Chemistry:Medroxyprogesterone

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Short description: Steroidal progestin drug
Medroxyprogesterone
Medroxyprogesterone.svg
Medroxiprogesterona3D.png
Clinical data
Other namesMP; Methylhydroxyprogesterone; 6α-Methyl-17α-hydroxyprogesterone; 6α-Methyl-17α-hydroxypregn-4-en-3,20-dione
Drug classProgestin; Progestogen
ATC code
  • None
Identifiers
CAS Number
PubChem CID
ChemSpider
UNII
Chemical and physical data
FormulaC22H32O3
Molar mass344.495 g·mol−1
3D model (JSmol)

Medroxyprogesterone (MP), is a progestin which is not used medically.[1][2][3][4] A derivative, medroxyprogesterone acetate (MPA), is used as a medication in humans, and is far more widely known in comparison.[5] Medroxyprogesterone is sometimes used as a synonym for medroxyprogesterone acetate,[5] and what is almost always being referred to when the term is used is MPA and not medroxyprogesterone.[6]

Pharmacology

Pharmacodynamics

Compared to MPA, medroxyprogesterone is over two orders of magnitude less potent as a progestogen.[7] Medroxyprogesterone is also notable in that it is a minor metabolite of MPA.[8] In addition to its progestagenic activity, medroxyprogesterone is a weak antiandrogen in vitro on human androgen receptor.[9]

MP and related steroids at the PR (nM)[7]
Compound Ki EC50a EC50b
Progesterone 4.3 0.9 25
Medroxyprogesterone 241 47 32
Medroxyprogesterone acetate 1.2 0.6 0.15
Values are nM. a = Coactivator recruitment. b = Reporter cell line.

Chemistry

Medroxyprogesterone, also known as 6α-methyl-17α-hydroxyprogesterone or as 6α-methyl-17α-hydroxypregn-4-en-3,20-dione, is a synthetic pregnane steroid and a derivative of progesterone.[1][2] It is specifically a derivative of 17α-hydroxyprogesterone with a methyl group at the C6α position.[1][2] The generic name of medroxyprogesterone is a contraction of 6α-methyl-17α-hydroxyprogesterone. It is closely related to medrogestone as well as other unesterified 17α-hydroxyprogesterone derivatives such as chlormadinone, cyproterone, and megestrol.[1][2]

Society and culture

Generic names

Medroxyprogesterone is the generic name of the drug and its INN and BAN.[1][2][4]

Brand Name

Meprate 10 Tablets (practo)

References

  1. 1.0 1.1 1.2 1.3 1.4 The Dictionary of Drugs: Chemical Data: Chemical Data, Structures and Bibliographies. Springer. 14 November 2014. pp. 657–. ISBN 978-1-4757-2085-3. https://books.google.com/books?id=0vXTBwAAQBAJ&pg=PA657. 
  2. 2.0 2.1 2.2 2.3 2.4 Index Nominum 2000: International Drug Directory. Taylor & Francis. 2000. pp. 638–. ISBN 978-3-88763-075-1. https://books.google.com/books?id=5GpcTQD_L2oC&pg=PA638. 
  3. Concise Dictionary of Pharmacological Agents: Properties and Synonyms. Springer Science & Business Media. 31 October 1999. pp. 173–. ISBN 978-0-7514-0499-9. https://books.google.com/books?id=mqaOMOtk61IC&pg=PA173. 
  4. 4.0 4.1 "Medroxyprogesterone". https://www.drugs.com/international/medroxyprogesterone.html. 
  5. 5.0 5.1 "MedroxyPROGESTERone: Drug Information Provided by Lexi-Comp". Merck Manual. 2009-12-01. http://www.merck.com/mmpe/lexicomp/medroxyprogesterone.html. 
  6. "Effects of cortisone acetate, methylprednisolone and medroxyprogesterone on wound contracture and epithelization in rabbits". Annals of Surgery 181 (1): 67–73. January 1975. doi:10.1097/00000658-197501000-00015. PMID 1119869. 
  7. 7.0 7.1 "Determination of conformational changes in the progesterone receptor using ELISA-like assays". Steroids 71 (9): 792–8. September 2006. doi:10.1016/j.steroids.2006.05.009. PMID 16784762. 
  8. "The metabolic fate of medroxyprogesterone acetate in the baboon". Journal of Steroid Biochemistry 7 (1): 65–70. January 1976. doi:10.1016/0022-4731(76)90167-9. PMID 1271819. 
  9. "Do progestins contribute to (anti-)androgenic activities in aquatic environments?". Environmental Pollution 242 (Pt A): 417–425. November 2018. doi:10.1016/j.envpol.2018.06.104. PMID 29990947.