Peringatan Keamanan

No difference in efficacy and toxicity between adult and geriatric patients. No studies in lactating women, pregnant women and pediatrics. Cautionary administration is advised.

Thyrotropin alfa

DB00024

biotech approved vet_approved

Deskripsi

Thyrotropin alfa is a recombinant form of thyroid stimulating hormone used in performing certain tests in patients who have or have had thyroid cancer. It is also used along with a radioactive agent to destroy remaining thyroid tissue in certain patients who have had their thyroid gland removed because of thyroid cancer. It is a heterodimeric glycoprotein comprised of two non-covalently linked subunits, an alpha subunit of 92 amino acid residues containing two N-linked glycosylation sites and a beta subunit of 112 residues containing one N-linked glycosylation site. The alpha subunit of thyrotropin alfa, which is the effector region responsible for the stimulation of adenylate cyclase, displays close structural similarity with the alpha subunit of human chorionic gonadotropin (hCG), luteinizing hormone (LH), and follicle-stimulating hormone (FSH). The beta subunit (TSHB) bestows its receptor specificity due to the uniqueness to TSH. The amino acid sequence of thyrotropin alfa is identical to that of human pituitary thyroid stimulating hormone.

Struktur Molekul 2D

Struktur tidak tersedia

Peta Jejaring Molekuler
Legenda: ObatTargetGenEnzim(Panah → menunjukkan arah efek / relasi)TransporterCarrier

Profil Farmakokinetik

Waktu Paruh (Half-Life) 25 ± 10 hours
Volume Distribusi -
Klirens (Clearance) -

Absorpsi

Time to peak: Median: 10 hours (range: 3-24 hours) After a single intramuscular injection of 0.9 mg of thyrotropin alfa: Cmax= 116+38mU/L, Tmax=22+8.5 hours. AUC=5088+1728 mU·hr/L.

Metabolisme

Data metabolisme tidak tersedia.

