Look Up > Drugs > Nandrolone
Nandrolone
Pronunciation
U.S. Brand Names
Generic Available
Synonyms
Pharmacological Index
Use
Restrictions
Pregnancy Risk Factor
Contraindications
Warnings/Precautions
Adverse Reactions
Drug Interactions
Mechanism of Action
Pharmacodynamics/Kinetics
Usual Dosage
Administration
Test Interactions
Mental Health: Effects on Mental Status
Mental Health: Effects on Psychiatric Treatment
Dental Health: Local Anesthetic/Vasoconstrictor Precautions
Dental Health: Effects on Dental Treatment
Patient Information
Nursing Implications
Dosage Forms

Pronunciation
(NAN droe lone)

U.S. Brand Names
Anabolin® Injection; Androlone®-D Injection; Androlone® Injection; Deca-Durabolin® Injection; Hybolin™ Decanoate Injection; Hybolin™ Improved Injection; Neo-Durabolic Injection

Generic Available

Yes


Synonyms
Nandrolone Decanoate; Nandrolone Phenpropionate

Pharmacological Index

Androgen


Use

Control of metastatic breast cancer; management of anemia of renal insufficiency


Restrictions

C-III


Pregnancy Risk Factor

X


Contraindications

Carcinoma of breast or prostate, nephrosis, pregnancy and infants, hypersensitivity to any component


Warnings/Precautions

Monitor diabetic patients carefully; anabolic steroids may cause peliosis hepatis, liver cell tumors, and blood lipid changes with increased risk of arteriosclerosis; use with caution in elderly patients, they may be at greater risk for prostatic hypertrophy; use with caution in patients with cardiac, renal, or hepatic disease or epilepsy


Adverse Reactions

Male:

Postpubertal:

>10%:

Dermatologic: Acne

Endocrine & metabolic: Gynecomastia

Genitourinary: Bladder irritability, priapism

1% to 10%:

Central nervous system: Insomnia, chills

Endocrine & metabolic: Decreased libido, hepatic dysfunction

Gastrointestinal: Nausea, diarrhea

Genitourinary: Prostatic hypertrophy (elderly)

Hematologic: Iron deficiency anemia, suppression of clotting factors

<1%: Hepatic necrosis, hepatocellular carcinoma

Prepubertal:

>10%:

Dermatologic: Acne

Endocrine & metabolic: Virilism

1% to 10%:

Central nervous system: Chills, insomnia

Dermatologic: Hyperpigmentation

Gastrointestinal: Diarrhea, nausea

Hematologic: Iron deficiency anemia, suppression of clotting

<1%: Hepatocellular carcinoma, necrosis

Female:

>10%: Endocrine & metabolic: Virilism

1% to 10%:

Central nervous system: Chills, insomnia

Endocrine & metabolic: Hypercalcemia

Gastrointestinal: Nausea, diarrhea

Hematologic: Iron deficiency anemia, suppression of clotting factors

Hepatic: Hepatic dysfunction

<1%: Hepatic necrosis, hepatocellular carcinoma


Drug Interactions

Increased toxicity: Oral anticoagulants, insulin, oral hypoglycemic agents, adrenal steroids, ACTH


Mechanism of Action

Promotes tissue-building processes, increases production of erythropoietin, causes protein anabolism; increases hemoglobin and red blood cell volume


Pharmacodynamics/Kinetics

Onset: 3-6 months

Duration: Up to 30 days

Absorption: 77% intramuscularly

Metabolism: In the liver

Elimination: Renal


Usual Dosage

Deep I.M. (into gluteal muscle):

Adults:

Male:

Breast cancer (phenpropionate): 50-100 mg/week

Anemia of renal insufficiency (decanoate): 100-200 mg/week

Female: 50-100 mg/week

Breast cancer (phenpropionate): 50-100 mg/week

Anemia of renal insufficiency (decanoate): 50-100 mg/week


Administration

Inject deeply I.M., preferably into the gluteal muscle


Test Interactions

Altered glucose tolerance tests


Mental Health: Effects on Mental Status

May cause insomnia


Mental Health: Effects on Psychiatric Treatment

None reported


Dental Health: Local Anesthetic/Vasoconstrictor Precautions

No information available to require special precautions


Dental Health: Effects on Dental Treatment

No effects or complications reported


Patient Information

This drug can only be given I.M. Diabetics should monitor serum glucose closely and notify prescriber of changes; this medication can alter hypoglycemic requirements. You may experience acne, growth of body hair, loss of libido, impotence, or menstrual irregularity (usually reversible); nausea or vomiting (small frequent meals, frequent mouth care, sucking lozenges, or chewing gum may help); diarrhea (buttermilk, boiled milk, yogurt may help). Report changes in menstrual pattern; enlarged or painful breasts; deepening of voice or unusual growth of body hair; fluid retention (swelling of ankles, feet, or hands, difficulty breathing, or sudden weight gain); unresolved changes in CNS (nervousness, chills, insomnia); change in color of urine or stool; yellowing of eyes or skin; unusual bruising or bleeding; or other adverse reactions. Pregnancy/breast-feeding precautions: Inform prescriber if you are pregnant. Do not get pregnant during or for 1 month following therapy. Consult prescriber for instruction on appropriate barrier contraceptive measures. This drug may cause severe fetal defects. Do not breast-feed.


Nursing Implications

Inject deeply I.M., preferably into the gluteal muscle


Dosage Forms

Injection, as phenpropionate, in oil: 25 mg/mL (5 mL); 50 mg/mL (2 mL)

Injection, as decanoate, in oil: 50 mg/mL (1 mL, 2 mL); 100 mg/mL (1 mL, 2 mL); 200 mg/mL (1 mL)

Injection, repository, as decanoate: 50 mg/mL (2 mL); 100 mg/mL (2 mL); 200 mg/mL (2 mL)


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