Paper II
2022 July (Supplementary) (2019 Scheme) · 100 marks · 180 min

Question

Uses of Selective Estrogen Receptor Modulators

Q84 marksShort Answers

Answer

  • Tamoxifen — ER-positive breast cancer (adjuvant/metastatic therapy), given its antagonist action in breast tissue.
  • Raloxifene — prevention and treatment of postmenopausal osteoporosis, given its agonist action on bone that avoids tamoxifen’s endometrial cancer risk.
  • Clomiphene citrate — ovulation induction in anovulatory infertility (PCOS), via hypothalamic estrogen-receptor antagonism increasing GnRH/FSH/LH release.
  • Tamoxifen — also used for gynecomastia in some settings, and chemoprevention in high-risk women for breast cancer.

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