"ଟୋରେମିଫେନ" ପୃଷ୍ଠାର ସଂସ୍କରଣଗୁଡ଼ିକ ମଧ୍ୟରେ ତଫାତ
{{ଛୋଟ|Toremifene}} ଲେଖାଗଲା ଟ୍ୟାଗ: 2017 source edit |
Mr. Ibrahem (ଆଲୋଚନା | ଅବଦାନ) Fix references, Expend infobox mdwiki.toolforge.org. |
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୧ କ ଧାଡ଼ି: | ୧ କ ଧାଡ଼ି: | ||
{{ଛୋଟ|Toremifene}} |
{{ଛୋଟ|Toremifene}} |
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{{Infobox drug |
{{Infobox drug |
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| IUPAC_name = 2-[4-[(1''Z'')-4-Chloro-1,2-diphenyl-but-1-en-1-yl]phenoxy]-''N'',''N''-dimethylethanamine |
| IUPAC_name = 2-[4-[(1''Z'')-4-Chloro-1,2-diphenyl-but-1-en-1-yl]phenoxy]-''N'',''N''-dimethylethanamine |
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<!-- Clinical data -->| image = Toremifene.svg |
<!-- Clinical data --> |
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| image = Toremifene.svg |
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| width = 250px |
| width = 250px |
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| image2 = Toremifene molecule ball.png |
| image2 = Toremifene molecule ball.png |
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| width2 = 250px |
| width2 = 250px |
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<!-- Names -->| pronounce = {{IPAc-en|ˈ|t|ɔːr|ə|m|ɪ|f|iː|n}} |
<!-- Names --> |
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| pronounce = {{IPAc-en|ˈ|t|ɔːr|ə|m|ɪ|f|iː|n}} |
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| tradename = Fareston, others |
| tradename = Fareston, others |
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| Drugs.com = {{drugs.com|monograph|fareston}} |
| Drugs.com = {{drugs.com|monograph|fareston}} |
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| MedlinePlus = a608003 |
| MedlinePlus = a608003 |
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<!-- Legal data -->| licence_EU = yes |
<!-- Legal data --> |
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| licence_EU = yes |
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<!-- Pharmacokinetic data -->| pregnancy_AU = <!-- A / B1 / B2 / B3 / C / D / X --> |
<!-- Pharmacokinetic data --> |
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| pregnancy_AU = <!-- A / B1 / B2 / B3 / C / D / X --> |
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| pregnancy_US = <!-- A / B / C / D / X --> |
| pregnancy_US = <!-- A / B / C / D / X --> |
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| pregnancy_category |
| pregnancy_category= |
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| legal_AU = <!-- Unscheduled / S2 / S4 / S8 --> |
| legal_AU = <!-- Unscheduled / S2 / S4 / S8 --> |
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| legal_UK = <!-- GSL / P / POM / CD --> |
| legal_UK = <!-- GSL / P / POM / CD --> |
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| legal_US = <!-- OTC / Rx-only --> |
| legal_US = <!-- OTC / Rx-only --> |
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| legal_status |
| legal_status = |
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| routes_of_administration |
| routes_of_administration= [[Oral administration|By mouth]] |
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| bioavailability = Good/~100%<ref name="pmid11108432">{{cite journal | vauthors = Taras TL, Wurz GT, Linares GR, DeGregorio MW | title = Clinical pharmacokinetics of toremifene | journal = Clin Pharmacokinet | volume = 39 | issue = 5 | pages = 327–34 | date = November 2000 | pmid = 11108432 | doi = 10.2165/00003088-200039050-00002 }}</ref><ref name="Jr.Lawrence2015">{{cite book|author1=Vincent T. DeVita Jr.|author2=Theodore S. Lawrence|author3=Steven A. Rosenberg|title=DeVita, Hellman, and Rosenberg's Cancer: Principles & Practice of Oncology|url=https://books.google.com/books?id=HEAYBgAAQBAJ&pg=PT1126|date=7 January 2015|publisher=Wolters Kluwer Health|isbn=978-1-4698-9455-3|pages=1126–|access-date=25 May 2021|archive-date=14 April 2020|archive-url=https://web.archive.org/web/20200414151036/https://books.google.com/books?id=HEAYBgAAQBAJ&pg=PT1126|url-status=live}}</ref> |
