Antiandrogen


Antiandrogen

An antiandrogen, or androgen antagonist, is any of a group of hormone receptor antagonist compounds that are capable of preventing or inhibiting the biologic effects of androgens, male sex hormones, on normally responsive tissues in the body (see androgen insensitivity syndrome). Antiandrogens usually work by blocking the appropriate receptors, competing for binding sites on the cell's surface, obstructing the androgens' pathway.

Indications

Antiandrogens are often indicated to treat severe male sexual disorders, such as hypersexuality (excessive sexual desire) and sexual deviation, specifically paraphilias, as well as use as an antineoplastic agent and palliative, adjuvant or neoadjuvant hormonal therapy in prostate cancer.

Antiandrogens can also be used for treatment of benign prostatic hyperplasia (prostate enlargement), acne vulgaris, androgenetic alopecia (male pattern baldness), and hirsutism (excessive hairiness). They are also occasionally used as a male contraceptive agent, to purposefully prevent or counteract masculinisation in the case of transwomen undergoing sex reassignment therapy, and to prevent the symptoms associated with reduced testosterone, such as hot flashes, following castration.

The administration of antiandrogens in males can result in slowed or halted development or reversal of male secondary sex characteristics, reduced activity or function of the accessory male sex organs, and hyposexuality (diminished sexual desire or libido).

Sometimes as a part of a program for registered sex offenders recently released from prisons, the offender is administered anti androgen drugs to reduce the likelihood of repeat offending by reducing sexual drive etc.

Examples

Currently available antiandrogen drugs (brand names, which may include other active ingredients, in parentheses) include:

* Spironolactone (Aldactone, Spiritone), a synthetic 17-spirolactone corticosteroid, which is a renal competitive aldosterone antagonist in a class of pharmaceuticals called potassium-sparing diuretics, used primarily to treat low-renin hypertension, hypokalemia, and Conn's syndrome.
* Cyproterone acetate (Androcur, Climen, Diane 35, Ginette 35), a synthetic steroid, a potent antiandrogen that also possesses progestational properties.
* Flutamide (Eulexin), nilutamide (Anandron, Nilandron) and bicalutamide (Casodex), nonsteroidal, pure antiandrogens. Flutamide is the oldest and has more unwanted side effects than the others. Bicalutamide is the newest and has the least side effects.
* Ketoconazole (Nizoral), an imidazole derivative used as a broad-spectrum antifungal agent effective against a variety of fungal infections, side effects include serious liver damage and reduced levels of androgen from both the testicles and adrenal glands. Ketoconazole is a relatively weak antiandrogen.
* Finasteride (Proscar, Propecia) and dutasteride (Avodart), inhibitors of the 5-α-reductase enzyme that prevent the conversion of testosterone into dihydrotestosterone (DHT). Finasteride blocks only 5-α-reductase type II, dutasteride also blocks type I. They are not general antiandrogens in that they don't counteract the effects or production of other androgens other than DHT.

ee also

* GnRH antagonist
* GnRH agonist
* Baldness treatments


Wikimedia Foundation. 2010.

Look at other dictionaries:

  • antiandrogen — antiandrògēn m <G mn antiandrogéna> DEFINICIJA farm. sredstvo koje blokira androgene receptore ETIMOLOGIJA anti + v. androgeni …   Hrvatski jezični portal

  • Antiandrogen — Antiandrogene sind Arzneistoffe, die die Wirkung der männlichen Sexualhormone hemmen. Substanzen wie Cyproteronacetat und Flutamid blockieren Androgenrezeptoren z. B. an der Prostata und heben so die Wirkung von Androgenen auf. Deshalb werden… …   Deutsch Wikipedia

  • antiandrogen — an·ti·an·dro·gen (ăn tē ănʹdrə jən, ăn tī ) n. A substance that inhibits the biological effects of androgenic hormones. * * * …   Universalium

  • antiandrogen — noun Any substance that inhibits the release or the biological effects of an androgen …   Wiktionary

  • antiandrogen — Any substance capable of preventing full expression of the biologic effects of androgenic hormones on responsive tissues, either by producing antagonistic effects on the target tissue, as estrogens do, or by merely inhibiting androgenic effects,… …   Medical dictionary

  • Antiandrogen — An|ti|an|d|ro|gen: chem. Substanzen, die den männlichen Sexualtrieb vermindern, z. B. Cyproteron …   Universal-Lexikon

  • Antiandrogen — Anti|an|dro|ge̱n [↑anti... u. ↑Androgen] s; s, e: Arzneimittel, das krankhaft gesteigerte Sexualität beim Mann dämpft …   Das Wörterbuch medizinischer Fachausdrücke

  • Antiandrogen — An|ti|an|dro|gen* das; s, e <zu ↑anti... u. ↑Androgen> Arzneimittel, das die Wirkung der männlichen Geschlechtshormone herabsetzt (Med.) …   Das große Fremdwörterbuch

  • antiandrogen — n. agent that inhibits activity of a male sex hormone by blocking the hormone s receptors …   English contemporary dictionary

  • antiandrogen — an·ti·androgen …   English syllables


Share the article and excerpts

Direct link
Do a right-click on the link above
and select “Copy Link”

We are using cookies for the best presentation of our site. Continuing to use this site, you agree with this.