Androgens, Androgen Inhibitors, and Phosphodiesterase Inhibitors



Androgens, Androgen Inhibitors, and Phosphodiesterase Inhibitors















Table 61-1 Androgens, Androgen Inhibitors, and Phosphodiesterase Inhibitors



























Prototype Drug


Related Drugs


Drug Classification


testosterone (Testoderm, Depo-Testosterone, Androderm)


There are no related drugs at this time


Androgens (Natural androgenic hormones)


There is no prototype for this classification


danazol (Danocrin)


fluxymesterone (Halotestin)


methyltestosterone (Android)


testolactone (Teslac)


(Synthetic androgenic hormones)


oxandrolone (Oxandrin)


nandrolone (Durabolin)


oxymetholone (Anadrol)


(Anabolic steroids)


There is no prototype for this classification


finasteride (Proscar, Propecia)


dutasteride (Avodart)


Androgen Inhibitors (5-alpha-reductase inhibitors)


sildenafil (Viagra)


vardenafil (Levitra) tadalafil (Cialis)


Phosphodiesterase inhibitors



ANDROGENS, ANDROGEN INHIBITORS, AND PHOSPHODIESTERASE INHIBITORS CLIENT TEACHING


All Androgens and Androgen Inhibitors



  • Take exactly as prescribed, dose is tapered before being discontinued, and do not discontinue without consulting with health care provider.


  • Advise other health care providers (eg, specialist, surgeon, dentist) about medication use before surgery or treatment.


  • Continue regular follow-up care with health care provider with periodic laboratory testing.



Androgens



  • Instruct male clients to report priapism or gynecomastia to health care provider.



  • Instruct female clients to report signs of virilism to health care provider.


  • Report yellowing of skin (jaundice), hypercalcemia, bleeding, bruising, edema, and weight gain to health care provider.


  • Explain the importance of not using androgens for athletic performance and the potential risk of serious adverse effects.


  • Diabetic clients need to monitor blood sugars for changes as androgens may cause hypoglycemia if taking insulin or oral hypoglycemics.




Transdermal Testosterone



  • Apply to clean, dry, hairless area; do not use depilatories.


  • May be reapplied after swimming or bathing


  • Testoderm is applied to the scrotum.


  • Androderm is applied to abdomen, back, thighs, or upper arms. (Do not apply to scrotum.)


  • If female sexual partner develops symptoms of virilization, notify health care provider.



Finasteride (Proscar, Propecia)



  • Females who are pregnant or may become pregnant should avoid exposure to semen of client taking drug and should not handle crushed form of drug because of the potential for absorption as finasteride poses a potential risk to a male fetus.1


  • May need to take drug for 6 to 12 months to determine if client is responsive to therapy.



  • Libido and volume of ejaculate may be decreased during therapy.1

Oct 21, 2016 | Posted by in NURSING | Comments Off on Androgens, Androgen Inhibitors, and Phosphodiesterase Inhibitors

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