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    | µ¶¼ºÁ¤º¸ | 
    Estradiol¿¡ ´ëÇÑ µ¶¼ºÁ¤º¸ : Á¤º¸º¸±â 
Progesterone¿¡ ´ëÇÑ µ¶¼ºÁ¤º¸ : Á¤º¸º¸±â 
  Ãâó: ±¹¸³µ¶¼º°úÇпø µ¶¼º¹°ÁúÁ¤º¸DB : http://www.nitr.go.kr/nitr/contents/m134200/view.do  | 
   
  
   
    | Mechanism of Action | 
    
       Estradiol¿¡ ´ëÇÑ Mechanism_Of_Action Á¤º¸ Estradiol enters target cells freely (e.g., female organs, breasts, hypothalamus, pituitary) and interacts with a target cell receptor. When the estrogen receptor has bound its ligand it can enter the nucleus of the target cell, and regulate gene transcription which leads to formation of messenger RNA. The mRNA interacts with ribosomes to produce specific proteins that express the effect of estradiol upon the target cell. Estrogens increase the hepatic synthesis of sex hormone binding globulin (SHBG), thyroid-binding globulin (TBG), and other serum proteins and suppress follicle-stimulating hormone (FSH) from the anterior pituitary.
  Medroxyprogesterone¿¡ ´ëÇÑ Mechanism_Of_Action Á¤º¸ Progestins diffuse freely into target cells in the female reproductive tract, mammary gland, hypothalamus, and the pituitary and bind to the progesterone receptor. Once bound to the receptor, progestins slow the frequency of release of gonadotropin releasing hormone (GnRH) from the hypothalamus and blunt the pre-ovulatory LH surge. 
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    | Pharmacology | 
     
       Estradiol¿¡ ´ëÇÑ Pharmacology Á¤º¸ Estradiol, the principal intracellular human estrogen, is substantially more active than its metabolites, estrone and estriol, at the cellular level.
  Medroxyprogesterone¿¡ ´ëÇÑ Pharmacology Á¤º¸ Medroxyprogesterone is a synthetic progestin more potent than progesterone. 
     | 
   
  
   
    | Protein Binding | 
    
       Estradiol¿¡ ´ëÇÑ ´Ü¹é°áÇÕ Á¤º¸ >95%
  Medroxyprogesterone¿¡ ´ëÇÑ ´Ü¹é°áÇÕ Á¤º¸ 90% 
     | 
   
  
   
    | Half-life | 
    
       Estradiol¿¡ ´ëÇÑ ¹Ý°¨±â Á¤º¸ 36 hours
  Medroxyprogesterone¿¡ ´ëÇÑ ¹Ý°¨±â Á¤º¸ 50 days 
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    | Absorption | 
    
       Estradiol¿¡ ´ëÇÑ Absorption Á¤º¸ 43%
  Medroxyprogesterone¿¡ ´ëÇÑ Absorption Á¤º¸ Rapidly absorbed from GI tract 
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    | Pharmacokinetics | 
    
       Estradiol valerateÀÇ ¾à¹°µ¿·ÂÇÐÀÚ·á 
 
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     | 
   
  
   
    | Biotransformation | 
    
       Estradiol¿¡ ´ëÇÑ Biotransformation Á¤º¸ Exogenous estrogens are metabolized using the same mechanism as endogenous estrogens. Estrogens are partially metabolized by cytochrome P450.
  Medroxyprogesterone¿¡ ´ëÇÑ Biotransformation Á¤º¸ Hepatic 
     | 
   
  
   
    | Toxicity | 
    
       Estradiol¿¡ ´ëÇÑ Toxicity Á¤º¸ Can cause nausea and vomiting, and withdrawal bleeding may occur in females.
  Medroxyprogesterone¿¡ ´ëÇÑ Toxicity Á¤º¸ Side effects include loss of bone mineral density, BMD changes in adult women, bleeding irregularities, cancer risks, and thromboembolic disorders. 
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    | Drug Interactions | 
    
