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Hormones and Related Drugs

Hormones and related Drugs

A. Anterior Pitiuitary Hormones:

  1. From acidophil cells: Growth hormone (GH), Prolactin
  2. From basophil cells: Thyroid stimulating hormone (TSH), Adrenocorticotropic hormone (ACTH), Follicle stimulating hormone (FSH), Luteinizing hormone (LH)

B. Drugs Altering Anterior Pitiuitary Hormone Secretion:

  1. Inhibit GH release: Somatostatin, Octreotide, Lanreotide
  2. Inhibit prolactin release: Bromocriptine, Cabergoline, Apomorphine
  3. Enhance prolactin release:Chlorpromazine (other neuroleptics), Metoclopramide, Reserpine
  4. Inhibit gonadotropin (Gn) release:
    • Superactive GnRH agonists:

      Initially enhance Gn release)

      Nafarelin, Triptorelin, Goserelin, Leuprolide
    • GnRH antagonists: Ganirelix, Cetrorelix

C. Thyroid hormones and Inhibitors:

  1. Thyroid hormones: Thyroxine (T4), Triiodothyronine (T3, Liothyronine)
  2. Thyroid Inhibitors:
    • Inhibit Hormone Synthesis (antithyroid drugs): Propylthiouracil, Methimazole, Carbimazole
    • Inhibit iodide trapping (Ionic Inhibitors): Thiocyanates (-SCN), Perchlorates (-ClO4), Nitrates (-NO3)
    • Inhibit hormone release: Iodine, Iodides of Na & K, Organic iodide
    • Destroy thyroid tissue: Radioactive iodine (I131)

D. Insulins:

  1. Rapid acting:

    (Insulin analogues)

    Insulin lispro, Insulin aspart, Insulin glulisine
  2. Short acting: Regular (soluble) insulin
  3. Intermediate acting: Insulin zinc suspension (Lente insulin), Neutral protamine hagedorm (NPH) or Isophane insulin
  4. Long acting:

    (Insulin analogues)

    Insulin glargine, Insulin detemir

E. Oral Antidiabetic Drugs:

  1. Enhance Insulin secretion:
    • KATP channel blockers:
      • Sulfonylureas: Tolbutamide, Glibenclamide, Glipizide, Gliclazide, Glimepiride
      • Meglitinide/Phenylalanine analogues: Repaglinide, Nateglinide
    • Dipeptidyl peptidase-4 (DPP-4) inhibitors:Sitagliptin, Vildagliptin, Saxagliptin, Alogliptin, Linagliptin
  2. Overcome insulin resistance:
    • Biguanide (AMPk activator): Metformin
    • Thiazolidinedione (PPARγ activator): Pioglitazone
  3. Miscellaneous drugs:
    • α-Glucosidase inhibitors: Acarbose, Miglitol, Voglibose
    • Amylin analogue: Pramlintide
    • Dopaine D2 agonist Bromocriptine
    • Sodium-glucose cotransport-2 (SGLT-2) inhibitor: Dapagliflozin

F. Corticosteroids:

  1. Glucocorticoids:
    • Short acting: Hydrocortisone (Cortisol)
    • Intermediate acting: Prednisolone, Methyl prednisolone, Triamcinolone, Deflazacort
    • Long acting: Dexamethasone, Betamethasone
  2. Mineralocorticoids: Desoxycorticosterone acetate (DOCA), Fludrocortisone, Aldosterone

G. Topical Steroids:

  1. Potent: Beclomethasone dipropionate (0.025%), Betamethasone benzoate (0.025%), Betamethasone valerate (0.12%), Halcinonide (0.1%), Clobetasol propionate (0.05%), Fluocinolone acetonide (0.025%), Fluocortolone (0.5%), Triamcinolone acetonide (0.1%), Dexamethasone sodium phosphate (0.1%)
  2. Moderately potent: Fluocinolone acetonide (0.01%), Fluocortolone (0.025%), Clobetasol butyrate (0.05%), Mometasone (0.1%), Fluticasone propionate (0.05%), Hydrocortisone acetate (2.5%)
  3. Mild: Hydrocortisone acetate (0.1-1.0%), Hydrocortisone butyrate (0.001%)

