Taken in morning or before eating.

Can start working to lower blood glucose in 15 minutes.

Therapeutic effects last 2-12 hrs.

Humulin R:  Recombinant DNA

Novolin R:  Recombinant DNA

Insulin Lispro(Humalog):  Insulin Analog Drug

Onset within 1-2 hours.

Theraputic Effects last for 24 hours.

Two types:  NPH Insulin Drugs

Lente Insulin Drugs

Intermediate-Acting Insulin Drug

NPH Insulin Drugs

Insulin Drug with Protamine and Zinc.

Humulin N

Novolin N

Intermediate-Acting Insulin Drugs

Lente Insulin Drug

Lente Iletin II:

slows down the onset action of insulin

Rapid-Acting Insulin Drugs

Derived from pig pancreas

Rapid-Acting Insulin Drug

Insulin Analog Drug

Lente Insulin Drugs

Different size insulin crystals

Insulin Aspart(Novolin R)

Insulin Glulisine(Apidra)

Insulin Lispro(Humalog)

Long-Acting Insulin Drugs

(Ultralente Insulin)

Large insulin crystals containing added zinc.

Theraputic effects do not take effect for an hour.

Therapeutic effects lasts a full 24 hours with one dose.

Long-Acting Insulin Drug

Insulin Analog Drugs

Insulin Detemir(Levemir)

Insulin Glargine(Lantus)

Combination Insulin Drugs

Mixture of Intermediate-Acting Drugs

(NPH Insulin Drug or Insulin Analog Drug)

And

(Rapid-Acting Insulin Drug)

Humalog Mix 75/25

Humulin 50/50

Humulin 70/30

Novolin 70/30

NovoLog mix 70/30

Stimulates the beta cells of the pancreas to produce more insulin

Increases the number of insulin receptors making cells non-resistant to the effects of insulin

Sulfonylurea Oral Antidiabetic Drug

Stimulates the beta cells of the pancreas to produce more insulin

1st generation:  1950's

generic name suffix:  amide 

2nd generation:  1970's

Generic name suffix: ide

Maintains normal levels of blood glucose without increasing insulin production.

pioglitazone(Actos)

rosiglitazone (Avandia)

Chlorpropamide(Diabinese)

Glimepiride(Amaryl)

Glipizide(Glucotrol, Glucotrol XL)

Glyburide(DiaBeta, Micronase)

Tolazamide

Tolbutamide(Orinase)

Stimulates the beta cells of the pancreas to produce more insulin.

Naeglinide(Starlix)

Repaglinide(Prandin)

Inhibits certain enzymes that digest carbohydrates

Less glucose enters the blood keeping blood glucose levels low.

Acarbose(Precose)

Miglitol(Glyset)

Decreases absorption of glucose from Intestines

Suppresses stored glucose from liver

Improves ability of cells to use pancreas produced insulin

No risk of developing Hypoglycemia

Metformin

(Glucophage, Glucophage XR)

Prolongs action of hormones that normally stimulates the beta cells to produce more insulin.

Sitagliptin (Januvia)

Stimulates beta cells of pancreas to produce insulin when blood glucose levels are high.

Given by Subcutaneous injection.

Derived from Gila Monster Saliva.

Exenatide (Byetta)

Slows the rate of food leaving stomach

Suppresses the release of stored glucose from liver

Decreases appetite

Treats Type 1 and Type 2 Diabetes

Pramlintide (Symlin)

Improves Blood Glucose control in Type 2

Treats elevated levels of cholestrol

Colesevelam (WelChol) 

Inhibits production of  T₃ and T₄ in Thyroid gland.

Distroys  benign & Cancerous Tyroid tissue.

Iodine (ThyroShield)

Methimazole (Tapazole)

Propylthiouracil

Sodium Iodide 131 (Iodotope)

Decrease levels of T₃ and T₄ Hormones

Supplements existing hormones snythetically

T₃ only:  Liothyronine (Cytomel, Triostat)

T₄ only:  Levothyroxine (Levothroid, Synthroid)

Both T₃ and T₄: Desiccated Thyroid

Liotrix (Thyrolar)

Decreases amount of Growth hormone.

Antibodies against Growth hormone.

Decreases amount of insulin.

Mecasermin(Increlex, Iplex)

Sermorelin (Geref)

Somatropin (Humatrope, Nutropin)

Somatrem (protropin)

Decreases the production of growth hormone in anterior pituitary gland.

Bromocriptine (Parlodel)

Lanreotide (Somatuline Depot)

Octreotide (Sandostatin)

Pegvisomant (Somavert)

Replaces levels of ADH.

Desmonpressin (DDAVP)

Vasopressin (Pitressin)

Inhibits Pregnenolone.

Aminoglutethimide (Cytadren)

Corticosteroid Drug

Glucocorticoids

Replaces Cortisol.

Treats Addison's Disease, MS, Lupus and RA.

Cortisone

Fludrocortisone (Florinef)

hydrocortisone (Cortef)

Decadron, Solu-Medrol

Deltasone

Changes the balance between Anabolism and Catabolism in the body.

Counteracts loss of muscle mass in Aids patients.

Treats bone pain in Osteoporosis.
Treats lack of growth in Turner Syndrome.

Schedule III Drug

Oxandrolone (Oxandrin)

Oxymetholone (Anadrol-50)