Megestrol acetate dispersible tablets
Function and Efficacy
This product is a semi-synthetic progesterone derivative, which has a certain inhibitory effect on hormone-dependent tumors. Its mechanism of action is the same as that of medroxyprogesterone, which may be through the influence on the secretion of pituitary gonadotropin, controlling the development and growth of ovarian follicles, thereby reducing the production of estrogen. It acts on androgen receptors, preventing their synthesis and reuse, interfering with their binding with estrogen, and inhibiting tumor cell growth. In addition, it can also antagonize glucocorticoid receptors and interfere with the interaction between steroid hormone receptors and regulatory proteins related to cell growth and differentiation.
Ingredients
The chemical name of this product is: 6-methyl-17a-hydroxypregnane-4,6-diene-3,20-dione 17-acetate. Molecular formula: C24H32O4 Molecular weight: 384.52
Appearance
This product is white tablets.
Indication
For the palliative treatment of patients with advanced endometrial and hormone-dependent breast cancer.
Usage and Dosage
Normal dose: 160 mg (one tablet) each time, orally, once a day. High dose: 160 mg (one tablet) each time, orally, 2-4 times a day.
Adverse Reactions
1. Similar to other progesterone drugs, but generally milder. 2. Weight gain is a common adverse reaction of this product, which is caused by an increase in body fat and body cell volume, and is not necessarily accompanied by fluid retention. 3. For patients with advanced cancer cachexia and weight loss, this side effect is often beneficial. 4. Thromboembolic phenomena have been rarely reported, including thrombophlebitis and pulmonary embolism. Other reactions may cause breast pain, galactorrhea, vaginal bleeding, menstrual disorders, and facial flushing. 5. There are also adrenal cortisol effects, moon face, hypertension, and hyperglycemia. The incidence of uterine bleeding is 1-2%. 6. Nausea and vomiting are occasionally seen, and reactions such as dyspnea, heart failure, and rash are rare.
Precautions
This product is contraindicated for patients who are allergic to it. It is contraindicated for patients with severe thrombophlebitis, thromboembolic diseases, severe liver damage and hypercalcemia caused by bone metastasis.
Special Population Medication
Precautions for children: This experiment has not been conducted and there is no reliable reference. Precautions for pregnancy and lactation: Because the use of progesterone drugs in the first four months of pregnancy has potential harm to the fetus, this drug is not recommended. This product has potential toxic effects on newborns, and breastfeeding women should stop breastfeeding during medication. Precautions for the elderly: This experiment has not been conducted and there is no reliable reference.
Drug Interactions
Not yet clear.
Storage
Keep away from light and store in airtight container.
Packaging Specification
0.16 g
Validity Period
36 months