Thursday, February 15, 2018

Fulvestran-estrogen,progestin and contraceptive and its therapeutic uses


INTRODUCTION-
It is a drug treatment of hormone receptor-positive metastatic breast cancer in post-menopausal women with disease progression following anti-estrogen therapy.It is an estrogen antagonist with no agonist effects,which works both by down-regulating and by degrading the estrogen receptor.

PHARMACOLOGICAL ACTION
Volume of distribution-0.3 to 5l/kg
Protein binding-99%

THERAPEUTIC USES
·        Used to treat certain types of Hormone related breast cancer in post menopausal women
·        Used together with the medicine called Palbociclib (Ibrance) to treat certain hormone related breast cancer that has progressed or sprayed after treatment with hormonal therapy

SIDE EFFECTS
o   Headache
o   Bone pain, joint pain, muscle pain
o   Nausea, vomiting, constipation
o   Weakness, feeling tired
o   Cough , trouble breathing
o   Abnormal liver function test
o   Pain when the medicine is injected      

REFERENCE- Tripathi K.D. "Essentials of Medical Pharmacology", 7th Edition, page no- 313

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