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{{Short description|A class of drugs that block the effects of progesterone}} | |||
{{Drug class}} | |||
== | ==Overview== | ||
'''Antiprogestogens''' are a class of drugs that inhibit the effects of [[progesterone]], a key hormone involved in the [[menstrual cycle]], [[pregnancy]], and [[embryogenesis]]. These compounds act by blocking the [[progesterone receptor]], thereby preventing progesterone from exerting its biological effects. Antiprogestogens are used in various clinical settings, including [[contraception]], [[abortion]], and the treatment of certain [[cancers]]. | |||
== | ==Mechanism of Action== | ||
Antiprogestogens function by binding to the progesterone receptor, which is a type of [[nuclear receptor]]. By occupying the receptor, these drugs prevent progesterone from binding and activating the receptor, thus inhibiting the transcription of progesterone-responsive genes. This blockade can lead to changes in the [[endometrium]], inhibition of [[ovulation]], and disruption of [[pregnancy]]. | |||
== | ==Clinical Uses== | ||
== | ===Contraception=== | ||
Antiprogestogens can be used as a form of [[emergency contraception]]. By preventing the action of progesterone, these drugs can inhibit or delay [[ovulation]], thereby reducing the likelihood of [[fertilization]] and [[implantation]]. | |||
== | ===Medical Abortion=== | ||
One of the most well-known uses of antiprogestogens is in [[medical abortion]]. The drug [[mifepristone]], also known as RU-486, is commonly used in combination with a [[prostaglandin]] analogue to terminate early [[pregnancy]]. Mifepristone works by causing the [[decidual]] breakdown, leading to detachment of the [[blastocyst]] and increased uterine contractility. | |||
[[Category: | ===Cancer Treatment=== | ||
[[Category: | Antiprogestogens have potential applications in the treatment of [[progesterone receptor-positive]] [[breast cancer]] and [[endometrial cancer]]. By blocking progesterone, these drugs can inhibit the growth of hormone-dependent tumors. | ||
[[Category: | |||
==Examples of Antiprogestogens== | |||
===Mifepristone=== | |||
[[Mifepristone]] is the most widely used antiprogestogen. It is used for medical abortion, emergency contraception, and in some cases, for the treatment of [[Cushing's syndrome]]. | |||
===Ulipristal Acetate=== | |||
[[Ulipristal acetate]] is another antiprogestogen used for emergency contraception and the treatment of [[uterine fibroids]]. It acts as a selective progesterone receptor modulator (SPRM), exhibiting both agonistic and antagonistic effects depending on the tissue. | |||
==Side Effects== | |||
The use of antiprogestogens can lead to various side effects, including [[nausea]], [[vomiting]], [[abdominal pain]], and [[vaginal bleeding]]. Long-term use may also affect [[bone density]] and [[menstrual cycle]] regularity. | |||
==Related Pages== | |||
* [[Progesterone]] | |||
* [[Contraception]] | |||
* [[Medical abortion]] | |||
* [[Breast cancer]] | |||
==Gallery== | |||
<gallery> | |||
File:Mifepristone_structure.svg|Structure of Mifepristone | |||
</gallery> | |||
[[Category:Hormonal antineoplastic drugs]] | |||
[[Category:Abortifacients]] | |||
[[Category:Contraception]] | |||
Revision as of 17:50, 11 February 2025
A class of drugs that block the effects of progesterone
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This pharmacology related article is a stub.
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Overview
Antiprogestogens are a class of drugs that inhibit the effects of progesterone, a key hormone involved in the menstrual cycle, pregnancy, and embryogenesis. These compounds act by blocking the progesterone receptor, thereby preventing progesterone from exerting its biological effects. Antiprogestogens are used in various clinical settings, including contraception, abortion, and the treatment of certain cancers.
Mechanism of Action
Antiprogestogens function by binding to the progesterone receptor, which is a type of nuclear receptor. By occupying the receptor, these drugs prevent progesterone from binding and activating the receptor, thus inhibiting the transcription of progesterone-responsive genes. This blockade can lead to changes in the endometrium, inhibition of ovulation, and disruption of pregnancy.
Clinical Uses
Contraception
Antiprogestogens can be used as a form of emergency contraception. By preventing the action of progesterone, these drugs can inhibit or delay ovulation, thereby reducing the likelihood of fertilization and implantation.
Medical Abortion
One of the most well-known uses of antiprogestogens is in medical abortion. The drug mifepristone, also known as RU-486, is commonly used in combination with a prostaglandin analogue to terminate early pregnancy. Mifepristone works by causing the decidual breakdown, leading to detachment of the blastocyst and increased uterine contractility.
Cancer Treatment
Antiprogestogens have potential applications in the treatment of progesterone receptor-positive breast cancer and endometrial cancer. By blocking progesterone, these drugs can inhibit the growth of hormone-dependent tumors.
Examples of Antiprogestogens
Mifepristone
Mifepristone is the most widely used antiprogestogen. It is used for medical abortion, emergency contraception, and in some cases, for the treatment of Cushing's syndrome.
Ulipristal Acetate
Ulipristal acetate is another antiprogestogen used for emergency contraception and the treatment of uterine fibroids. It acts as a selective progesterone receptor modulator (SPRM), exhibiting both agonistic and antagonistic effects depending on the tissue.
Side Effects
The use of antiprogestogens can lead to various side effects, including nausea, vomiting, abdominal pain, and vaginal bleeding. Long-term use may also affect bone density and menstrual cycle regularity.
Related Pages
Gallery
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Structure of Mifepristone