Danazol Overview and Uses

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Questions and Answers

What is the class of Danazol?

  • Estrogen
  • Progestin
  • Antiprogestogen (correct)
  • Androgen

What is the mechanism of Danazol?

Suppresses the pituitary-ovarian axis and reduces FSH and LH production, leading to reduced estrogen levels and a temporary menopause.

Which of the following are indications for Danazol? (Select all that apply)

  • Endometriosis (correct)
  • Pregnancy
  • Fibrocystic breast disease (correct)
  • Hereditary angioedema (correct)

What is one contraindication for using Danazol?

<p>Pregnancy (D)</p> Signup and view all the answers

A side effect of Danazol is _____ .

<p>weight gain</p> Signup and view all the answers

Which of the following medications interact with Danazol? (Select all that apply)

<p>Statins (B), Antidiabetics (C), Warfarin (D)</p> Signup and view all the answers

What is the method of elimination for Danazol?

<p>Renal and fecal</p> Signup and view all the answers

What is the usual dose of Danazol for endometriosis?

<p>100-200 mg orally twice daily for a max of 6 months.</p> Signup and view all the answers

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Study Notes

Danazol Overview

  • An antiprogestogen used to manage various conditions related to hormonal imbalance.

Mechanism of Action

  • Suppresses the pituitary-ovarian axis.
  • Reduces production of Follicle-Stimulating Hormone (FSH) and Luteinizing Hormone (LH).
  • Leads to decreased estrogen levels and induces a temporary menopause-like state.

Indications for Use

  • Effective treatment for endometriosis, managing symptoms and slowing disease progression.
  • Utilized in fibrocystic breast disease to alleviate discomfort.
  • Treats hereditary angioedema, preventing attacks and symptoms.

Contraindications

  • Not suitable for pregnant individuals due to potential harm to the fetus.
  • Contraindicated in patients with a history of venous thromboembolism (VTE).
  • Avoid use in cases of undiagnosed genital bleeding or androgen-dependent tumors.
  • Acute porphyria patients should not take danazol due to exacerbation risks.

Side Effects

  • Significant side effects may include substantial weight gain.
  • Skin issues like acne may arise.
  • Psychological effects such as mood changes can occur.
  • Development of masculine features, including increased hair growth and deepening of voice.

Drug Interactions

  • Caution with antidiabetics, as danazol may affect glucose control.
  • Interaction noted with carbamazepine and ciclosporin, necessitating adjustments in dosing.
  • Statins may have altered effects; monitoring required.
  • Tacrolimus and vitamin D analogues can also interact.
  • Warfarin's efficacy may change; careful monitoring of coagulation levels is needed.

Elimination

  • Excreted through both renal and fecal routes, indicating metabolism and elimination processes.

Usual Dosage

  • For endometriosis treatment, the typical dosage is 100-200 mg orally twice daily for a maximum duration of 6 months.

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