Endocrine Medications

Endocrine Medications

1. Addison's Disease

   • Corticosteroid Therapy
     • Hydrocortisone
     • Cortisone
     • Prednisone
     • Prednisolone
     • Methylprednisolone
     • Beclomethasone
     • Fludrocortisone

2. Hyperthyroidism

   • Radioisotope 131 (I 131)
     • Possible hypothyroidism
     • Pt. radiation precautions
   • Liothyroxine (Cytomel)
   • Dexamethasone (Decadron)
   • Iodine preparations: decrease blood flow to thyroid, reduces production/release of thyroid hormone
     • Sodium Iodine
     • Potassium Iodine (KI)
     • Lugol's solution
     • Saturated Solution of Potassium Iodine (SSKI)
   • Beta-adrenergic blocker
     • Propanolol (Inderal)
   • Antithyroid: Blocks thyroid hormone production
     • Propylthiouracil (PTU)
     • Methimazole (Northyx, Tapazole)

3. Diabetes Insipidus

   • Desmopressin (DDAVP, Stimate)
     • PO dose is 10 times Intranasal dose
   • Vasopressin (Pitressin)
   • Clofibrate
   • Chlopropamide (Diabinese)
     • Antidiabetic
     • Increases action of ADH
     • Monitor for S&S of hypoglycemia

4. Phenchromocytoma

   • Phentolamine (Regitine)
   • Phenoxybenzamine (Debenzyline)
   • Blood Pressure Reducers
     • Sodium nitroprusside (Nipride)
     • Nifedipine (Procardia)
     • Propanolol (Inderal)

5. Hyperparathyroidism (Hypercalcemic Crisis)

   • Mithramycin
     • Toxic SE
   • Calcitonin
   • Etidronate (Didronel)
   • Pamidronate
   • Furosemide
     • Promotes renal excretion of Ca+

6. SIADH

   • Furosemide (Lasix)
   • Conivaptan (Vaprisol) IV
     • H2O exrecretion w/o Na loss
   • Demeclocyline
     • Monitor for candidiasis

7. Hypothyroidism

   • Levothyroxine (Synthroid, Levothroid)
     • Dosage determined by serum TSH level

8. Hypoparathyroidism

   • Calcium gluconate IV
   • Vit D (cacitriol (Rocaltrol))
   • Magnesium sulfate IV
   • Lifelong Calcium Supplements