| bioavailability = Good/~100%<ref name="pmid11108432">{{cite journal | vauthors = Taras TL, Wurz GT, Linares GR, DeGregorio MW | title = Clinical pharmacokinetics of toremifene | journal = Clin Pharmacokinet | volume = 39 | issue = 5 | pages = 327–34 | date = November 2000 | pmid = 11108432 | doi = 10.2165/00003088-200039050-00002 }}</ref><ref name="Jr.Lawrence2015">{{cite book|author1=Vincent T. DeVita Jr.|author2=Theodore S. Lawrence|author3=Steven A. Rosenberg|title=DeVita, Hellman, and Rosenberg's Cancer: Principles & Practice of Oncology|url=https://books.google.com/books?id=HEAYBgAAQBAJ&pg=PT1126|date=7 January 2015|publisher=Wolters Kluwer Health|isbn=978-1-4698-9455-3|pages=1126–|access-date=25 May 2021|archive-date=14 April 2020|archive-url=https://web.archive.org/web/20200414151036/https://books.google.com/books?id=HEAYBgAAQBAJ&pg=PT1126|url-status=live}}</ref> |
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| protein_bound = 99.7%<ref name="pmid11108432" /> |
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| protein_bound = 99.7%<ref name="pmid11108432">{{cite journal | vauthors = Taras TL, Wurz GT, Linares GR, DeGregorio MW | title = Clinical pharmacokinetics of toremifene | journal = Clin Pharmacokinet | volume = 39 | issue = 5 | pages = 327–34 | date = November 2000 | pmid = 11108432 | doi = 10.2165/00003088-200039050-00002 }}</ref> |
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| metabolism = [[Liver]] ([[CYP3A4]])<ref name="RosenthalBurchum2017" /><ref name="Jr.Lawrence2015" /> |
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| metabolism = [[Liver]] ([[CYP3A4]])<ref name="RosenthalBurchum2017">{{cite book|author1=Laura Rosenthal|author2=Jacqueline Burchum|title=Lehne's Pharmacotherapeutics for Advanced Practice Providers - E-Book|url=https://books.google.com/books?id=gfYoDgAAQBAJ&pg=PA931|date=17 February 2017|publisher=Elsevier Health Sciences|isbn=978-0-323-44779-9|pages=931–|access-date=25 May 2021|archive-date=29 August 2021|archive-url=https://web.archive.org/web/20210829091617/https://books.google.com/books?id=gfYoDgAAQBAJ&pg=PA931|url-status=live}}</ref><ref name="Jr.Lawrence2015">{{cite book|author1=Vincent T. DeVita Jr.|author2=Theodore S. Lawrence|author3=Steven A. Rosenberg|title=DeVita, Hellman, and Rosenberg's Cancer: Principles & Practice of Oncology|url=https://books.google.com/books?id=HEAYBgAAQBAJ&pg=PT1126|date=7 January 2015|publisher=Wolters Kluwer Health|isbn=978-1-4698-9455-3|pages=1126–|access-date=25 May 2021|archive-date=14 April 2020|archive-url=https://web.archive.org/web/20200414151036/https://books.google.com/books?id=HEAYBgAAQBAJ&pg=PT1126|url-status=live}}</ref> |
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| metabolites = N-Desmethyltoremifene; 4-Hydroxytoremifene; [[Ospemifene]]<ref name="ChabnerLongo2011">{{cite book|author1=Bruce A. Chabner|author2=Dan L. Longo|title=Cancer Chemotherapy and Biotherapy: Principles and Practice|url=https://books.google.com/books?id=0U4aj4GZWCIC&pg=PA659|date=7 December 2011|publisher=Lippincott Williams & Wilkins|isbn=978-1-4511-4820-6|pages=659–|access-date=25 May 2021|archive-date=20 June 2017|archive-url=https://web.archive.org/web/20170620212114/https://books.google.com/books?id=0U4aj4GZWCIC|url-status=live}}</ref><ref name="Toremifene-Label">{{Cite web |url=https://www.accessdata.fda.gov/drugsatfda_docs/label/2011/020497s006lbl.pdf |title=Archive copy |access-date=2021-05-25 |archive-date=2021-03-31 |archive-url=https://web.archive.org/web/20210331062216/https://www.accessdata.fda.gov/drugsatfda_docs/label/2011/020497s006lbl.pdf |url-status=live }}</ref> |
