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Cytochrome P450 2D6 (CYP2D6) Pharmacogenetic
Cytochrome P450 2D6 (CYP2D6) Pharmacogenetic

... • Reduced metabolism of amitriptyline when compared to extensive metabolizers • For CYP2D6 IM patients, consider a 25% reduction of the initial amitriptyline dose and titrate to effect. Utilize therapeutic drug monitoring as appropriate • For CYP2C19 IM patients, initiate therapy with the recommende ...
Cytochrome P450 2D6 (CYP2D6) Pharmacogenetic Competency
Cytochrome P450 2D6 (CYP2D6) Pharmacogenetic Competency

... • Reduced metabolism of amitriptyline when compared to extensive metabolizers • For CYP2D6 IM patients, consider a 25% reduction of the initial amitriptyline dose and titrate to effect. Utilize therapeutic drug monitoring as appropriate • For CYP2C19 IM patients, initiate therapy with the recommende ...
Codeine Therapy in the Context of Cytochrome P450 2D6
Codeine Therapy in the Context of Cytochrome P450 2D6

... Currently, there are no diseases or conditions known to be linked to variations in the CYP2D6 gene independent of drug metabolism and response. Although there are some isolated reports of CYP2D6 genetic effects on phenotypes other than in relation to drug response,4,5 these findings have not been co ...
Australian public assessment for everolimus
Australian public assessment for everolimus

... Page 2 of 51 ...
Breast Chemotherapy Regimen v 3.5 Oct 2015
Breast Chemotherapy Regimen v 3.5 Oct 2015

... Indication: Adjuvant treatment of early breast cancer. May be given with concurrent RT. NICE guidance - www.nice.org.uk Trastuzumab for the adjuvant treatment of early-stage HER2-positive breast cancer: Trastuzumab, given at 3-week intervals for 1 year or until disease recurrence (whichever is the s ...
Estriol - HormoneBalance.org
Estriol - HormoneBalance.org

... There is no data to the contrary. Studies are mixed in regards to oral estriol and breast cancer, with he majority of trials showing no increase in the risk of breast cancer. One exception is Olsson’s study from 2003, which showed an increased risk of breast cancer with oral estriol therapy. It was ...
Reynolds-Psych-Panels-11-20-12
Reynolds-Psych-Panels-11-20-12

... Patients who are homozygous for the CYP1A2*1F/*1F genotype may exhibit even higher rates of CYP1A2 enzymatic activity and have been described as ultra-rapid metabolizers for olanzapine. As an example, carriers of CY1A2*1F with the hyperinduction phenotype may exhibit as much as 50% lower than expect ...
evista - Eli Lilly Canada
evista - Eli Lilly Canada

... Heart (RUTH) study was 2.70 and 3.88 events per 1,000 person-years for placebo and raloxifene 60mg/day, respectively. Other venous thromboembolic events could also occur. A less serious event, superficial thrombophlebitis, also has been reported more frequently with EVISTA. The greatest risk for dee ...
MARTINDALE - The Complete Drug Reference Danazol
MARTINDALE - The Complete Drug Reference Danazol

... and may be a useful alternative.13 Progestogens such as medroxyprogesterone acetate, dydrogesterone, or norethisterone acetate are also commonly used. They appear to be as effective as danazol in relieving pain symptoms13 and tend to be better tolerated.1,5 Combined oral contraceptives have been use ...
Recent advances in the use of metformin: Can treating diabetes... cancer? Diana Hatoum
Recent advances in the use of metformin: Can treating diabetes... cancer? Diana Hatoum

... mechanisms have been described as precursors of AMPK activation. Metformin has been described as a “mitochondrial poison” through inhibition of Complex 1 of the mitochondrial respiratory chain leading to AMPK activation and reduction of glucose synthesis [55,56] (Figure 1.1). Based on the premise th ...
Accepted version  - Queen Mary University of London
Accepted version - Queen Mary University of London

... The evidence for aspirin’s effect on lung cancer is more variable but generally favourable. Casecontrol studies reported a 19% reduction in incidence of lung cancer, but no reduction was observed in cohort studies [42,43]. The reduction in lung cancer mortality in RCTs was 29% while it was 12% (non- ...
CYP2D6 - PGXL Laboratories
CYP2D6 - PGXL Laboratories

... “Anyone can be an Ultra-rapid Metabolizer without knowing it. The only way to find out is with a genetic test… Among pain relievers, ultra-rapid metabolism has only been reported as a problem with codeine, although it has the potential to affect other narcotics” Koren et al. Lancet 2006;368:704. ...
IN-SITU INJECTABLE THERMOSENSITIVE GEL BASED ON POLOXAMER AS A NEW... FOR TAMOXIFEN CITRATE
IN-SITU INJECTABLE THERMOSENSITIVE GEL BASED ON POLOXAMER AS A NEW... FOR TAMOXIFEN CITRATE

... similar hydrophobic nature as the drug. The outer surface of CD is characterized by being hydrophilic; thus enhancing aqueous solubility of the drug [9]. Although solubility enhancement of TMC may improve its bioavailability from oral dosage forms, the drug side effects cannot be reduced. Therefore, ...
Primary breast cancer
Primary breast cancer

