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Adrenal Hormones.pdf
2.9 MB
ملخص
ان شاء الله يفيدكم
🔔يلا نراجع سريعا كل ادوية السكر 💊💊

Lec.5️⃣I Drugs for diabetes

📥Insulins 💉💉

1⃣Short acting

🌟Regular insulin

2⃣Rapid acting

🌟Lispro
🌟Aspart
🌟Glulisine

3⃣Intermediate acting insulin

🌟Neutral prostamine Hagedorn (NPH)

4⃣Long acting insulin

🌟Detemir
🌟Degludec
🌟Glargine

5⃣Insulin Combination

🌟70% NPH 30% Regular
🌟50% NPH 50% Regular

📥Synthetic amylin analog
🌟Pramilintide

📥GLP1 receptor agonist
🌟Albiglutide
🌟Dulaglutide
🌟Exenatide
🌟Liraglutide
🌟Lixisenatide
🌟Semaglutide


📥Oral hypoglycemic drugs

1⃣Sulfonylureas

🌟Glipizide
🌟Glyburide
🌟Glimepiride

2⃣Glinides

🌟Repaglinide
🌟Nateglinide

3⃣Biguanides

🌟Meformin

4⃣Thiazolidinediones

🌟Pioglitazone
🌟Rosiglitazone

5⃣Alpha -glucosidase inhibitors

🌟Acarbose
🌟Miglitol

6⃣DPP4 inhibitors

🌟Alogliptin
🌟Linagliptin
🌟Saxagliptin
🌟Sitaglitptin

7⃣SGLT2 inhibitors

🌟Canagliflozin
🌟Dapagliflozin
🌟Empagliflozin
🌟Ertugliflozin

8⃣Dopamine agonist 

🌟Bromocriptin

9⃣Bile acid sequestrant

🌟Cloesvelam

#diabetes
🔖تجميع لحالات ال Contraindication لمادة الفارما الوزارية


▫️Methotrexate   Pregnancy
▫️Leflunomide     Pregnancy
▫️Lenalidomide   Pregnancy
▫️Pomalidomide Pregnancy
▫️Colchicine        Pregnancy
▫️Testosterone   Pregnancy
      
▫️GLP-1 agonist History of medullary thyroid carcinoma or multiple endocrine neoplasia type 2


▫️Metformin Renal dysfunction

▫️ Acarbose , miglitol
IBD , colonic ulceration , intestinal obstruction

▫️Oral contraceptives Cerebrovascular and thromboembolic disease

▫️Tamoxifen women who have past or active history of venous thromboembolic events




Caution

▫️NSAIDs ▫️ Asthma
▫️Colchicine ▫️ Hepatic , renal , cardiovascular disease

▫️Febuxostat ▫️ Heart disease or stroke

▫️Sulfonylurea ▫️ Hepatic , renal insufficiency

▫️Glinides ⤴️ Heaptic impairment

▫️Metformin ⤵️
patient older  > 80 years
Heart failure
Alcohol abuse

▫️Alogliptin , Saxagliptin ⤵️
Patient with or at risk of heart failure


#Dr_Cube_Pharmacy 🦷
1
• أدوية الضغط الآمنة خلال فترة الحمل🤰:
بالكلمة ( NMLH )
نملة 🐜

[N]: Nifedipine
[H]: Hydralazine
[M]: Methyldopa
[L]: Labetalol

#ht
MTX
- acute lymphocytic leukemia
- burkitt lymphoma

pemetrexed - non small cell lung cancer

pralatrexate - refractory T cell lymphoma


adverse effect ( hematologic toxicity)
#cancer +👇
purine analogs

6-MP -- acute lymphoblastic leukemia
6-MP and azathioprine --- Crohn's disease



fludarabine
- chronic lymphocytic leukemia
- hairy cell leukemia
- non Hodgkin's lymphoma
pyrimidine analogs

(thymidine) 5-FU --- slow-growing solid tumor

(cytidine)
- cytarabine --- acute non-lymphocytic leukemia (AML)

