Leuprorelin
Leuprorelin (also leuprolide) is a synthetic nonapeptide analogue of gonadotropin-releasing hormone (GnRH/LHRH). It is an approved prescription medicine in several jurisdictions, including for advanced prostate cancer, endometriosis, uterine fibroids and central precocious puberty. This page neutrally summarizes the evidence base and legal status and is not a usage or dosing recommendation.
Mechanism of action
Leuprorelin is a GnRH-receptor agonist. After binding to pituitary GnRH receptors, it first causes a transient surge in luteinizing hormone (LH) and follicle-stimulating hormone (FSH) release — the so-called flare. With continuous, non-pulsatile exposure the receptors are downregulated and desensitized, suppressing gonadotropin secretion and consequently lowering sex steroids (testosterone or estradiol) to low levels. This mechanism underlies the literature-described use in hormone-dependent conditions.
Bewijs in één oogopslag
Wat de studies laten zien
Waar studies elkaar tegenspreken
Is there a distinct 'post-GnRH-agonist syndrome' with persistent complaints after stopping therapy?
Farmacokinetiek
Theoretische concentratiecurve bij een halfwaardetijd van 3 h. Puur farmacokinetisch model — geen doseringsaanbeveling.
Open in PK tool →Toedieningswegen in de literatuur
Veiliger gebruik & risico's
Bekende bijwerkingen uit studies
Interacties & combinaties
Anekdotische waarnemingen
Wat online communities bespreken
Juridische status per land
Reconstitutie-calculator
Peptiden komen als droog poeder. Eenmaal opgelost in een vloeistof (reconstitutie) beantwoordt deze calculator één enkele vraag: hoeveel stof zit er daarna in één milliliter oplossing?
- 1Voer de hoeveelheid stof van de flacon in (staat op het etiket).
- 2Voer in hoeveel oplosmiddel je toevoegt.
- 3Resultaat = concentratie in mg per mL.
Studieregister
A controlled trial of leuprolide with and without flutamide in prostatic carcinoma
Lupron depot (leuprolide acetate for depot suspension) in the treatment of endometriosis: a randomized, placebo-controlled, double-blind study
Randomized controlled trial of depot leuprolide in patients with chronic pelvic pain and clinically suspected endometriosis. Pelvic Pain Study Group
Efficacy and safety of leuprolide acetate 3-month depot 11.25 milligrams or 30 milligrams for the treatment of central precocious puberty
Bronnen & methode
Ontvang nieuwe studies over Leuprorelin
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