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pharmaceutical agents associated with gynecomastia
1) androgen antagonists
a) cyproterone
b) flutamide
c) finasteride
2) antibiotics
a) ethionamide
b) isoniazid
c) ketoconazole
d) metronidazole
3) gastrointestinal agents
a) H1 receptor antagonists, cimetidine > ranitidine
b) proton pump inhibitors
c) metoclopramide
4) antineoplastic agents
a) alkylating agents
b) methotrexate
c) vinca alkaloids
d) imatinib
5) antiarrythmics
a) amiodarone
b) digitoxin
6) antihypertensive agents
a) captopril
b) enalopril
c) Ca+2 channel blockers, nifedipine > verapamil > diltiazem
c) alpha methyldopa
d) reserpine
e) spironolactone*
7) hormones
a) anabolic steroids
b) estrogens
c) chorionic gonadotropin
d) somatotropin
8) mental health agents
a) diazepam
b) haloperidol
c) phenothiazines
d) tricyclic antidepressants
9) drugs of abuse
a) ethanol
b) amphetamines
c) heroin
d) marijuana
e) methadone
10) miscellaneous
a) auranofin
b) diethylpropion
c) domperidone
d) etretinate
e) phenytoin
f) penicillamine
g) sulindac
h) theophylline
* 100% of patients taking > 100 mg/day
General
pharmacology
References
- Harrison's Principles of Internal Medicine, 13th ed.
Companion Handbook, Isselbacher et al (eds), McGraw-Hill
Inc. NY, 1995, pg 830
- UpToDate 14.1
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