Conjugated Estrogens drug data and news

Conjugated Estrogens drug data, resources, and news articles (when available). Onconews.org provides news on cancer research. This section, which includes profiles on medicines that may or not be cancer-related is in beta form. If things run smoothly we will be releasing a new format late in the summer of 2006.

Generic name Conjugated Estrogens
Brand Names/Synonyms AUSTRIA; BELGIUM; BRAZIL; BULGARIA; CANADA; CHINA; COLOMBIA; COSTA-RICA; Conestoral; DENMARK; DOMINICAN-REPUBLIC; ECUADOR; EL-SALVADOR; ENGLAND; ESTRONE-SULFATE; Estrogens; Estrone Estrone Hydrogen Sulfate; Estrone Hydrogen Sulfate; Estrone Sodium Sulfate; Estrone Sulfate; Estrone Sulfate Sodium; Estrone Sulphate; Evex; FINLAND; FRANCE; GREECE; GUATEMALA; HONDURAS; HONG-KONG; HUNGARY; Hyhorin; INDIA; IRELAND; ITALY; JAPAN; KOREA; MALAYSIA; MEXICO; MIDDLEEAST; Morestin; NETHERLANDS; NEW-ZEALAND; NICARAGUA; Oestrone Sulphate; PANAMA; PERU; PHILIPPINES; PORTUGAL; Par Estro; Premarin; Prempro/Premphase; RUSSIA; SWITZERLAND; Sodium Estrone Sulfate; TAIWAN; THAILAND; TURKEY; URUGUAY; US
Indication For the treatment of moderate to severe vasomotor symptoms associated with the menopause, atrophic vaginitis, osteoporosis, hypoestrogenism due to hypogonadism, castration, primary ovarian failure, breast cancer (for palliation only), and Advanced androgen-dependent carcinoma of the prostate (for palliation only)
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Description Not Available
Pharmacology Conjugated estrogens, a mixture of the water soluble salts of sulfate esters from estrone, equilin, 17 α-dihydroequilin, and other related steroids, may be derived from pregnant equine urine or yam and soy plants. Estrogens are important in the development and maintenance of the female reproductive system and secondary sex characteristics. They promote growth and development of the vagina, uterus, and fallopian tubes, and enlargement of the breasts. Indirectly, they contribute to the shaping of the skeleton, maintenance of tone and elasticity of urogenital structures, changes in the epiphyses of the long bones that allow for the pubertal growth spurt and its termination, growth of axillary and pubic hair, and pigmentation of the nipples and genitals. Decline of estrogenic activity at the end of the menstrual cycle can bring on menstruation, although the cessation of progesterone secretion is the most important factor in the mature ovulatory cycle. However, in the preovulatory or nonovulatory cycle, estrogen is the primary determinant in the onset of menstruation. Estrogens also affect the release of pituitary gonadotropins. The pharmacologic effects of conjugated estrogens are similar to those of endogenous estrogens.
Mechanism Of Action Estrogens enter the cells of responsive tissues (e.g., female organs, breasts, hypothalamus, pituitary) where they interact with a protein receptor, subsequently increasing the rate of synthesis of DNA, RNA, and some proteins. Estrogens decrease the secretion of gonadotropin-releasing hormone by the hypothalamus, reducing the secretion of follicle-stimulating hormone (FSH) and luteinizing hormone (LH) from the pituitary.
Conjugated Estrogens News
(When available)

New Data from Women's Health Initiative Study Show No Increased ...  Feb 13, 2006
...today in the Archives of Internal Medicine showed that in the estrogen-alone arm of the Women's Health Initiative (WHI) study, conjugated estrogens 0.625 mg ... - Boursorama,

NEWS RELEASE  Feb 14, 2006
...recently in the Archives of Internal Medicine showed that in the estrogen-alone arm of the Women's Health Initiative (WHI) study, conjugated estrogens 0.625 mg ... - Financial News USA (press release),

(PRN) - Blackboard Inc. Reports Fourth Quarter and Year End 2005 ...  Feb 13, 2006
...[+]. (PRN) - New Data from Women's Health Initiative Study Show No Increased Risk of Coronary Heart Disease with Conjugated Estrogens Alone In Any Age Group ... - Bolsamania.com,

FDA Sends Duramed Warning Letter Over Cenestin Ad  Jan 18, 2006
...and Communications (DDMAC) has reviewed a professional journal advertisement (ad) [BRC05519] for Cenestin® (synthetic conjugated estrogens, A) Tablets ... - PharmaLive.com (press release),

