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非那雄胺

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非那雄胺
临床资料
商品名英语Drug nomenclatureProscar, Propecia, Damocare, Finpecia, Finide, Fincar, Finax, Pronor 等
怀孕分级
  • X (会造成胎儿出生缺陷)
给药途径口服
ATC码
法律规范状态
法律规范
药物动力学数据
生物利用度63%
药物代谢肝脏
生物半衰期老年人:8小时
成年人:6小时
排泄途径粪便 (57%)、尿 (39%),以代谢物的形式
识别信息
  • N-(1,1-dimethylethyl)-3-oxo-
    (5α,17β)-4-azaandrost-1-ene-17-carboxamide
CAS号98319-26-7
PubChem CID
DrugBank
ChemSpider
CompTox Dashboard英语CompTox Chemicals Dashboard (EPA)
ECHA InfoCard100.149.445 编辑维基数据链接
化学信息
化学式C23H36N2O2
摩尔质量372.55 g·mol−1

非那雄胺INN:finasteride)又译非那斯特莱非那司提非那甾胺,是治疗前列腺增生雄性秃的药物,也用于女性毛发过度生长[1][2]

非那斯特莱会抑制头发毛囊的第二型5α还原酶(type 2 5-alpha reductase),使双氢睾酮(Dihydrotestosterone,DHT)的浓度降低。这是由于第二型5α还原酶能够将睾固酮转换成双氢睾酮,DHT即是掉发的元凶,因此非那斯特莱能有效减少掉发。但有可能会降低性能力,停用药物后,性功能障碍症状会消失,但还会持续掉发。亦有少数报告指出可能会引起忧郁及自杀倾向[3]柔沛(Propecia 保康丝)的主成分即是非那斯特莱。非那斯特莱的生物半衰期是6小时,容易被小肠吸收。

参考文献

  1. ^ Blume-Peytavi U, Whiting DA, Trüeb RM. Hair Growth and Disorders. Springer Science & Business Media. 26 June 2008: 369 [10 December 2016]. ISBN 978-3-540-46911-7. (原始内容存档于10 January 2023). 
  2. ^ Knezevich EL, Viereck LK, Drincic AT. Medical management of adult transsexual persons. Pharmacotherapy. January 2012, 32 (1): 54–66. PMID 22392828. S2CID 12853220. doi:10.1002/PHAR.1006. 
  3. ^ Locci A, Pinna G. Neurosteroid biosynthesis downregulation and changes in GABAA receptor subunit composition: A biomarker axis in stress-induced cognitive and emotional impairment. Br. J. Pharmacol. 2017, 174 (19): 3226–3241. PMC 5595768可免费查阅. PMID 28456011. doi:10.1111/bph.13843. 

参见

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非那雄胺
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