Transition Drug Cards

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Transition Drug Cards
2011-11-12 22:43:05
Thyroid Parathyroid Agents

Thyroid/Parathyroid Agents
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  1. Thyroid Hormones
    Levothyroxine (Synthroid)
    • Replacement treatment in hypothyroidism, pituitary TSH suppression in the treatment of euthyroid goiters.
    • Stimulates SNS, Increases metabolic rate of the body, increases O2 consumption, increases respirations, increases heart rate.
    • Nervousness, tremor, headache, palpitations, tachycardia, hair loss.
    • Apical pulse before med administration.
    • Check dose carefully-mcg or mg?
    • 4-6 weeks to adjust med
  2. Antithyroid Agents-Thidamodes
    Propyltheouracil (PTU)
    • Inhibits the synthesis of thyroid hormones, partially blocks conversion of T4 to T3. Increases SNS.
    • Epigastric distress
  3. Antihypocalcemic Agents
    Calcitrol (Rocaltrol)
    • Management of hypocalcemia in pts. on chronic renal dialysis or with hypoparathyroidism.
    • Vit. D compound that regulates ansorption of CA an Phosphate from small intestine, mineral resorption in bone, and reabsorption of phosphate from renal tubules, increase serum CA levels.
  4. Bisphosphonates
    Alendronate (Fosamax), Risedronate (Actonel)
    Acts on serum levels of CA, not directly on Parathyroid gland (PTH). Slows normal/abnormal bone resorption
  5. Calcitonins, Canichypercalcemic
    Calcitonin, Salmon (Calcimar)
    Inhibits bone resorption. Homrmones secreted by thyroid glands to balance the effects of PTH.
  6. Antithyroid Agents-Iodine
    Strong Iodine Solution, Potassium Iodine (Thyro-Block)
    Inhibits the synthesis of thyroid hormones and inhibits the release of these hormones with circulation.
  7. Parathyroid Hormones
    Treatment of osteoporosis in Postmenopausal women at high risk for fractures. Releases calcium and phosphates metabolism in bone and kidney by binding to specific cell receptors