... Around one in five breast cancers has a higher than normal level of a protein called HER2 on the cell surface, which stimulates them to grow. These cancers are called HER2 positive or HER2+. Testing for HER2 is done using tissue removed during a biopsy or surgery. It’s normally only done on invasive ...
ESTRADIOL VALERATE INJECTION, USP RQ102400
ESTRADIOL VALERATE INJECTION, USP RQ102400

... sampling when indicated, should be undertaken to rule out malignancy in all cases of undiagnosed persistent or recurring abnormal vaginal bleeding. There is no evidence that the use of “natural” estrogens results in a different endometrial risk profile than synthetic estrogens at equivalent estrogen ...
The Haunting of Medical Journals: How Ghostwriting Sold ``HRT``
The Haunting of Medical Journals: How Ghostwriting Sold ``HRT``

... unproven uses of HT such as the prevention of dementia, Parkinson’s disease, vision problems, and wrinkles. Given the growing evidence that ghostwriting has been used to promote HT and other highly promoted drugs, the medical profession must take steps to ensure that prescribers renounce participati ...
Medicinal Properties of Strobilanthes crispus: A Review
Medicinal Properties of Strobilanthes crispus: A Review

... animal studies to ensure good prediction on results. The above studies have consistently showed that the extracts of S. crispus have potential anticancer activities both in vitro and in vivo; and it could be further explored for the development of chemotherapeutic drug. Combinational therapy has bec ...
The risk of male breast cancer with finasteride
The risk of male breast cancer with finasteride

... The Medicines and Healthcare products Regulatory Agency (MHRA) is the government agency responsible for regulating medicines and medical devices in the UK. We continually review the safety of all medicines in the UK, and inform healthcare professionals and the public of the latest updates. In our pu ...
The following table summarizes mean percent changes from
The following table summarizes mean percent changes from

... more than 10 days per cycle reduces the incidence of endometrial hyperplasia and the attendant risk of adenocarcinoma in women with intact uteri. The addition of a progestin to an estrogen replacement regimen has not been shown to interfere with the efficacy of estrogen replacement therapy for its a ...
her2-negative breast cancer – global drug forecast and market
her2-negative breast cancer – global drug forecast and market

... emerge with the introduction of innovative agents. We believe Pfizer will dominate the HR+ setting, largely as a result of palbociclib being the first CDK 4/6 inhibitor to market, which will be accelerated by the Food and Drug Administration’s (FDA’s) breakthrough therapy (BT) designation. ...
Pain-management-1-23-13
Pain-management-1-23-13

... – Mis-interpretation of drug seeking behavior ...
Bioidentical Hormone Therapy
Bioidentical Hormone Therapy

... prescribed contain 2 or 3 forms of estrogen that are “identical” to those found in humans: estradiol, estrone, and estriol in varying percentages. Common CBHT preparations are listed in Table 2. Although the compounded drug biestrogen (bi-est) is composed primarily (80%) of estriol, 17β-estradiol ac ...
Pharmacologic insights into the future of trastuzumab
Pharmacologic insights into the future of trastuzumab

... techniques have been introduced and our understanding of disease pathogenesis has enabled specific therapeutic targets to be identified. The recognition that formulation and route of administration influence the effects of drugs has coincided with this progress. Together, these developments have res ...
Testosterone Effects on the Breast: Implications for Testosterone
Testosterone Effects on the Breast: Implications for Testosterone

... their quality of life (4). Postmenopausal androgen replacement, most commonly as testosterone therapy, is becoming increasingly widespread. This is despite the lack of clear guidelines regarding the diagnosis of androgen insufficiency, optimal therapeutic doses, and long-term safety data. With respe ...
Testosterone Effects on the Breast
Testosterone Effects on the Breast

... their quality of life (4). Postmenopausal androgen replacement, most commonly as testosterone therapy, is becoming increasingly widespread. This is despite the lack of clear guidelines regarding the diagnosis of androgen insufficiency, optimal therapeutic doses, and long-term safety data. With respe ...
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Tamoxifen



Tamoxifen is an antagonist of the estrogen receptor in breast tissue via its active metabolite, 4-hydroxytamoxifen. In other tissues such as the endometrium, it behaves as an agonist, and thus may be characterized as a selective estrogen-receptor modulator. Tamoxifen is the usual endocrine (anti-estrogen) therapy for hormone receptor-positive breast cancer in pre-menopausal women, and is also a standard in post-menopausal women although aromatase inhibitors are also frequently used in that setting.Some breast cancer cells require estrogen to grow. Estrogen binds to and activates the estrogen receptor in these cells. Tamoxifen is metabolized into compounds that also bind to the estrogen receptor but do not activate it. Because of this competitive antagonism, tamoxifen acts like a key broken off in the lock that prevents any other key from being inserted, preventing estrogen from binding to its receptor, blocking cancer cell growth.Tamoxifen was discovered by pharmaceutical company Imperial Chemical Industries (now AstraZeneca) and is sold under the trade names Nolvadex, Istubal, Valodex, and Genox. However, the drug has been widely referred to by its generic name ""tamoxifen"", even before its patent expiration.It is on the World Health Organization's List of Essential Medicines, a list of the most important medication needed in a basic health system.
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