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Glucocorticoids and Asthma
Test 2
28
Pharmacology
Professional
02/20/2010

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Cards

Term
Cortisol
Definition
Endogenous glucocorticoid
Term
Cortisone
Definition
Inactive until metabolized by 11B-hydroxysteroid DH, glucocorticoid activity
Term
Prednisone
Definition
Inactive until metabolized by 11B-hydroxysteroid DH, glucocorticoid activity
Term
Prednisolone
Definition
4-6 time more potent than cortisol on anti-inflammatory w/ low mineralocortoid
Term
Methylprednisolone
Definition
4-6 time more potent than cortisol on anti-inflammatory w/ low mineralocortoid
-depot injections for arthritis
Term
Fludrocortisone
Definition
-Higher mineralocorticoid activity
Tx: hypoaldosteronism
Term
Dexamethasone
Definition
18x more potent than cortisol w/ no mineralocorticoid acitivity
Term
Metabolic Effects of Glucocorticoids
Definition
-Antagonizes insulin (^ gluconeogenesis)
-^ muscle catabolism
-^ TG
Term
Glucocorticoid and pregnancy
Definition
- NO 11b-hydroxysteroid DH I in fetal liver, so prednisone in mother's liver is converted to prednisolone, but back to prednisone before fetus sees it
*Use prednisone*
Term
Fluticasone
Definition
Inhaled glucocorticoid
Term
Beclomethasone
Definition
Inhaled glucocorticoid
Term
Flunisolide
Definition
Inhaled glucocorticoid
Term
Triamcinolone
Definition
Inhaled glucocorticoid
Term
Mitotane
Definition
Toxic to adrenocortical cells, used in adrenal tumors
Term
Ketoconazole
Definition
Inhibits steroid 17alpha OHase
Tx: Cushing's disease
Sfx: hepatic dysfxn
Term
Spironolactone
Definition
Mineralocorticoid receptor antagonist
Term
Levabuterol
Definition
Short acting B2 agonist in lung (asthma)
Term
metaproterenol
Definition
Short actingB2-agonist (asthma)
Term
Terbutaline
Definition
Short acting B2-agonist (asthma)
Term
Formoteral
Definition
Long acting B2 agonist (asthma)
Term
Ipratropium Bromide
Definition
Useful in pts who cant take B-agonists
(MAOi's or cardiac arrhthmias, unstable angina)
Term
Beclomethasone dipropionate
Definition
Glucocorticoid used in inhaler to suppress inflammation
Term
Cromolyn
Definition
Stablizes Mast cells
Term
Nedocromil
Definition
Stablizes Mast cells
Term
Montelukast
Definition
Leukotriene Receptor Antagonist
-Prevents actions of cysteinyl leukotrienes (prophylactic)
Term
Zafirlukast
Definition
Leukotriene Receptor Antagonist
-Prevents actions of cysteinyl leukotrienes (prophylactic)
Term
Zileuton
Definition
Inhibits 5-lipozygenase (formation of lipoxygenase)
-Prophylactice tx of mild asthma
Term
Omalizumab
Definition
Humanized mAnti-IgE ab
-reduces airway responsiveness and need for other drugs
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