Slurping birth defects  Jan 20, 2006
Oral contraceptives (used to prevent pregnancy) and conjugated estrogens (used to treat hot flashes and vaginal dryness) leave you at serious risk for cancer. ... - The California Aggie Online

Unopposed Conjugated Equine Estrogens Don't Prevent Peripheral ...  Nov 14, 2005
..."In two trials of conjugated estrogens combined with daily medroxyprogesterone acetate, no effect on clinical peripheral artery disease was identified in ... - DG News

FDA Approves ANGELIQ(R) to Treat Menopausal Moderate to Severe ...  Oct 2, 2005
...pulmonary emboli, and deep vein thrombosis in postmenopausal women (50 to 79 years of age) during 5 years of treatment with oral conjugated estrogens (CE 0.625 ... - Medical News Today (press release),

FDA Safety Labeling Changes: Camptosar, Keppra, Prempro/Premphase  Sep 21, 2005
...and oral solution may cause somnolence, fatigue, and behavioral abnormalities in pediatric patients; and use of conjugated estrogens plus medroxyprogesterone ... - Medscape (subscription)

Sleep deprivation makes driving dangerous  Sep 18, 2005
Are there any alternatives? A: Premarin cream contains conjugated estrogens and has long been used to treat vaginal dryness associated with menopause. ... - Houston Chronicle,

Does hand washing spread germs?  Sep 24, 2005
Are there any alternatives? Premarin cream contains conjugated estrogens and has long been used to treat vaginal dryness associated with menopause. ... - Bradenton Herald,

FDA Safety Labeling Changes: Emtriva, FazaClo, Climara/Climara Pro  Sep 14, 2005
Data from the conjugated estrogens/medroxyprogesterone acetate substudy of the WHI showed relative risks of 1.29 for coronary heart disease (95% confidence ... - Medscape (subscription)

FDA Safety Labeling Changes: Activella, Duramorph PF, Nutropin  Sep 7, 2005
Results of the five-year Women's Health Initiative (WHI) study have linked use of oral conjugated estrogens (CE) to increased risks of myocardial infarction ... - Medscape (subscription)

FDA Safety Labeling Changes: Arixtra and Alora  Aug 10, 2005
...on the results of the placebo-controlled Women's Health Initiative (WHI) memory substudy, showing treatment with conjugated estrogens plus medroxyprogesterone ... - Medscape (subscription)

Kentucky Drug Policy Tweaked; Dialogue to Continue  Aug 18, 2005
The regulation now offered by the KHRA lists four adjunct bleeder medications--aminocaproic acid, carbazochrome, conjugated estrogens, and tranexamic acide ... - BloodHorse,

Latest Stock Information  Jul 18, 2005
Premarin(R) is a conjugated estrogens product prescribed by doctors to relieve the symptoms associated with menopause and to prevent osteoporosis in ... - TMCnet (press release) <**results**>

The Effect of Combined Estrogen and Progesterone Hormone ...  Jun 28, 2005
The HRT- SELENA trial sought to determine the effect of conjugated estrogens and cyclic progestins on dis ease activity in postmenopausal women with SLE. ... - RedNova.com

Duramed Pharmaceuticals Selects StayinFront for Integrated CRM ...  Jul 1, 2005
...a subsidiary of Barr Pharmaceuticals, Inc., currently markets SEASONALE® extended-cycle oral contraceptive, Cenestin® (Synthetic Conjugated Estrogens, A) and ... - Yahoo News (press release)

Duramed Pharmaceuticals Selects StayinFront for Integrated CRM ...  Jul 1, 2005
...subsidiary of Barr Pharmaceuticals, Inc., currently markets SEASONALE(R) extended-cycle oral contraceptive, Cenestin(R) (Synthetic Conjugated Estrogens, A) and ... - PharmaLive.com (press release)

Hormone therapy market rallies  Jun 16, 2005
...drugs in clinical trials, including bazedoxifene, for the prevention and treatment of postmenopausal osteoporosis; bazedoxifene/conjugated estrogens, for the ... - Med Ad News (subscription),

Effects of Low-Dose Hormone Therapy on Menopausal Symptoms, Bone ...  Jun 9, 2005
22. No studies compared the efficacy of low-dose estradiol and conjugated estrogens or oral and transdermal delivery systems. We ... - RedNova.com,

Effects of Combined Estrogen/Testosterone Therapy on Bone and Body ...  May 27, 2005
Barrett-Connor E, Young R, Notelovitz M. A two-year double- blind comparison of estrogen-androgen and conjugated estrogens in surgically PM women: effects on ... - RedNova.com,

