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Diabetes and Thyroid Drugs
Diabetes and Thyroid Drugs
15
Medical
Professional
06/05/2009

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Cards

Term
Levothyroxine
Definition

Hypothyroidism 

Levothyroxine is a T4 Analog

Term
Liothyrionine
Definition

Used to treat myxedema coma

 

Liothyrionine is a T3 analog

Term
Propylthiouracil
Definition
Alternate substrate for thyroperoxidase, inhibition of thyroxin synthesis, inhibition of coupling to form thyroglobulin, inhibition of T4->T3, Disease: Hyperthyroidism, especially during pregnancy doesn't cross placenta or into breast milk
Term
Methimazole
Definition
Alternate substrate for throperoxidase, inhibiton of thyroxin synthesis, inhibiton of coupling to form thyroglobulin Disease Use: Hyperthyroidism, SE: crosses placenta and into breast milk
Term
131 I
Definition
Concentration in and destruction of thyroid tissue Disease: hyperthyroidism
Term
Potassium iodide
Definition
Inhibition of thyroid hormone synthesis and release, reduction of thyroid gland vascularity, reduction of thyroid cell proliferation. Disease: hyperthyroidism preparative to thyroidectomy
Term
Glybenclamide
Definition
Disease: type 1 and type 2 diabetes
Term
Rapaglinide
Definition
Long-acting Katp channel blocker, causes influx of Ca via voltage depedent Ca channel in Beta Cells increases insulin secretion Disease: Type 2 diabetes
Term
Neteglinide
Definition
Long-acting Katp channel blocker, increases insulin secretion Disease: Type 2 diabetes
Term
Exenatide
Definition
GLP-1 agonist; potentiation of insulin secretion, inhibition of glucagon secretion Disease: Type 2 diabetes
Term
Sitagliptin
Definition
DPP-IV inhibitor; slows breakdown of GLP-1 and GIP Disease: Type 2 diabetes
Term
Metformin
Definition

i) Decreases hepatic glucose production

ii) Potentiates insulin action in peripheral tissues by - increasing cell surface insulin receptors - Increasing Glut 4 glucose transporters - Increasing glucose uptake iii) Metformin activates 5’ AMP kinase, which increases fatty acid oxidation, reducing tissue lipids and alleviating insulin resistance

i) Usually modest weight loss

ii) No hypoglycemia

iii) Decreases plasma (VLDL) and triglycerides

iv) Does not change or slightly decreases plasma insulin levels i) Usually modest weight loss ii) No hypoglycemia iii) Decreases plasma very low density lipoprotein (VLDL) and triglycerides iv) Does not change or slightly decreases plasma insulin levels Side Effects: The major side effects are gastrointestinal discomfort and diarrhea. The most serious potential toxic side effect is development of lactic acidosis. rare occur in patients  predisposed to develop lactic acidosis, Disease: Type 2 diabetes Class: biguanides

Term
Rosiglitazone
Definition
Activation of peroxisome proliferator-activated receptor (PPAR), increase in insulin-stimulated rate of glucose utilization, reduced lipolysis and increased fat storage, reduced cytokine production, increased adiponectin production Disease: Type 2 diabetes
Term
Piaglitazone
Definition
Activation of peroxisome proliferator-activated receptor (PPAR), increase in insulin-stimulated rate of glucose utilization, reduced lipolysis and increased fat storage, reduced cytokine production, increased adiponectin production Disease: Type 2 diabetes
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