H. Androgens and Related Drugs:

  1. Androgens:
    • Natural:Testosterone, Dihydrotestosterone, Androsterone
    • Synthetic: Methyl testosterone, Fluoxymesterone, Mesterolone
  2. Anabolic steroids: Methandienone, Nandrolone phenylpropionate, Nandrolone decanoate, Oxymetholone, Stanozolol
  3. Antiandrogens: Cyproterone acetate, Flutamide, Bicalutamide
  4. 5α-reductase inhibitors: Finasteride, Dutasteride

I. Drugs for Erectile Dysfunction:

  1. Androgens: Testosterone
  2. Phosphodiesterase-5 inhibitors: Sildenafil, Tadalafil, Vardenafil
  3. Intracavernous vasodilators: Papaverine-phentolamine, Alprostadil (PGE1)

J. Estrogens and Related Drugs:

  1. Estrogens:
    • Natural: Estradiol, Estrone, Estriol
    • Synthetic:
      • Steroidal: Ethinylestradiol, Mestranol, Tibolone
      • Nonsteroidal: Diethylstilbestrol, Hexestrol, Dienestrol
      • Antiestrogen: Clomiphene citrate
      • Selective estrogen receptor down regulator: Fulvestrant
      • Selective estrogen receptor modulators: Tamoxifen citrate, Toremifene, Raloxifene
      • Aromatase inhibitors: Letrozole, Anastrozole, Exemestane

K. Progestins:

  1. Progesterone derivatives: Medroxy progesterone acetate, Megestrol acetate, Dydrogesterone, Hydroxy progesterone caproate, Nomegestrol acetate
  2. 19-Nortestosterone derivatives:
    • Estranes: Norethindrone (Norethisterone), Lynestrenol (Ethinylestrenol), Allylestrenol
    • Gonanes: Levonorgestrel, Desogestrel, Norgestimate, Gestodene
  • Antiprogestin: Mifepristone
  • Selective progesterone receptor modulator: Ulipristal
  • L. Hormonal Contraceptives:

    1. Oral:
      • Combined pills:
        • Norgestrel (0.5 mg) + Ethinylestradiol (50 μg)
        • Levonorgestrel (0.1 - 0.25 mg) + Ethinylestradiol (20 - 50 μg)
        • Desogestrel (0.15 mg) + Ethinylestradiol (20 - 30 μg)
      • Phased pills:
          Levonorgestrel (50 g - 75 ug - 125 μg) + Ethinylestradiol (30 g - 40 ug - 30 μg)
        • Norethindrone (0.5 mg - 0.75 mg -1.0 mg) + Ethinylestradiol (35 μg)
      • Postcoital pills:
        • Levonorgestrel (1. .5 mg)
        • Levonorgestrel (0.5 mg) + Ethinylestradiol (100 μg) × 2 doses
      • Progestin only pills (mini pills):
        • Norethindrone (0.35 mg)
        • Norgestrel (75 μg)
    2. Injectable: Depot medroxy progesterone acetate (DMPA), Norethindrone enanthate

    M. Uterine Stimulants (Oxytocics):

    1. Posterior pituitary hormone: Oxytocin, Desamino-oxytocin
    2. Ergot alkaloids: Ergometrine (Ergonovine), Methylergometrine
    3. Prostaglandins (PGs): PGE2 (Dinoprostone), PGF2α (Dinoprost), 15-methyl PGF2α (Carboprost)
    4. Miscellaneous drugs: Ethacridine, Quinine

    N. Uterine Relaxants (Tocolytics):

    1. adrenergic adonists: Ritodrine, Salbutamol, terbutaline, Isosuprine
    2. Calcium channel blockers (CCBs): Nifedipine
    3. Oxytocin antagonist: Atosiban
    4. Miscellaneous drugs: Magnesium sulfate, Progesterone, Nitrates, Halothane

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