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ALIMENTARY TRACT AND METABOLISM › ANABOLIC AGENTS FOR SYSTEMIC USE › ANABOLIC STEROIDS › Androstan derivatives
quinbolone
A14AA06
Forms & Strengths
- Oral tablets: 10 mg
- Oral suspension: 5 mg/mL
Adult Dosing
- 10 mg to 20 mg orally daily
- Course of therapy typically ranges from 4 to 6 weeks
- Intermittent dosing cycles may be employed based on clinical response
Pediatric Dosing
- Safety and efficacy in pediatric patients not established
- Use in children is generally contraindicated due to risks of premature epiphyseal closure
Indications
- Management of conditions requiring an increase in protein synthesis
- Adjunctive therapy for catabolic states, severe tissue wasting, and debilitating illness
- Promotion of weight gain and recovery following major surgery or trauma
Mechanism of Action
- Synthetic anabolic-androgenic steroid derived from testosterone
- Binds to intracellular androgen receptors in target tissues
- Stimulates cellular protein synthesis while decreasing amino acid catabolism
- Enhances nitrogen retention and red blood cell production via erythropoietin stimulation
Contraindications
- Known or suspected carcinoma of the prostate or male breast
- Pregnancy and lactation due to virilizing effects on the fetus
- Known hypersensitivity to quinbolone or any formulation excipients
- Severe hepatic, renal, or cardiac dysfunction
Adverse Reactions
- Hepatotoxicity including cholestatic jaundice, peliosis hepatis, and hepatic neoplasms
- Fluid retention, peripheral edema, and electrolyte imbalances
- Virilization in females (acne, hirsutism, voice deepening, clitoromegaly)
- Testicular atrophy, oligospermia, and gynecomastia in males
- Dyslipidemia with decreased HDL and increased LDL cholesterol
Drug Interactions
- Potentiation of oral anticoagulants (e.g., warfarin), increasing bleeding risk
- Enhanced hypoglycemic effects with insulin and oral antidiabetic agents
- Increased risk of edema when coadministered with ACTH or corticosteroids
- Potential hepatotoxicity synergism with other known hepatotoxic drugs
Curated Content: Needs Vetting Before Put to Clinical Use