       Estradiol¿¡ ´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 hormonesEthotoin	The enzyme inducer decreases the effect of hormonesFosphenytoin	The enzyme inducer decreases the effect of hormonesGriseofulvin	The enzyme inducer decreases the effect of hormonesHeptabarbital	The enzyme inducer decreases the effect of hormonesHexobarbital	The enzyme inducer decreases the effect of hormonesMephenytoin	The enzyme inducer decreases the effect of hormonesMethohexital	The enzyme inducer decreases the effect of hormonesMethylphenobarbital	The enzyme inducer decreases the effect of hormonesPentobarbital	The enzyme inducer decreases the effect of hormonesPhenobarbital	The enzyme inducer decreases the effect of hormonesPhenytoin	The enzyme inducer decreases the effect of hormonesPrednisolone	The estrogenic agent increases the effect of corticosteroidPrednisone	The estrogenic agent increases the effect of corticosteroidPrimidone	The enzyme inducer decreases the effect of hormonesSecobarbital	The enzyme inducer decreases the effect of hormonesTalbutal	The enzyme inducer decreases the effect of hormonesRaloxifene	Association not recommendedUrsodeoxycholic acid	Estrogens decreases the effect of ursodiol
  Medroxyprogesterone¿¡ ´ëÇÑ Drug_Interactions Á¤º¸ Amobarbital	The enzyme inducer decreases the effect of hormonesAprobarbital	The enzyme inducer decreases the effect of hormonesBosentan	Bosentan decreases the effect of contraceptiveButabarbital	The enzyme inducer decreases the effect of hormonesButalbital	The enzyme inducer decreases the effect of hormonesButethal	The enzyme inducer decreases the effect of hormonesEthotoin	The enzyme inducer decreases the effect of hormonesFosphenytoin	The enzyme inducer decreases the effect of hormonesMephenytoin	The enzyme inducer decreases the effect of hormonesPhenytoin	The enzyme inducer decreases the effect of hormonesGriseofulvin	The enzyme inducer decreases the effect of hormonesHeptabarbital	The enzyme inducer decreases the effect of hormonesHexobarbital	The enzyme inducer decreases the effect of hormonesMethohexital	The enzyme inducer decreases the effect of hormonesMethylphenobarbital	The enzyme inducer decreases the effect of hormonesPentobarbital	The enzyme inducer decreases the effect of hormonesPhenobarbital	The enzyme inducer decreases the effect of hormonesPrimidone	The enzyme inducer decreases the effect of hormonesSecobarbital	The enzyme inducer decreases the effect of hormonesTalbutal	The enzyme inducer decreases the effect of hormonesWarfarin	The agent increases the effect of anticoagulantAcenocoumarol	The agent increases the effect of anticoagulantDicumarol	The agent increases the effect of anticoagulantAnisindione	The agent increases the effect of anticoagulant 
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    CYP450  Drug Interaction | 
    
      [CYP450 TableÁ÷Á¢Á¶È¸] 
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    | Drug Target | 
    
      
      [Drug Target]
     | 
   
  
   
    | Description | 
    
       Estradiol¿¡ ´ëÇÑ Description Á¤º¸ Generally refers to the 17-beta-isomer of estradiol, an aromatized C18 steroid with hydroxyl group at 3-beta- and 17-beta-position. Estradiol-17-beta is the most potent form of mammalian estrogenic steroids. In humans, it is produced primarily by the cyclic ovaries and the placenta. It is also produced by the adipose tissue of men and postmenopausal women. The 17-alpha-isomer of estradiol binds weakly to estrogen receptors (receptors, estrogen) and exhibits little estrogenic activity in estrogen-responsive tissues. Various isomers can be synthesized. [PubChem]
  Medroxyprogesterone¿¡ ´ëÇÑ Description Á¤º¸ (6 alpha)-17-Hydroxy-6-methylpregn-4-ene-3,20-dione. A synthetic progestational hormone used in veterinary practice as an estrus regulator. [PubChem] 
     | 
   
  
   
    | Dosage Form | 
    
       Estradiol¿¡ ´ëÇÑ Dosage_Form Á¤º¸ Disc	TransdermalGel	TransdermalLiquid	IntramuscularPatch	TransdermalRing	IntravaginalTablet	IntravaginalTablet	Oral
  Medroxyprogesterone¿¡ ´ëÇÑ Dosage_Form Á¤º¸ Suspension	IntramuscularTablet	Oral 
     | 
   
  
   
    | Drug Category | 
    
       Estradiol¿¡ ´ëÇÑ Drug_Category Á¤º¸ Anti-menopausal AgentsAnticholesteremic AgentsEstrogens
  Medroxyprogesterone¿¡ ´ëÇÑ Drug_Category Á¤º¸ ContraceptivesContraceptives, Oral, SyntheticProgestins 
     | 
   
