Dimestrol: Difference between revisions

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'''Dimestrol''' is a synthetic, nonsteroidal estrogen of the stilbestrol group that is used in the treatment of menopausal and postmenopausal disorders. It was introduced in 1947 by Dodds et al. and is an analogue of [[diethylstilbestrol]] (DES).
{{Short description|Overview of the synthetic estrogen Dimestrol}}
{{Drugbox
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== Pharmacology ==
'''Dimestrol''' is a synthetic [[estrogen]] that was historically used in [[hormone replacement therapy]] and for other medical purposes. It is a derivative of [[diethylstilbestrol]] (DES), a nonsteroidal estrogen.


Dimestrol is a synthetic, nonsteroidal estrogen that is structurally related to DES. It has similar effects to natural estrogens in the body, but is more potent and has a longer duration of action. Dimestrol binds to and activates the [[estrogen receptor]], which leads to a proliferation of estrogen-responsive tissues.
==Chemical Structure==
Dimestrol is a [[stilbestrol]] derivative, characterized by its two phenolic rings connected by a carbon-carbon double bond. The chemical structure of Dimestrol is similar to that of [[diethylstilbestrol]], with modifications that affect its pharmacological properties.


== Medical uses ==
==Pharmacology==
Dimestrol acts as an [[agonist]] of the [[estrogen receptor]], mimicking the effects of natural estrogens in the body. It binds to estrogen receptors in various tissues, leading to the activation of estrogen-responsive genes. This action is responsible for its effects on the [[reproductive system]], [[bone density]], and other estrogen-sensitive tissues.


Dimestrol is used in the treatment of menopausal and postmenopausal disorders. It can help to alleviate symptoms such as hot flashes, vaginal dryness, and mood swings. It is also used in the treatment of certain types of [[breast cancer]] and [[prostate cancer]].
==Medical Uses==
Historically, Dimestrol was used in the treatment of [[menopausal symptoms]], such as [[hot flashes]] and [[vaginal atrophy]]. It was also used in certain cases of [[hypogonadism]] and [[delayed puberty]] in females. However, due to concerns about the safety of synthetic estrogens, its use has declined.


== Side effects ==
==Safety and Side Effects==
Like other synthetic estrogens, Dimestrol has been associated with an increased risk of [[thromboembolic events]], [[breast cancer]], and other estrogen-related side effects. The use of Dimestrol and similar compounds has been largely replaced by safer alternatives in modern medical practice.


Like other estrogens, dimestrol can have a number of side effects. These can include nausea, vomiting, bloating, breast tenderness, headache, or weight changes. More serious side effects can include blood clots, stroke, heart attack, and cancer of the uterus.
==History==
Dimestrol was developed in the mid-20th century as part of a broader effort to create effective synthetic estrogens. It was one of several compounds used in [[hormone replacement therapy]] before the risks associated with synthetic estrogens became widely recognized.


== Contraindications ==
==Related Compounds==
 
Dimestrol is chemically related to other synthetic estrogens, such as [[diethylstilbestrol]] and [[hexestrol]]. These compounds share a similar mechanism of action but differ in their pharmacokinetic properties and safety profiles.
Dimestrol should not be used in individuals with a history of blood clots, stroke, or heart attack. It should also not be used in individuals with known or suspected estrogen-dependent tumors.
 
== See also ==


==Related Pages==
* [[Estrogen]]
* [[Estrogen]]
* [[Hormone replacement therapy]]
* [[Diethylstilbestrol]]
* [[Diethylstilbestrol]]
* [[Menopause]]
* [[Synthetic estrogen]]
* [[Breast cancer]]
 
* [[Prostate cancer]]
{{Estrogens and antiestrogens}}
{{Estrogen receptor modulators}}
[[Category:Abandoned drugs]]
[[Category:Estrogen ethers]]
[[Category:Phenols]]
[[Category:Stilbenoids]]
[[Category:Synthetic estrogens]]
[[Category:Synthetic estrogens]]
{{Antineoplastic-drug-stub}}
[[Category:Hormone replacement therapy]]
{{stub}}
{{dictionary-stub1}}

Revision as of 03:47, 13 February 2025

Overview of the synthetic estrogen Dimestrol


Dimestrol
File:Dimestrol.svg
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Dimestrol is a synthetic estrogen that was historically used in hormone replacement therapy and for other medical purposes. It is a derivative of diethylstilbestrol (DES), a nonsteroidal estrogen.

Chemical Structure

Dimestrol is a stilbestrol derivative, characterized by its two phenolic rings connected by a carbon-carbon double bond. The chemical structure of Dimestrol is similar to that of diethylstilbestrol, with modifications that affect its pharmacological properties.

Pharmacology

Dimestrol acts as an agonist of the estrogen receptor, mimicking the effects of natural estrogens in the body. It binds to estrogen receptors in various tissues, leading to the activation of estrogen-responsive genes. This action is responsible for its effects on the reproductive system, bone density, and other estrogen-sensitive tissues.

Medical Uses

Historically, Dimestrol was used in the treatment of menopausal symptoms, such as hot flashes and vaginal atrophy. It was also used in certain cases of hypogonadism and delayed puberty in females. However, due to concerns about the safety of synthetic estrogens, its use has declined.

Safety and Side Effects

Like other synthetic estrogens, Dimestrol has been associated with an increased risk of thromboembolic events, breast cancer, and other estrogen-related side effects. The use of Dimestrol and similar compounds has been largely replaced by safer alternatives in modern medical practice.

History

Dimestrol was developed in the mid-20th century as part of a broader effort to create effective synthetic estrogens. It was one of several compounds used in hormone replacement therapy before the risks associated with synthetic estrogens became widely recognized.

Related Compounds

Dimestrol is chemically related to other synthetic estrogens, such as diethylstilbestrol and hexestrol. These compounds share a similar mechanism of action but differ in their pharmacokinetic properties and safety profiles.

Related Pages