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使用者:神樂坂秀吉/草稿/戊酸雌二醇

< User:神樂坂秀吉
戊酸雌二醇
臨床資料
讀音/ˌɛstrəˈdaɪoʊl ˈvæləreɪt/
ES-trə-DY-ohl VAL-ə-rayt[1]
商品名（英語：Drug nomenclature）Delestrogen、Progynon Depot、補佳樂（Progynova）等
其他名稱EV; E2V; Oestradiol valerate; Estradiol pentanoate; Estradiol valerianate
給藥途徑口服給藥、肌肉注射[2] 或皮下注射
藥物類別（英語：Drug class）Estrogen; Estrogen ester
ATC碼
法律規範狀態
法律規範
  • 處方藥（℞-only）
藥物動力學數據
生物利用度Oral: 3–5%[3][4]
IM: 100%[3]
血漿蛋白結合率雌二醇：~98% （人血清白蛋白和性激素結合球蛋白）[5][6]
藥物代謝在肝臟、血液和組織中通過酯酶以鍵結斷裂[3]
代謝產物雌二醇及其代謝產物、戊酸[3]
生物半衰期Oral: 12–20 hours (as E2)[3][7]
IM: 4–5 days[3]
作用時間IM (5 mg): 7–8 days[8]
IM (10–30 mg): 1–4 weeks[9]
排泄途徑尿液 (80%)[3]
識別資訊
  • [(8R,9S,13S,14S,17S)-3-hydroxy-13-methyl-6,7,8,9,11,12,14,15,16,17-decahydrocyclopenta[a]phenanthren-17-yl] pentanoate
CAS號979-32-8
PubChem CID
DrugBank
ChemSpider
UNII
KEGG
ChEBI
ChEMBL
化學資訊
化學式C23H32O3
摩爾質量356.498 g/mol
3D模型（JSmol（英語：JSmol））
  • CCCCC(=O)O[C@H]1CC[C@@H]2[C@@]1(CC[C@H]3[C@H]2CCC4=C3C=CC(=C4)O)C
  • InChI=1S/C23H32O3/c1-3-4-5-22(25)26-21-11-10-20-19-8-6-15-14-16(24)7-9-17(15)18(19)12-13-23(20,21)2/h7,9,14,18-21,24H,3-6,8,10-13H2,1-2H3/t18-,19-,20+,21+,23+/m1/s1
  • Key:RSEPBGGWRJCQGY-RBRWEJTLSA-N

Estradiol valerate, sold under the brand names Delestrogen, Progynon Depot, and Progynova among others, is an estrogen medication which is used in hormone therapy for menopausal symptoms and low estrogen levels in women, in hormone therapy for transgender women, and in hormonal birth control for women.[4][3][9][10] It is also used in the treatment of prostate cancer in men.[9] The medication is taken by mouth or by injection into muscle once every 1 to 4 weeks.[9][10] Side effects of estradiol valerate include breast tenderness, breast enlargement, nausea, headache, and fluid retention.[11][9][10] Estradiol valerate is a synthetic estrogen and hence is an agonist of the estrogen receptor (ER), the biological target of estrogens like estradiol.[4][3][12] It is an estrogen ester and a prodrug of estradiol in the body.[12][4][3] Because of this, it is considered to be a natural and bioidentical form of estrogen.[12][3][13]

Estradiol valerate was first described in 1940 and was introduced for medical use in 1954.[14][15][16] Along with estradiol cypionate, it is one of the most widely used esters of estradiol.[17] Estradiol valerate is used in the United States, Canada, Europe, and throughout much of the rest of the world.[18][19] It is available as a generic medication.[20]

參考文獻

  1. ^ https://www.drugs.com/cons/estradiol-and-dienogest.html
  2. ^ Christoph Zink. Dictionary of Obstetrics and Gynecology. Walter de Gruyter. 1 January 1988: 86 [20 May 2012]. ISBN 978-3-11-085727-6. 
  3. ^ 3.00 3.01 3.02 3.03 3.04 3.05 3.06 3.07 3.08 3.09 3.10 引用錯誤：沒有為名為pmid7169965的參考文獻提供內容
  4. ^ 4.0 4.1 4.2 4.3 Kuhl H. Pharmacology of estrogens and progestogens: influence of different routes of administration (PDF). Climacteric. 2005,. 8 Suppl 1: 3–63. PMID 16112947. doi:10.1080/13697130500148875. 
  5. ^ Stanczyk, Frank Z.; Archer, David F.; Bhavnani, Bhagu R. Ethinyl estradiol and 17β-estradiol in combined oral contraceptives: pharmacokinetics, pharmacodynamics and risk assessment. Contraception. 2013, 87 (6): 706–727. ISSN 0010-7824. PMID 23375353. doi:10.1016/j.contraception.2012.12.011. 
  6. ^ Tommaso Falcone; William W. Hurd. Clinical Reproductive Medicine and Surgery. Elsevier Health Sciences. 2007: 22,362,388. ISBN 0-323-03309-1. 
  7. ^ Stanczyk, Frank Z.; Archer, David F.; Bhavnani, Bhagu R. Ethinyl estradiol and 17β-estradiol in combined oral contraceptives: pharmacokinetics, pharmacodynamics and risk assessment. Contraception. 2013, 87 (6): 706–727. ISSN 0010-7824. PMID 23375353. doi:10.1016/j.contraception.2012.12.011. 
  8. ^ 引用錯誤：沒有為名為pmid7389356的參考文獻提供內容
  9. ^ 9.0 9.1 9.2 9.3 9.4 引用錯誤：沒有為名為Delestrogen-Label的參考文獻提供內容
  10. ^ 10.0 10.1 10.2 引用錯誤：沒有為名為Progynova-Label的參考文獻提供內容
  11. ^ 引用錯誤：沒有為名為Ghosh2010的參考文獻提供內容
  12. ^ 12.0 12.1 12.2 Michael Oettel; Ekkehard Schillinger. Estrogens and Antiestrogens II: Pharmacology and Clinical Application of Estrogens and Antiestrogen. Springer Science & Business Media. 6 December 2012: 261. ISBN 978-3-642-60107-1. Natural estrogens considered here include: [...] Esters of 17β-estradiol, such as estradiol valerate, estradiol benzoate and estradiol cypionate. Esterification aims at either better absorption after oral administration or a sustained release from the depot after intramuscular administration. During absorption, the esters are cleaved by endogenous esterases and the pharmacologically active 17β-estradiol is released; therefore, the esters are considered as natural estrogens. 
  13. ^ Nagrath Arun; Malhotra Narendra; Seth Shikha. Progress in Obstetrics and Gynecology--3. Jaypee Brothers Medical Publishers Pvt. Ltd. 15 December 2012: 419–. ISBN 978-93-5090-575-3. 
  14. ^ 引用錯誤：沒有為名為KleemannEngel2014的參考文獻提供內容
  15. ^ 引用錯誤：沒有為名為Publishing2013的參考文獻提供內容
  16. ^ 引用錯誤：沒有為名為Duetsch1969的參考文獻提供內容
  17. ^ 引用錯誤：沒有為名為Yen1991的參考文獻提供內容
  18. ^ 引用錯誤：沒有為名為Elks2014的參考文獻提供內容
  19. ^ Index Nominum 2000: International Drug Directory. Taylor & Francis US. 2000: 405 [20 May 2012]. ISBN 978-3-88763-075-1. 
  20. ^ https://www.drugs.com/availability/generic-delestrogen.html
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