in kidneys by increasing water permeability in distal tubules and collecting ducts; also directly stimulate GI tract smooth muscle, causing peristalsis and vasoconstriction.

Growth Hormone (GH) Drugs

  • GH Agonists (Somatropin): Synthetic GH, stimulating liver production of Insulin-like Growth Factor 1 (IGF-1). IGF-1 promotes cell growth, protein synthesis, and bone growth.
  • GH Antagonists (Octreotide): Synthetic somatostatin analogues. These bind to somatostatin receptors on pituitary cells to suppress GH secretion.

Corticotropin Agonists

  • Cosyntropin: Synthetic ACTH analogue used to diagnose adrenal insufficiency. It stimulates adrenal gland response to evaluate cortisol output.

Prolactin Inhibitors

  • Dopamine Agonists (e.g., Bromocriptine): Act on dopamine receptors in the anterior pituitary, inhibiting prolactin secretion. Used to treat hyperprolactinemia and prolactinomas.

Thyroid Stimulating Hormone (TSH) Agonists

  • Recombinant TSH: Stimulates thyroid gland to produce T3 and T4, used in specific clinical scenarios, such as thyroid cancer diagnosis and management, stimulating the thyroid without affecting endogenous hormone production.

Gonadotropin Agonists

  • Leuprolide: Synthetic GnRH analogues. In pulsatile administration, stimulates anterior pituitary LH and FSH production, regulating reproductive functions. Clinically used for prostate cancer, endometriosis, and precocious puberty treatment.

Gonadotropin Antagonists

  • Ganirelix: Blocks gonadotropin receptors in the pituitary, preventing LH and FSH secretion. Commonly used to control ovarian hyperstimulation in fertility treatments and prevent premature ovulation.

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Description

Explore the various drug types and mechanisms related to the pituitary gland in this quiz. Delve into the roles of dopamine agonists, somatostatin analogues, growth hormone drugs, and corticotropin agonists. Test your knowledge on how these medications affect hormone production and action in the body.

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