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Pharm -- Endo
First Aid 2012 pp333-334
27
Medical
Graduate
02/08/2013

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Cards

Term
lispro
Definition
rapid-acting insulin (peak ~1hr)
Term
aspart
Definition
rapid-acting insulin (peak ~1hr)
Term
regular insulin
Definition
short-acting insulin (peak ~3hr)
Term
NPH
Definition
intermediate-acting insulin (peak ~8hr)
Term
glargine
Definition
long-acting insulin (no peak!!)
Term
detemir
Definition
long-acting insulin (peak ~9hr)
Term
tolbutamide
Definition
first generation sulfonylureas
close K+ channel --> increased insulin release
disulfiram-like
Term
chlorpropamide
Definition
first generation sulfonylureas
close K+ channel --> increased insulin release
disulfiram-like
Term
glyburide
Definition
second generation sulfonylureas
close K+ channel --> increased insulin release
Term
glimepiride
Definition
second generation sulfonylureas
close K+ channel --> increased insulin release
Term
glipizide
Definition
second generation sulfonylureas
close K+ channel --> increased insulin release
Term
metformin
Definition
biguanides
decrease gluconeogenesis, increase insulin sensitivity
NO hypoglycemia
lactic acidosis, renally excreted (check Cr!)
Term
piglitazone
Definition
glitazones/TZD
binds PPAR-gamma nuclear transcription regulator --> increase insulin sensitivity
edema, hepatotoxicity
Term
rosiglitazone
Definition
glitazones/TZD
binds PPAR-gamma nuclear transcription regulator --> increase insulin sensitivity
edema, hepatotoxicity
Term
troglitazone
Definition
glitazones/TZD
binds PPAR-gamma nuclear transcription regulator --> increase insulin sensitivity
edema, hepatotoxicity
Term
acarbose
Definition
alpha-glucosidase inhibitor --> decreased digestion of sugars in GI
Term
miglitol
Definition
alpha-glucosidase inhibitor --> decreased digestion of sugars in GI
Term
pramlintide
Definition
mimics amylin --> decreased glucagon
Term
exenatide
Definition
GLP-1 analog --> increase insulin secretion
pancreatitis
Term
repaglinide
Definition
meglitinides -- bind K+ channel in beta-cells --> increased insulin release
Term
nateglinide
Definition
meglitinides -- bind K+ channel in beta-cells --> increased insulin release
Term
sitagliptin
Definition
DDP-4 inhibitors -- decreased GLP-1 degradation
Term
vildagliptin
Definition
DDP-4 inhibitors -- decreased GLP-1 degradation
Term
PTU, methimazole side effects
PTU vs. methimazole in pregnancy/
Definition
agranulocytosis, aplastic anemia
use PTU in pregnancy!!
Term
octreotide
Definition
somatostatin analog
acromegaly, carcinoid, gastrinoma, glucagonoma, VIPoma, acute variceal bleeds
Term
demeclocycline
Definition
ADH (V2) antagonist!!
Term
glucocorticoids
Definition
inhibit phospholipase A2, decreased expression of COX-2, inactivates NF-kB (transcription factor that induces prod of TNF-alpha)
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