Hormone therapy market rallies  Jun 16, 2005
...drugs in clinical trials, including bazedoxifene, for the prevention and treatment of postmenopausal osteoporosis; bazedoxifene/conjugated estrogens, for the ... - Med Ad News (subscription),

FDA Safety Labeling Changes: Crestor, Diamox Sequels, Femring  Jun 8, 2005
In the Women's Health Initiative study, administration of conjugated estrogens was associated with an increase in the number of strokes and an increased risk ... - Medscape (subscription)

Barr’s Receives Not Approvable Letter for Bijuva(TM) Vaginal ...  Apr 26, 2005
...has issued a Not Approvable letter for Duramed Pharmaceuticals, Inc.’s New Drug Application (NDA) for Bijuva(TM) (Synthetic Conjugated Estrogens, A) Cream. ... - mysan.de (Pressemitteilung)

Hormone Therapy Remains the Most Effective Therapy for Treating ...  Mar 27, 2005
...and clinical experience, there is an extensive catalogue of data documenting the benefits and risks of the PREMARIN® ( conjugated estrogens ) Family of ... - RxPG NEWS,

Menopause and Mood Disturbance  Feb 14, 2005
Most data on the efficacy and safety of estrogens in the United States have been based on studies using oral conjugated estrogens. ... - Psychiatric Times,

HRT May Worsen Urinary Incontinence  Feb 22, 2005
Her editorial advises that "clinicians should no longer prescribe long-term oral conjugated estrogens for treatment of urge, stress or mixed urinary ... - Forbes

Dosage Forms Tablet; Injection; Vaginal Cream; Topical Gel
Drug_Category Estrogens; ATC:G03CA57
Absorption well absorbed
Interactions -->Drug Interactions for Conjugated Estrogens:

DRUG/LABORATORY TEST INTERACTIONS

1. Accelerated prothrombin time, partial thromboplastin time, and platelet aggregation time; increased platelet count; increased factors II, VII antigen, VIII antigen, VIII coagulant activity, IX, X, XII, VII-X complex, II-VII-X complex, and beta-thromboglobulin; decreased levels of anti-factor Xa and antithrombin III, decreased antithrombin III activity; increased levels of fibrinogen and fibrinogen activity; increased plasminogen antigen and activity.

2. Increased thyroid-binding globulin (TBG) levels leading to increased circulating total thyroid hormone levels as measured by protein-bound iodine (PBI), T4 levels (by column or by radioimmunoassay) or T3 levels by radioimmunoassay. T3 resin uptake is decreased, reflecting the elevated TBG. Free T4 and free T3 concentrations are unaltered. Patients on thyroid replacement therapy may require higher doses of thyroid hormone.

3. Other binding proteins may be elevated in serum, (i.e., corticosteroid binding globulin (CBG), sex hormone binding globulin (SHBG)) leading to increased total circulating corticosteroids and sex steroids, respectively. Free hormone concentrations may be decreased. Other plasma proteins may be increased (angiotensinogen/renin substrate, alpha-1-antitrypsin, ceruloplasmin).

4. Increased plasma HDL and HDL2 cholesterol subfraction concentrations, reduced LDL cholesterol concentration, increased triglyceride levels.

5. Impaired glucose tolerance.

6. Reduced response to metyrapone test.

Toxicity nausea and vomiting
Organisms Affected Humans and other mammals
Chemical IUPAC Name sodium 13-methyl-17-oxo-3-sulfonatooxy-7,8,9,11,12,14,15,16-octahydro-6H-cyclopenta[a]phenanthrene
Chemical Formula C18H21NaO5S
Molecular Weight 372.412 g/mol
Smiles String CC12CCC3C(C1CCC2=O)CCC4=C3C=CC(=C4)OS(=O)(=O)[O-].[Na+]
Melting Point 173 °C
Water Solubility 0.0036 mg/ml
State solid
LogP/Hphobicity Not Available
Isoelectric Point Not Available
Biotransformation hepatic
Half Life 7.4 hours
Protein Binding [%] 90% bound to plasma proteins
RxList Link RXlist
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Drug Reference http://www.rxlist.com/cgi/generic/conest.htm
http://www.drugs.com/cons/Conjugated_Estrogens.html
Drug Type Approved Drug
Accession No APRD00396
CAS Registry Number 438-67-5
KEGG Compound ID D00312
PubChem ID SID:7847378
PharmGKB ID Not Available
SwissProt ID Not Available
GenBank ID Not Available
Drug ID Number [DIN] 2239655

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