endocrinology meds

Calcium gluconate

Dexamethasone Treat “thyroid storm”

Dextrose acute hypoglycemic crisis: 1cc per kg.

Diazoxide manage insulinoma with GC (inhibit insulin, promote E)

Florinef

Glargine

Glucocorticoids Euthyroid sick syndrome – identical pattern to hypothyroidism. Prevent conversion of T4 to T3.

Insulin

Iopanoic acid (Telapaque) Alternative to methimazole. Blocks T4 -> T3. Monitor [T3].

Leventa

Levothyroxine Synthetic T4: Soloxine tablets or Leventa soln. Treatment of choice for canine and feline hypoT4. Assess [T4] one month in.

Lysodren

Methimazole (Tapazole)blocks iodide incorporation. Recheck [T4], BUN, crt @7-10d. Adverse reaction (10%): GI upsets (voms, anorexia), facial pruritis, marrow suppression, hemolytic anemia. Alt: Iopanate. Life expectancy increases with I131.

Phenobarbital Euthyroid sick syndrome – identical pattern to hypothyroidism

Pertechnetate (99mTc) diagnostic nuclear scintigraphy; visualize functioning thyroid tissue

Prednisone manage insulinoma (antagonize insulin)

Propanolol Treat “thyroid storm”

Soloxine

Somatostatin (octreotide) insulinoma (inhibit insulin)

Streptozoin insulinoma (beta cell cytotoxicity)

Sulfonamides Euthyroid sick syndrome – identical pattern to hypothyroidism

Trilosane

TSH bovine TSH no longer available for TSH stimulation test

Hill’s Y/D Iodine restricted diet