  
   
    | Smiles String Canonical | 
    
       Estradiol¿¡ ´ëÇÑ Smiles_String_canonical Á¤º¸ CC12CCC3C(CCC4=C3C=CC(O)=C4)C1CCC2O
  Medroxyprogesterone¿¡ ´ëÇÑ Smiles_String_canonical Á¤º¸ CC1CC2C(CCC3(C)C2CCC3(O)C(C)=O)C2(C)CCC(=O)C=C12 
     | 
   
  
   
    | Smiles String Isomeric | 
    
       Estradiol¿¡ ´ëÇÑ Smiles_String_isomeric Á¤º¸ C[C@]12CC[C@H]3[C@@H](CCC4=C3C=CC(O)=C4)[C@@H]1CC[C@@H]2O
  Medroxyprogesterone¿¡ ´ëÇÑ Smiles_String_isomeric Á¤º¸ C[C@H]1C[C@@H]2[C@H](CC[C@@]3(C)[C@H]2CC[C@]3(O)C(C)=O)[C@@]2(C)CCC(=O)C=C12 
     | 
   
  
   
    | InChI Identifier | 
    
       Estradiol¿¡ ´ëÇÑ InChI_Identifier Á¤º¸ InChI=1/C18H24O2/c1-18-9-8-14-13-5-3-12(19)10-11(13)2-4-15(14)16(18)6-7-17(18)20/h3,5,10,14-17,19-20H,2,4,6-9H2,1H3/t14-,15-,16+,17+,18+/m1/s1
  Medroxyprogesterone¿¡ ´ëÇÑ InChI_Identifier Á¤º¸ InChI=1/C22H32O3/c1-13-11-16-17(20(3)8-5-15(24)12-19(13)20)6-9-21(4)18(16)7-10-22(21,25)14(2)23/h12-13,16-18,25H,5-11H2,1-4H3/t13-,16+,17-,18-,20+,21-,22-/m0/s1 
     | 
   
  
   
    | Chemical IUPAC Name | 
    
       Estradiol¿¡ ´ëÇÑ Chemical_IUPAC_Name Á¤º¸ (8R,9S,13S,14S,17S)-13-methyl-6,7,8,9,11,12,14,15,16,17-decahydrocyclopenta[a]phenanthrene-3,17-diol
  Medroxyprogesterone¿¡ ´ëÇÑ Chemical_IUPAC_Name Á¤º¸ (6S,8R,9S,10R,13S,14S,17R)-17-acetyl-17-hydroxy-6,10,13-trimethyl-2,6,7,8,9,11,12,14,15,16-decahydro-1H-cyclopenta[a]phenanthren-3-one 
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    | Drug-Induced Toxicity Related Proteins | 
    
      ESTRADIOL ÀÇ Drug-Induced Toxicity Related ProteinÁ¤º¸ Replated Protein:Myc proto-oncogene protein  Drug:estradiol Toxicity:cytotoxic responses .  [¹Ù·Î°¡±â] Replated Protein:3-hydroxy-3-methylglutaryl-coenzyme A reductase Drug:estradiol Toxicity:stimulate steroidogenesis.  [¹Ù·Î°¡±â] Replated Protein:Stromelysin-2  Drug:estradiol Toxicity:nonbacterial prostatitis.  [¹Ù·Î°¡±â] Replated Protein:Transcription factor E2F1 Drug:estradiol Toxicity:cytotoxic responses.  [¹Ù·Î°¡±â] Replated Protein:Glucocorticoid receptor Drug:estradiol Toxicity:glucocorticoid resistance.  [¹Ù·Î°¡±â] MEDROXYPROGESTERONE ACETATE (MPA) ÀÇ Drug-Induced Toxicity Related ProteinÁ¤º¸ Replated Protein:Estrogen receptor  Drug:medroxyprogesterone acetate (MPA) Toxicity:mammary adenocarcinoma.  [¹Ù·Î°¡±â] PROGESTERONE ÀÇ Drug-Induced Toxicity Related ProteinÁ¤º¸ Replated Protein:Mitogen-activated protein kinase  Drug:progesterone Toxicity:progesterone-induced oocyte maturation .  [¹Ù·Î°¡±â] Replated Protein:Angiotensinogen  Drug:progesterone Toxicity:rogesterone-induced luteinizing hormone surge.  [¹Ù·Î°¡±â] Replated Protein:Retinol-binding protein, cellular Drug:progesterone  Toxicity:increase luteal cell progesterone accumulation.  [¹Ù·Î°¡±â] 
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                          ÀüÈ: 02-3486-1061 ¤Ó À̸ÞÀÏ: webmaster@druginfo.co.kr
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