Drug Worksheet -24.doc - Worksheet for Chapter 24...

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Worksheet for Chapter 24 Reproductive System Drugs Classifications and Drugs Purpose Side Effects Contraindications or Cautions Patient Education Androgens 1. testosterone Replacement; congenital hypogonadism; acquired hypogonadism; palliative treatment of females with advanced metastatic carcinoma of the breast; treatment of endometriosis and fibrocystic breast disease; treatment of cachexia Edema and hypertension; acne, increased oiliness of the skin and hair or alopecia; oligospermia; increased or decreased sexual stimulation or libido and impotence; gynecomastia in males; hirsutism, deepening of voice, and amenorrhea or other menstrual irregularities in females; jaundice and hepatitis; nausea and vomiting; premature closure of bone ends in adolescents; anxiety, depression, and headache; increased LDL, decreased HDL, and insulin resistance Cardiac, renal, and liver dysfunction; men suspected of having carcinoma of the prostate or breast; geriatric males; prepubertal males; diabetes, obesity, or dyslipidemia Anabolic steroids may cause development of psychosis with delusions, paranoia, depression, mania, and aggression with violence Skin irritation possible with transdermal formulations; report side effects especially edema, jaundice, nausea, or vomiting; report sexual effects for males; sexual effects for females to expect; possibility of stunted growth when administered to adolescent boys before puberty; avoid secondary exposure of children and partners, adults who use testosterone gels should target a discreet application site like the front and inner thighs or underarms, wash their hands with soap and warm water after every application, and cover site with clothing once gel dries Impotence Agents 1. Viagra 2. Levitra Treatment of impotence, male ED Headache, flushing, vision abnormalities, and dizziness; hearing loss and tinnitus; dyspepsia, nasal congestion, rhinitis, diarrhea, rash, and back pain; CV events Nitrates or alpha-blockers; older adults and patients with preexisting CV risk factors; hepatic or renal function impairment In the event of an erection persisting more than 4h, advise patient to seek medical assistance immediately
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