Natural Treatment Of Gynecomastia Exercise

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4.7 stars out of 13 votes

Contents: Ebook
Author: Bryan McCluskey
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Adverse Reactions And Drug Interactions

The H2 receptor antagonists generally are well tolerated, with a low (< 3 ) incidence of adverse effects including diarrhea, headache, drowsiness, fatigue, muscular pain, and constipation. Less common adverse effects include those affecting the CNS (confusion, delirium, hallucinations, slurred speech, and headaches), which occur primarily with intravenous administration or in elderly subjects. Long-term use of cimetidine at high doses decreases testosterone binding to the androgen receptor and inhibits a CYP that hydroxylates estradiol. Clinically, these effects can cause galactorrhea in women and gynecomastia, reduced sperm count, and impotence in men. Several reports have associated H2 receptor antagonists with various blood dyscrasias, including thrombocytopenia. H2 receptor antagonists cross the placenta and are excreted in breast milk.

Side Effects And Toxicology

As was discussed earlier in this chapter, fluoxetine is unlikely to alter DA function nonetheless, some side effects, such as hyperprolactinemia, extrapyramidal symptoms, sexual and cognitive dysfunction, galactorrhea, mammary hypertrophy, and gynecomastia, have been attributed to SSRI effects on the dopaminergic system (Damsa et al. 2004). Anecdotal reports of EPS (Meltzer et al. 1979) associated with SSRIs are not more frequent than those reported historically with TCAs (Fann et al. 1976 Zubenko et al. 1987), MAOIs (Teusink et al. 1984), or trazodone (Papini et al. 1982). Very rare events, including arthralgia, lymphadenopathy, syndrome of inappropriate antidiuretic hormone (SIADH) secretion, agranulocytosis, and hypoglycemia, have been reported during clinical trials or postmarketing surveillance however, causality typically is uncertain.

Ketoconazole Safety and side reactions

Gynecomastia detected as a side effect of ketoconazole treatment led to a thorough investigation of its interference with sterol metabolism as a consequence, treatment of human breast cancer, 6.383, 6.384 human pancreatic carci-noma, 6.384 human colonic adenocarcinoma, 6.384, 6.385 and leukemia has been attempted. 6.384, 6.386 Beneficial effects of ketoconazole on melanoma tumor, 6.387 rat pituitary cells, 6.388 and on the metastasis of pancreatic adenocarcinoma have been seen. 6.389 In particular, treatment of human prostate can-cer, 6.320, 6.383, 6.384, 6.390, 6.391, 6.392 seems hopeful, though the drug has not been generally accepted as a remedy for hormone-related cancers. 6.392 The potential activity against the latter is connected with a transient decrease of plasma testosterone and 4-androstenedione levels during treatment, and an increase in plasma 17-hydroxyprogesterone after a high-doses regime of ketoco-nazole.

Late Distal Tubule And Collecting Duct

Blood Dyscrasias Chart

Salicylates may reduce the tubular secretion and decrease the diuretic efficacy of spironolactone, and spironolactone may alter the clearance of cardiac glycosides. Owing to its effects on other steroid receptors, spironolactone may cause gynecomastia, impotence, decreased libido, and menstrual irregularities. Spironolactone also may induce diarrhea, gastritis, gastric bleeding, and peptic ulcers (the drug is contraindicated in patients with peptic ulcers). CNS adverse effects include drowsiness, lethargy, ataxia, confusion, and headache. Spironolactone may cause rashes and, rarely, blood dyscrasias. Whether therapeutic doses of spironolactone can induce malignancies remains an open question. Strong inhibitors of CYP3A4 (see Chapter 3) may increase plasma levels of eplerenone such drugs should not be administered to patients taking eplerenone, and vice versa. Other than hyperkalemia and GI disorders, the rate of adverse events for eplerenone is similar to that of placebo.

Antiandrogen Therapy In Prostate Cancer

Common side effects of all forms of antiandrogen hormonal therapy include vasomotor flushing, loss of libido, gynecomastia, increased weight, decreased bone mineral density (BMD), and loss of muscle mass. There is variability to these side effects. For example, AR blockers cause more gynecomastia compared with GnRH agonists but less vasomotor flushing and loss of BMD. Importantly, the increased cardiovascular toxicity observed with high doses of estrogen is not observed with other forms of ADT.

The Most Common Signs of Alcohol Addiction

Alcohol consumption and abuse can have a variety of cutaneous manifestations, including palmar erythema and spider angioma (also known as spider telangiec-tasis, arterial spider, spider nevus, or nevus araneus) 57 . Alcohol can also induce diseases disease states with dermatologic manifestations 57 . Many endocrine changes are seen in patients with chronic alcoholism. Signs of hypogonadism and hyperestrogenism are seen in male patients. Hypogonadism is manifested by loss of libido and potency, testicular atrophy, reduced fertility, and reduced facial hair growth 57 . Gynecomastia, vascular spiders, changes in fat distribution, loss of body hair, and change of pubic hair to a female distribution 57 manifest hyperestrogenism. In contrast, female patients with alcoholism rarely manifest signs of masculinization. They may demonstrate breast atrophy or menstrual irregularities 57 . a. Gynecomastia

Vitex agnuscastus L

Chaste tree fruit has a long history of use in the treatment of gynecological conditions and, specifically, for promoting fertility. Numerous clinical trials support its use as a dop-aminergic agonist and prolactin inhibitor with clinical efficacy demonstrated for gynecomastia, PMS, and menopausal symptoms. A number of different species of Vitex are traded, including species from China and India (e.g., V. negundo, V. rotundifolia, V. trifolia). These other species are used for different indications than those for Vitex agnus-castus.

Estramustine

Of metastatic or progressive prostate cancer at a usual initial dose of 10-16 mg kg daily in 3 or 4 divided doses. Following oral administration, at least 75 of a dose of estramustine is absorbed from the GI tract and rapidly dephosphorylated. Estramustine is found in the body mainly as its oxidized 17-keto analog isomer, estromustine both forms accumulate in the prostate. Some hydrolysis of the carbamate linkage occurs in the liver, releasing estradiol, estrone, and the normustine group. Estramustine and estromustine have plasma t1 2 of 10-20 hours, respectively, and are excreted with their metabolites, mainly in the feces. In addition to myelosuppression, estramustine also possesses estrogenic side effects (gynecomastia, impotence, and elevated risk of thrombosis, and fluid retention) and is associated with hypercalcemia, acute attacks of porphyria, impaired glucose tolerance, and hypersensitivity reactions including angioedema.

Antiandrogens

Androgen antagonists37 bind to the receptor and prevent binding of the natural steroids, but they do not produce the correct conformational change in the receptor that is essential to elicit normal changes in gene expression. Cyproterone is a steroidal antiandrogen that was initially developed as a synthetic gestagen to be used as a contraceptive, but the observation of feminization of the offspring in gestating rats led to its identification as a competitive inhibitor of the AR. It is used in prostatic carcinoma, but its side effects of gynecomastia and edema, which can be attributed to its analogy with natural gestagens and glucocorticoids, respectively, stimulated the search for nonsteroidal compounds with pure antiandrogenic action (SARM, selective androgen receptor modulators).

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