Rute Eliminasi

kidney and liver

Interaksi Obat

487 Data
Tolevamer Tolevamer can cause a decrease in the absorption of Thyrotropin alfa resulting in a reduced serum concentration and potentially a decrease in efficacy.
Diethylstilbestrol The therapeutic efficacy of Thyrotropin alfa can be decreased when used in combination with Diethylstilbestrol.
Chlorotrianisene The therapeutic efficacy of Thyrotropin alfa can be decreased when used in combination with Chlorotrianisene.
Conjugated estrogens The therapeutic efficacy of Thyrotropin alfa can be decreased when used in combination with Conjugated estrogens.
Estradiol The therapeutic efficacy of Thyrotropin alfa can be decreased when used in combination with Estradiol.
Ethinylestradiol The therapeutic efficacy of Thyrotropin alfa can be decreased when used in combination with Ethinylestradiol.
Mestranol The therapeutic efficacy of Thyrotropin alfa can be decreased when used in combination with Mestranol.
Estrone sulfate The therapeutic efficacy of Thyrotropin alfa can be decreased when used in combination with Estrone sulfate.
Quinestrol The therapeutic efficacy of Thyrotropin alfa can be decreased when used in combination with Quinestrol.
Hexestrol The therapeutic efficacy of Thyrotropin alfa can be decreased when used in combination with Hexestrol.
Tibolone The therapeutic efficacy of Thyrotropin alfa can be decreased when used in combination with Tibolone.
Synthetic Conjugated Estrogens, A The therapeutic efficacy of Thyrotropin alfa can be decreased when used in combination with Synthetic Conjugated Estrogens, A.
Synthetic Conjugated Estrogens, B The therapeutic efficacy of Thyrotropin alfa can be decreased when used in combination with Synthetic Conjugated Estrogens, B.
Polyestradiol phosphate The therapeutic efficacy of Thyrotropin alfa can be decreased when used in combination with Polyestradiol phosphate.
Esterified estrogens The therapeutic efficacy of Thyrotropin alfa can be decreased when used in combination with Esterified estrogens.
Zeranol The therapeutic efficacy of Thyrotropin alfa can be decreased when used in combination with Zeranol.
Equol The therapeutic efficacy of Thyrotropin alfa can be decreased when used in combination with Equol.
Methallenestril The therapeutic efficacy of Thyrotropin alfa can be decreased when used in combination with Methallenestril.
Epimestrol The therapeutic efficacy of Thyrotropin alfa can be decreased when used in combination with Epimestrol.
Moxestrol The therapeutic efficacy of Thyrotropin alfa can be decreased when used in combination with Moxestrol.
Estradiol acetate The therapeutic efficacy of Thyrotropin alfa can be decreased when used in combination with Estradiol acetate.
Estradiol benzoate The therapeutic efficacy of Thyrotropin alfa can be decreased when used in combination with Estradiol benzoate.
Estradiol cypionate The therapeutic efficacy of Thyrotropin alfa can be decreased when used in combination with Estradiol cypionate.
Estradiol valerate The therapeutic efficacy of Thyrotropin alfa can be decreased when used in combination with Estradiol valerate.
Biochanin A The therapeutic efficacy of Thyrotropin alfa can be decreased when used in combination with Biochanin A.
Formononetin The therapeutic efficacy of Thyrotropin alfa can be decreased when used in combination with Formononetin.
Estriol The therapeutic efficacy of Thyrotropin alfa can be decreased when used in combination with Estriol.
Fluvoxamine The therapeutic efficacy of Thyrotropin alfa can be decreased when used in combination with Fluvoxamine.
Citalopram The therapeutic efficacy of Thyrotropin alfa can be decreased when used in combination with Citalopram.
Fluoxetine The therapeutic efficacy of Thyrotropin alfa can be decreased when used in combination with Fluoxetine.
Duloxetine The therapeutic efficacy of Thyrotropin alfa can be decreased when used in combination with Duloxetine.
Trazodone The therapeutic efficacy of Thyrotropin alfa can be decreased when used in combination with Trazodone.
Paroxetine The therapeutic efficacy of Thyrotropin alfa can be decreased when used in combination with Paroxetine.
Sertraline The therapeutic efficacy of Thyrotropin alfa can be decreased when used in combination with Sertraline.
Sibutramine The therapeutic efficacy of Thyrotropin alfa can be decreased when used in combination with Sibutramine.
Nefazodone The therapeutic efficacy of Thyrotropin alfa can be decreased when used in combination with Nefazodone.
Escitalopram The therapeutic efficacy of Thyrotropin alfa can be decreased when used in combination with Escitalopram.
Zimelidine The therapeutic efficacy of Thyrotropin alfa can be decreased when used in combination with Zimelidine.
Dapoxetine The therapeutic efficacy of Thyrotropin alfa can be decreased when used in combination with Dapoxetine.
Milnacipran The therapeutic efficacy of Thyrotropin alfa can be decreased when used in combination with Milnacipran.
Desvenlafaxine The therapeutic efficacy of Thyrotropin alfa can be decreased when used in combination with Desvenlafaxine.
Seproxetine The therapeutic efficacy of Thyrotropin alfa can be decreased when used in combination with Seproxetine.
Indalpine The therapeutic efficacy of Thyrotropin alfa can be decreased when used in combination with Indalpine.
Ritanserin The therapeutic efficacy of Thyrotropin alfa can be decreased when used in combination with Ritanserin.
Alaproclate The therapeutic efficacy of Thyrotropin alfa can be decreased when used in combination with Alaproclate.
Colesevelam The therapeutic efficacy of Thyrotropin alfa can be decreased when used in combination with Colesevelam.
Calcium acetate The therapeutic efficacy of Thyrotropin alfa can be decreased when used in combination with Calcium acetate.
Calcium glucoheptonate The therapeutic efficacy of Thyrotropin alfa can be decreased when used in combination with Calcium glucoheptonate.
Calcium chloride The therapeutic efficacy of Thyrotropin alfa can be decreased when used in combination with Calcium chloride.
Calcium The therapeutic efficacy of Thyrotropin alfa can be decreased when used in combination with Calcium.
Calcium carbonate The therapeutic efficacy of Thyrotropin alfa can be decreased when used in combination with Calcium carbonate.
