Nursing Pharmacology: Gonadal
Pharmacology
Orally active 5-alpha reductase inhibitor; moderately effective in reducing prostate size in men with benign prostatic hyperplasia
- flutamide
- spironolactone (Aldactone)
- finasteride
- cyproterone
- all of the above
Used for treating advanced prostatic carcinoma; works by producing continuous gonadal suppression; is a gonadotropin-releasing hormone analog
- ketoconazole (Nizoral)
- methyltestosterone
- leuprolide acetate
- stanozolol
Most rapidly absorbed:
- testosterone propionate
- testosterone
- testosterone enanthate
- testosterone undecanoate
- testosterone cypionate
Clinical uses of androgens:
- certain gynecologic disorders, such as endometriosis
- protein anabolic agent
- osteoporosis
- androgen replacement and hypogonadal men
- all of the above
Estrogen effects on lipid metabolism:
- decrease serum triglycerides
- decrease free cholesterol
- decrease esterified cholesterol
- decrease low-density lipoproteins
- all of the above
Aromatase inhibitor -- selective nonsteroidal form
- danazol (Donocrine)
- clomiphene (Clomid)
- anastrozole (Arimidex)
- norethindrone (Aygestin)
Physiological effects of progesterone:
- decreases basal insulin levels
- decreases insulin response to glucose
- decreases glycogen storage
- decreases ketogenesis
- none of the above
Oral contraceptive effects on endocrine function except:
- increases corticosteroid-binding globulin
- increases plasma renin activity
- increases aldosterone secretion
- increases ACTH response to metyrapone
- increases thyroxine levels
Most likely to be produced in quantity in the testes:
- androstenedione
- dehydroepiandrosterone
- dehydroepiandrosterone sulfate
- testosterone
Dihydrotestosterone: dominant androgen
- skin
- seminal vesicles
- prostate
- epididymis
- all of the above
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