Page 399 - First Aid for the USMLE Step 1 2020, Thirtieth edition [MedicalBooksVN.com]_Neat
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EndocrinE  ` endocrine—PhArmAcology                     EndocrinE  ` endocrine—PhArmAcology           SEcTion iii      355




                  Cinacalcet
                                                    2+
                                                                                                         2+
                   mechAnism             Sensitizes Ca -sensing receptor (CaSR) in parathyroid gland to circulating Ca  Ž  PTH.
                   clinicAl Use          2° hyperparathyroidism in patients with CKD receiving hemodialysis, hypercalcemia in 1°
                                          hyperparathyroidism (if parathyroidectomy fails), or in parathyroid carcinoma.
                   AdVerse eFFects       Hypocalcemia.



                  Sevelamer
                   mechAnism             Nonabsorbable phosphate binder that prevents phosphate absorption from the GI tract.
                   clinicAl Use          Hyperphosphatemia in CKD.
                   AdVerse eFFects       Hypophosphatemia, GI upset.







































































          FAS1_2019_08-Endocrine.indd   355                                                                             11/7/19   4:30 PM
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