Calcium citrate The therapeutic efficacy of Thyrotropin alfa can be decreased when used in combination with Calcium citrate.
Calcium gluconate The therapeutic efficacy of Thyrotropin alfa can be decreased when used in combination with Calcium gluconate.
Calcium Phosphate The therapeutic efficacy of Thyrotropin alfa can be decreased when used in combination with Calcium Phosphate.
Calcium glubionate anhydrous The therapeutic efficacy of Thyrotropin alfa can be decreased when used in combination with Calcium glubionate anhydrous.
Calcium lactate The therapeutic efficacy of Thyrotropin alfa can be decreased when used in combination with Calcium lactate.
Calcium lactate gluconate The therapeutic efficacy of Thyrotropin alfa can be decreased when used in combination with Calcium lactate gluconate.
Calcium pangamate The therapeutic efficacy of Thyrotropin alfa can be decreased when used in combination with Calcium pangamate.
Calcium levulinate The therapeutic efficacy of Thyrotropin alfa can be decreased when used in combination with Calcium levulinate.
Calcium cation The therapeutic efficacy of Thyrotropin alfa can be decreased when used in combination with Calcium cation.
Calcium polycarbophil The therapeutic efficacy of Thyrotropin alfa can be decreased when used in combination with Calcium polycarbophil.
Lanthanum carbonate Lanthanum carbonate can cause a decrease in the absorption of Thyrotropin alfa resulting in a reduced serum concentration and potentially a decrease in efficacy.
Piracetam The risk or severity of confusion, irritability, and sleep disorders can be increased when Thyrotropin alfa is combined with Piracetam.
Metformin The therapeutic efficacy of Metformin can be decreased when used in combination with Thyrotropin alfa.
Vasopressin Thyrotropin alfa may increase the vasoconstricting activities of Vasopressin.
Felypressin Thyrotropin alfa may increase the vasoconstricting activities of Felypressin.
Methysergide Thyrotropin alfa may increase the vasoconstricting activities of Methysergide.
Dihydroergotamine Thyrotropin alfa may increase the vasoconstricting activities of Dihydroergotamine.
Sumatriptan Thyrotropin alfa may increase the vasoconstricting activities of Sumatriptan.
Ergotamine Thyrotropin alfa may increase the vasoconstricting activities of Ergotamine.
Cocaine Thyrotropin alfa may increase the vasoconstricting activities of Cocaine.
Naratriptan Thyrotropin alfa may increase the vasoconstricting activities of Naratriptan.
S-Ethylisothiourea Thyrotropin alfa may increase the vasoconstricting activities of S-Ethylisothiourea.
Terlipressin Thyrotropin alfa may increase the vasoconstricting activities of Terlipressin.
Calyculin A Thyrotropin alfa may increase the vasoconstricting activities of Calyculin A.
Xylometazoline Thyrotropin alfa may increase the vasoconstricting activities of Xylometazoline.
Levonordefrin The risk or severity of adverse effects can be increased when Levonordefrin is combined with Thyrotropin alfa.
Naphazoline The risk or severity of adverse effects can be increased when Naphazoline is combined with Thyrotropin alfa.
Cirazoline Thyrotropin alfa may increase the vasoconstricting activities of Cirazoline.
Angiotensin II Thyrotropin alfa may increase the vasoconstricting activities of Angiotensin II.
Octopamine Thyrotropin alfa may increase the vasoconstricting activities of Octopamine.
Adrenalone Thyrotropin alfa may increase the vasoconstricting activities of Adrenalone.
Ornipressin Thyrotropin alfa may increase the vasoconstricting activities of Ornipressin.
Angiotensinamide Thyrotropin alfa may increase the vasoconstricting activities of Angiotensinamide.
Lypressin Thyrotropin alfa may increase the vasoconstricting activities of Lypressin.
Aminosalicylic acid The therapeutic efficacy of Thyrotropin alfa can be increased when used in combination with Aminosalicylic acid.
Mesalazine The therapeutic efficacy of Thyrotropin alfa can be increased when used in combination with Mesalazine.
Sulfasalazine The therapeutic efficacy of Thyrotropin alfa can be increased when used in combination with Sulfasalazine.
Diflunisal The therapeutic efficacy of Thyrotropin alfa can be increased when used in combination with Diflunisal.
Salicylic acid The therapeutic efficacy of Thyrotropin alfa can be increased when used in combination with Salicylic acid.
Acetylsalicylic acid The therapeutic efficacy of Thyrotropin alfa can be increased when used in combination with Acetylsalicylic acid.
Balsalazide The therapeutic efficacy of Thyrotropin alfa can be increased when used in combination with Balsalazide.
Olsalazine The therapeutic efficacy of Thyrotropin alfa can be increased when used in combination with Olsalazine.
Bismuth subsalicylate The therapeutic efficacy of Thyrotropin alfa can be increased when used in combination with Bismuth subsalicylate.
Dersalazine The therapeutic efficacy of Thyrotropin alfa can be increased when used in combination with Dersalazine.
Phenyl aminosalicylate The therapeutic efficacy of Thyrotropin alfa can be increased when used in combination with Phenyl aminosalicylate.
Methyl salicylate The therapeutic efficacy of Thyrotropin alfa can be increased when used in combination with Methyl salicylate.
Nitroaspirin The therapeutic efficacy of Thyrotropin alfa can be increased when used in combination with Nitroaspirin.
Aloxiprin The therapeutic efficacy of Thyrotropin alfa can be increased when used in combination with Aloxiprin.
Guacetisal The therapeutic efficacy of Thyrotropin alfa can be increased when used in combination with Guacetisal.

Target Protein

Thyrotropin receptor TSHR

Referensi & Sumber

Synthesis reference: 19366632

Contoh Produk & Brand

Produk: 5 • International brands: 0
Produk
  • Thyrogen
    Injection, powder, lyophilized, for solution • 0.9 mg/1mL • Intramuscular • US • Approved
  • Thyrogen
    Injection, powder, for solution; Kit • 0.9 mg/1mL • Intramuscular • US • Approved
  • Thyrogen
    Powder, for solution • 0.9 mg / vial • Intramuscular • Canada • Approved
  • Thyrogen
    Injection, powder, for solution • 0.9 mg • Intramuscular • EU • Approved
  • Thyrogen
    Injection, powder, for solution • 0.9 mg • Intramuscular • EU • Approved

Sekuens Gen/Protein (FASTA)

Sekuens dimuat saat dibutuhkan agar halaman tetap ringan.
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