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Details

FNP pharmacology part 9
This set includes GU
15
Medical
Graduate
04/21/2009

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Cards

Term
What 2 drug classes are commonly used to treat BPH?
Definition
Alpha blockers & androgen hormone inhibitors.
Term
What is the primary symptom of BPH?
Definition
Nocturia (but another common one is frequency).
Term
What length of time is typical for alpha blockers to have a signficant impact on BPH?
Definition
3-6 months.
Term
What is the foremost adverse reaction in alpha blockers?
Definition
Orthostatic hypotension
Term
What percentage of older men have BPH?
Definition
90%
Term
Name a common androgen hormone inhibitor.
Definition
Proscar (finasteride).
Term
What pregnancy category are androgen hormone inhibitors (i.e. Proscar)?
Definition
Category X
Term
What needs to be taught to pts about the relationship between androgen hormone inhibitors (Proscar) and pregnant women?
Definition
Pregnant women shouldn't even touch the medication.
Term
If using androgen hormone inhibitors for alopecia, will the dose be higher or lower than with BPH?
Definition
Higher.
Term
Name 3 common PDE5's (cGMP-specific phosphodiesterase type 5) used in treating erectile dysfunction.
Definition
Viagra (sildenafil), Levitra (vardenafil), cialis (tadalafil).
Term
What's a big consideration when employing PDE5's?
Definition
Hypotension, esp w/ concomittant use of nitroglycerin.
Term
Name one anticholinergic often used to treat urinary icontinence.
Definition
Detrol (tolterodine) or Vesicare
Term
What are the indications for detrol and vesicare use?
Definition
Overactive bladder / urinary incontinence
Term
What side effect of anticholinergic agents can drastically limit compliance?
Definition
Dry mouth.
Term
What 2 drugs/classes are commonly used to treat primary nocturnal enuresis.
Definition
Tricyclic antidepressants (usually Tofranil (imiprimine)) & DDAVP (for posterior pituitary replacement).
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