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1.4.4.1 Introduction to the endocrine and reproductive system and medications
Achievable PTCE
1. Medications
1.4. Medications by organ system
1.4.4. Drugs of the endocrine and reproductive system
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Introduction to the endocrine and reproductive system and medications

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Endocrine system

The endocrine system regulates various metabolic functions by secreting hormones from endocrine glands such as the thyroid, pituitary, pancreas, and adrenal glands. The hypothalamus and pituitary gland regulate hormone secretion. Diseases are caused by overfunctioning or underfunctioning of the endocrine glands. Common disorders include hypothyroidism, diabetes mellitus, Addison’s disease, and Cushing’s syndrome. Most medications used to treat such disorders are synthetic hormone replacements.

Table showing common drug classes and examples of the endocrine system

Drug class Generic name Brand name(s) Primary use
Insulins Insulin Humalog, Humulin R, Lantus Lower blood glucose levels (hypoglycemic)
Biguanides Metformin Glucophage, Riomet Increases insulin sensitivity, lowers blood glucose levels
Sulfonylureas Glipizide, glimepiride GlipiZIDE XL, Amaryl Lowers blood glucose levels
Thiazolidinediones Pioglitazone, rosiglitazone Actos, Avandia Increases insulin sensitivity, lowers blood glucose
Incretin mimetics or analogues Liraglutide, semaglutide Victoza, Ozempic, Wegovy Increase insulin secretion, weight loss
Gliptins (DPP 4 inhibitors) Sitagliptin, linagliptin Januvia, Tradjenta Increase insulin secretion
SGLT 2 inhibitors Dapagliflozin, empagliflozin Farxiga, Jardiance Decrease blood glucose levels
Thyroid hormone supplements Levothyroxine Synthroid Treatment of hypothyroidism
Corticosteroids Fluticasone, prednisone, triamcinolone Flovent, Rayos, Clinacort Anti-inflammatory, autoimmune diseases, Crohn’s disease, eczema, asthma

Reproductive system

The reproductive system consists of the gonads (testes, ovaries) and accessory organs. Roles of the system include reproduction and development of secondary sex characters. Common disorders include polycystic ovarian syndrome (PCOS), endometriosis, erectile dysfunction, and infertility. Common medications include synthetic estrogens, progesterone, and testosterone.

Table showing common drug classes and examples of the endocrine system

Drug class Generic name Brand name(s) Primary use
Androgens Testosterone, methyltestosterone, danazol, oxymetholone Testim, Androgel, Methitest, Danocrine, Anadrol Used in the treatment of fertility issues, to increase muscle mass, as hormone replacement, for endometriosis, and for certain types of breast cancer
Estrogens Ethinyl estradiol, estradiol valerate Climara, Estrace, Estraderm Hormone replacement therapy, osteoporosis, ovarian failure, certain breast and prostate cancers, and treatment of menopausal symptoms
Estrogen and progestin combinations Estrogen with progesterone Estarylla, Yaz, Yasmin, NuvaRing Birth control, hormone replacement, acne, osteoporosis
5 alpha reductase inhibitors Finasteride, dutasteride Propecia, Avodart Benign prostatic hyperplasia, male-pattern baldness
Aromatase inhibitors Letrozole, anastrozole, exemestane Femara, Arimidex, Aromasin Breast cancer treatment
Selective estrogen receptor modulators or SERMs Tamoxifen, raloxifene, clomiphene Nolvadex, Clomid, Fareston, Tamofen, Serophene Breast cancer, osteoporosis, and infertility treatment
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