Endocrine Pharmacology: Thyroid, Bone & Mineral Therapies
Endocrine Pharmacology Study Roadmap
🔹 1. Thyroid Physiology & Pathophysiology
🔸 Physiology
TRH (hypothalamus) → stimulates TSH (anterior pituitary) → stimulates T3/T4 release (thyroid)
T3 = active, T4 = prohormone
Feedback loop: T3/T4 inhibit TRH and TSH
T3/T4 actions:
↑ Metabolic rate, heart rate, cardiac output
↑ Oxygen consumption, lipolysis, glucose metabolism
CNS effects (mood), reproductive effects
🔸 Synthesis
Iodide uptake → oxidation to iodine → binds to thyroglobulin → forms MIT/DIT → forms T3/T4
🔸 Disorders
Hypothyroidism: Hashimoto's thyroiditis, iodine deficiency, thyroidectomy, myxedema coma
Hyperthyroidism: Graves' disease, toxic adenoma, thyroid storm
🔹 2. Thyroid Pharmacology
🔸 For Hypothyroidism
Levothyroxine
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