- Azacitidine --- myelodysplastic syndrome

- gemcitabine
- pancreatic cancer
- nonsmall cell lung cancer
فرقوا بين
MTX — acute lymphocytic leukemia
6-MP -- acute lymphoblastic leukemia
cytarabine --- acute non-lymphocytic leukemia (AML)
fludarabine -- chronic lymphocytic leukemia
Methotrexate (MTX)


Acute lymphocytic leukemia

Burkitt lymphoma (in children)

Breast cancer

Bladder cancer

Head and neck carcinomas

Severe psoriasis (low dose)

Rheumatoid arthritis (low dose)

Crohn’s disease (low dose)



Pemetrexed


Non–small cell lung cancer



Pralatrexate


Relapsed or refractory T-cell lymphoma


6-Mercaptopurine (6-MP)


Acute lymphoblastic leukemia

Crohn’s disease (with Azathioprine)



6-Thioguanine


Acute lymphoblastic leukemia



Fludarabine


Chronic lymphocytic leukemia

Hairy cell leukemia

Indolent non-Hodgkin lymphoma


Cladribine


Chronic lymphocytic leukemia

Hairy cell leukemia

Indolent non-Hodgkin lymphoma


5-Fluorouracil (5-FU)


Colorectal cancer

Breast cancer

Ovarian cancer

Pancreatic cancer

Gastric carcinoma

Superficial basal cell carcinoma (topical)



Capecitabine


Colorectal cancer

Metastatic breast cancer


Cytarabine


Acute myelogenous leukemia (AML)


Azacitidine


Acute myelogenous leukemia (AML)

Myelodysplastic syndromes


Gemcitabine


AML

Pancreatic cancer

Non–small cell lung cancer


Doxorubicin


Acute leukemias

Sarcomas

Breast cancer

Lymphomas (Hodgkin and non-Hodgkin)


Daunorubicin


Acute leukemias



Idarubicin


Acute leukemias



Mitoxantrone


Prostate cancer


Bleomycin


Testicular cancer

Hodgkin lymphoma


Cyclophosphamide


Non-Hodgkin lymphoma

Sarcomas

Breast cancer

Ovarian cancer


Ifosfamide


Non-Hodgkin lymphoma

Sarcomas



Carmustine


Brain tumors (e.g. glioblastomas, astrocytomas)



Lomustine


Brain tumors


Dacarbazine


Hodgkin lymphoma

Melanoma


Temozolomide


Brain tumors (glioblastomas, astrocytomas)

Metastatic melanoma


Mechlorethamine


Lymphatic cancers



Melphalan


Multiple myeloma


Chlorambucil


Chronic lymphocytic leukemia



Busulfan


Chronic myelogenous leukemia


Vincristine


Acute lymphoblastic leukemia (in children)

Wilms tumor

Ewing soft tissue sarcoma

Hodgkin lymphoma

Non-Hodgkin lymphoma


Vinblastine


Hodgkin lymphoma

Non-Hodgkin lymphoma

Testicular cancer (with Bleomycin + Cisplatin)



Vinorelbine (VRB)


Advanced non–small cell lung cancer


Paclitaxel


Advanced ovarian cancer

Metastatic breast cancer

Non–small cell lung cancer (with Cisplatin)



Docetaxel


Non–small cell lung cancer

Gastrointestinal cancers

Breast cancer

Prostate cancer


Tamoxifen


Breast cancer (premenopausal)



Raloxifene


Breast cancer (postmenopausal)



Fulvestrant


Estrogen receptor-positive breast cancer (postmenopausal)


Anastrozole


Breast cancer (postmenopausal, 1st-line)



Letrozole


Breast cancer (postmenopausal, 1st-line)


Exemestane


Breast cancer (postmenopausal)



Leuprolide


Breast cancer (premenopausal)

Prostate cancer


Goserelin


Breast cancer (premenopausal)

Prostate cancer



Triptorelin


Breast cancer (premenopausal)



