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Kaplan Qbank USMLE



Author4 Posts
  #1

wat is the mechanism of action of clomiphine?

FA says it is the agonist at the esterogens receptors in pituatary while Katzung says that it blocks esterogen receptors in pitutary ....I feel FA is wrongsad

pl advice


  #2

CLOMIPHENE IS PARTIAL ESTROGEN AGONIST AT PITUITARY

  #3

clomiphene is partial estrogen agonist at pituitary,decreases feedback inhibition of estrogens on hypothalamus and pituitary.inc FSH,LH-incr OVULATION...
used to treat infertility associated with anovulatory cycles...

  #4

Selective estrogen receptor modulators (SERMs) is a class of medication that acts on the estrogen receptor. A characteristic that distinguishes these substances from receptor agonists and antagonists is that their action is different for various tissues, thereby granting the possibility to selectively inhibit or stimulate estrogen-like action in various tissues
Pituitary gland - clomifene blocks estrogen action, leading to an increase of follicle-stimulating hormone.
Uterus - tamoxifen may increase endometrial carcinoma risk, but raloxifene does not.
Breast - all SERMs decrease breast cancer risk
Deep venous thrombosis - the risk may be elevated in all SERMs.
Bone turnover and postmenopausal osteoporosis respond favorably to SERMs.
Hot flashes are increased by all SERMs.














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