Effect of megestrol acetate on the human pituitary-adrenal axis

A few previous reports have suggested that megestrol acetate, a synthetic progestational agent frequently used as an antineoplastic drug, suppresses serum cortisol concentrations in humans. To explore this concept further, we prospectively performed several measurements of the pituitary-adrenal axis...

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Published inMayo Clinic proceedings Vol. 67; no. 12; p. 1160
Main Authors Loprinzi, C L, Jensen, M D, Jiang, N S, Schaid, D J
Format Journal Article
LanguageEnglish
Published England 01.12.1992
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Abstract A few previous reports have suggested that megestrol acetate, a synthetic progestational agent frequently used as an antineoplastic drug, suppresses serum cortisol concentrations in humans. To explore this concept further, we prospectively performed several measurements of the pituitary-adrenal axis in patients receiving megestrol acetate (160 or 800 mg/day). The data from these evaluations demonstrate that megestrol acetate reversibly decreases serum cortisol concentrations in humans and that this effect seems to originate from a suppression of the pituitary-adrenal axis. Additional studies should be conducted to determine the implications of the low levels of serum cortisol.
AbstractList A few previous reports have suggested that megestrol acetate, a synthetic progestational agent frequently used as an antineoplastic drug, suppresses serum cortisol concentrations in humans. To explore this concept further, we prospectively performed several measurements of the pituitary-adrenal axis in patients receiving megestrol acetate (160 or 800 mg/day). The data from these evaluations demonstrate that megestrol acetate reversibly decreases serum cortisol concentrations in humans and that this effect seems to originate from a suppression of the pituitary-adrenal axis. Additional studies should be conducted to determine the implications of the low levels of serum cortisol.
Author Loprinzi, C L
Jiang, N S
Schaid, D J
Jensen, M D
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Snippet A few previous reports have suggested that megestrol acetate, a synthetic progestational agent frequently used as an antineoplastic drug, suppresses serum...
SourceID pubmed
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StartPage 1160
SubjectTerms Humans
Hydrocortisone - blood
Megestrol - analogs & derivatives
Megestrol - pharmacology
Megestrol Acetate
Pituitary-Adrenal System - drug effects
Prospective Studies
Title Effect of megestrol acetate on the human pituitary-adrenal axis
URI https://www.ncbi.nlm.nih.gov/pubmed/1469926
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