Flutamide


Prostate cancer



Nilutamide


Prostate cancer



Bicalutamide


Prostate cancer


Cisplatin


Testicular cancer

Ovarian cancer

Bladder cancer


Carboplatin


Ovarian cancer (alternative to Cisplatin)


Oxaliplatin


Colorectal cancer



Topotecan


Small cell lung cancer

Metastatic ovarian cancer (alternative)

Colorectal cancer (with 5-FU + leucovorin)


Irinotecan


Colorectal cancer (with 5-FU + leucovorin)


Etoposide


Lung cancer

Testicular cancer (with Bleomycin + Cisplatin)


Abiraterone


Metastatic castration-resistant prostate cancer


Thalidomide


Multiple myeloma


Lenalidomide


Multiple myeloma


Pomalidomide


Multiple myeloma



Bortezomib


Multiple myeloma


Ixazomib


Multiple myeloma


Carfilzomib


Multiple myeloma


Pembrolizumab


Immunotherapy for various cancers



Nivolumab


Immunotherapy for various cancers

#cancer
3
Steroid Hormones and Their Antagonists .pdf
183.1 KB
جداول مقارنة بين عوائل العشيرة الأولى
Steroid Hormones and Their Antagonists
في المحاضرة 12 لمنهاج الفارما الوزاري

#cancer
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اهم الاشياء الي تتعلق بموضوع السكري كتبتها هنا

(تفيدكم ك مراجعة قبل الامتحان) 🔥

تشمل:

🟡الأدوية الي تسوي زيادة+نقصان بالوزن😵‍💫

🔴تقسيم الادوية الي تحفز أفراز الانسولين/والي تحفز حساسية الاعضاء.. 👊

🟣مميزات والاشياء المهمة لكل مجموعة

( طبعا وي ترتيب احد الطلبة مشكور 🌼)


100٪حيجي منهم...🩶

#diabetes
💙Bleomycine +busulfan=pulmonary fibrosis 🫁يسبب


💙Tamoxifen= endometrial cancer


💙Flutamide=liver failure

💙Nilutamide= visual problems👀

💙Cyclophosphamide  =hemorrhage cytitis🩸 يسبب


💙Irinotecan = diarrhea

💙Ifosphomide= neurotoxicityيسبب

💙Bleomycine +VRb =testcular 
toxicityيعالج

💙Cisplatin=ototoxicity + nephrotoxicity+severe Nausea +vomiting

💙Methotraxate= pneumonia like syndrome


💙Doxorubicin+daunorubicin = cardio toxicity 🫀

💙mitoxantrone + Docetaxel =  prostate cancerيعالج

💙Nitrourase(Carmustine+Lomustine)  +Temozolomide
= brian tumor 🧠يعالج

💙Vincristin (VX)= Neuropathy +Constipation

💙Vinblastine = bone marrow suppression
اخر مواضيع بالكانسر:

💙و جماعةnib يثبطون Tyrosine kinase.


💙Immunotherapy

ميكانزمهم checkpoint inhibitors
مثلprogrammed death (PD-1)   receptor  يلي يحافظ ع الجهاز المناعي  in Check.

الادوية هي
Pem bro li zumab

nivo lumab

اشهر ادفيرس افكت هي لو هايبر لو هايبو ثايرودزم  لذلك انطي وياهمCorticosteroids



💙هسه ادوية منوعة مثل دواء

اسمهabi rate rone(ابي رات و رون17 🐭🎥

تثبط CYP17 اللازم لصناعة androgen
وشرط انطي وياها prednisone  حتى اقلل ال mineralocorticoid exess.



💙immuno_modulator drugs

Tha lidomide
Lena lidomide
Poma lidomide
ثا+ لينا+ بومة🦉

يعالجونMulti myeloma.

الثاليدومايد:  كان يستخدم لMotion sickness للحوامل بس انحظر ليش؟ 😯
لان يسوي تشوهات خلقية للبيبي

لذلك هاي العائلة ممنوعة على الحوامل



💙Proteasome inhibitor:

جماعة Zomibيثبطون البروووووتيزوم 👀


Borte zomib

Ixa zomib

Carfil zomib
#cancer