Megestrol¿¡ ´ëÇÑ Mechanism_Of_Action Á¤º¸ Several investigators have reported on the appetite enhancing property of megestrol acetate and its possible use in cachexia. The precise mechanism by which megestrol acetate produces effects in anorexia and cachexia is unknown at the present time. The biochemical mechanism of progestin antitumour activity is not well but may involve interaction with progesterone and glucocorticoid receptors, androgenic properties. Megestrol also has direct cytotoxic effects on breast cancer cells in tissue culture and suppresses luteinising hormone release from the pituitary.
Pharmacology
Megestrol¿¡ ´ëÇÑ Pharmacology Á¤º¸ Megestrol is a synthetic progestin and has the same physiologic effects as natural progesterone. The precise mechanism of megestrol¡¯s antianorexic and anticachetic effects is unknown. Initially developed as a contraceptive, it was first evaluated in breast cancer treatment in 1967.
Protein Binding
Megestrol¿¡ ´ëÇÑ ´Ü¹é°áÇÕ Á¤º¸ Not Available
Half-life
Megestrol¿¡ ´ëÇÑ ¹Ý°¨±â Á¤º¸ 34 hours
Absorption
Megestrol¿¡ ´ëÇÑ Absorption Á¤º¸ Variable, but well absorbed orally.
Megestrol¿¡ ´ëÇÑ Biotransformation Á¤º¸ Primarily hepatic. Megestrol metabolites which were identified in urine constituted 5% to 8% of the dose administered. Respiratory excretion as labeled carbon dioxide and fat storage may have accounted for at least part of the radioactivity not found in urine and feces. No active metabolites have been identified.
Toxicity
Megestrol¿¡ ´ëÇÑ Toxicity Á¤º¸ No serious unexpected side effects have resulted from studies involving megestrol acetate oral suspension administered in dosages as high as 1200 mg/day.
Drug Interactions
Megestrol¿¡ ´ëÇÑ Drug_Interactions Á¤º¸ Amobarbital The enzyme inducer decreases the effect of hormonesAprobarbital The enzyme inducer decreases the effect of hormonesButabarbital The enzyme inducer decreases the effect of hormonesButalbital The enzyme inducer decreases the effect of hormonesButethal The enzyme inducer decreases the effect of hormonesHeptabarbital The enzyme inducer decreases the effect of hormonesHexobarbital The enzyme inducer decreases the effect of hormonesGriseofulvin The enzyme inducer decreases the effect of hormonesEthotoin The enzyme inducer decreases the effect of hormonesFosphenytoin The enzyme inducer decreases the effect of hormonesPhenytoin The enzyme inducer decreases the effect of hormonesMephenytoin The enzyme inducer decreases the effect of hormonesTalbutal The enzyme inducer decreases the effect of hormonesSecobarbital The enzyme inducer decreases the effect of hormonesPrimidone The enzyme inducer decreases the effect of hormonesPentobarbital The enzyme inducer decreases the effect of hormonesPhenobarbital The enzyme inducer decreases the effect of hormonesMethohexital The enzyme inducer decreases the effect of hormonesMethylphenobarbital The enzyme inducer decreases the effect of hormones
Megestrol¿¡ ´ëÇÑ Description Á¤º¸ 17-Hydroxy-6-methylpregna-3,6-diene-3,20-dione. A progestational hormone used most commonly as the acetate ester. As the acetate, it is more potent than progesterone both as a progestagen and as an ovulation inhibitor. It has also been used in the palliative treatment of breast cancer. [PubChem]