| metabolites = N-Desmethyltoremifene; 4-Hydroxytoremifene; [[Ospemifene]]<ref name="ChabnerLongo2011">{{cite book|author1=Bruce A. Chabner|author2=Dan L. Longo|title=Cancer Chemotherapy and Biotherapy: Principles and Practice|url=https://books.google.com/books?id=0U4aj4GZWCIC&pg=PA659|date=7 December 2011|publisher=Lippincott Williams & Wilkins|isbn=978-1-4511-4820-6|pages=659–|access-date=25 May 2021|archive-date=20 June 2017|archive-url=https://web.archive.org/web/20170620212114/https://books.google.com/books?id=0U4aj4GZWCIC|url-status=live}}</ref><ref name="Toremifene-Label">{{Cite web |url=https://www.accessdata.fda.gov/drugsatfda_docs/label/2011/020497s006lbl.pdf |title=Archive copy |access-date=2021-05-25 |archive-date=2021-03-31 |archive-url=https://web.archive.org/web/20210331062216/https://www.accessdata.fda.gov/drugsatfda_docs/label/2011/020497s006lbl.pdf |url-status=live }}</ref> |
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| onset |
| onset = |
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| elimination_half-life= Toremifene: 3–7 days<ref name="pmid11108432" /><br />Metabolites: 4–21 days<ref name="Jr.Lawrence2015" /><ref name="Toremifene-Label" /><ref name="pmid11108432" /> |
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| elimination_half-life = Toremifene: 3–7 days<ref name="pmid11108432">{{cite journal | vauthors = Taras TL, Wurz GT, Linares GR, DeGregorio MW | title = Clinical pharmacokinetics of toremifene | journal = Clin Pharmacokinet | volume = 39 | issue = 5 | pages = 327–34 | date = November 2000 | pmid = 11108432 | doi = 10.2165/00003088-200039050-00002 }}</ref><br />Metabolites: 4–21 days<ref name="Jr.Lawrence2015">{{cite book|author1=Vincent T. DeVita Jr.|author2=Theodore S. Lawrence|author3=Steven A. Rosenberg|title=DeVita, Hellman, and Rosenberg's Cancer: Principles & Practice of Oncology|url=https://books.google.com/books?id=HEAYBgAAQBAJ&pg=PT1126|date=7 January 2015|publisher=Wolters Kluwer Health|isbn=978-1-4698-9455-3|pages=1126–|access-date=25 May 2021|archive-date=14 April 2020|archive-url=https://web.archive.org/web/20200414151036/https://books.google.com/books?id=HEAYBgAAQBAJ&pg=PT1126|url-status=live}}</ref><ref name="Toremifene-Label">{{Cite web |url=https://www.accessdata.fda.gov/drugsatfda_docs/label/2011/020497s006lbl.pdf |title=Archive copy |access-date=2021-05-25 |archive-date=2021-03-31 |archive-url=https://web.archive.org/web/20210331062216/https://www.accessdata.fda.gov/drugsatfda_docs/label/2011/020497s006lbl.pdf |url-status=live }}</ref><ref name="pmid11108432">{{cite journal | vauthors = Taras TL, Wurz GT, Linares GR, DeGregorio MW | title = Clinical pharmacokinetics of toremifene | journal = Clin Pharmacokinet | volume = 39 | issue = 5 | pages = 327–34 | date = November 2000 | pmid = 11108432 | doi = 10.2165/00003088-200039050-00002 }}</ref> |
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| duration_of_action |
| duration_of_action= |
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| excretion = [[Feces]]: 70% (as metabolites)<ref name="Jr.Lawrence2015" /> |
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| excretion = [[Feces]]: 70% (as metabolites)<ref name="Jr.Lawrence2015">{{cite book|author1=Vincent T. DeVita Jr.|author2=Theodore S. Lawrence|author3=Steven A. Rosenberg|title=DeVita, Hellman, and Rosenberg's Cancer: Principles & Practice of Oncology|url=https://books.google.com/books?id=HEAYBgAAQBAJ&pg=PT1126|date=7 January 2015|publisher=Wolters Kluwer Health|isbn=978-1-4698-9455-3|pages=1126–|access-date=25 May 2021|archive-date=14 April 2020|archive-url=https://web.archive.org/web/20200414151036/https://books.google.com/books?id=HEAYBgAAQBAJ&pg=PT1126|url-status=live}}</ref> |
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<!-- Chemical and physical data -->| synonyms = (''Z'')-Toremifene; 4-Chlorotamoxifen; 4-CT; Acapodene; CCRIS-8745; FC-1157; FC-1157a; GTx-006; NK-622; NSC-613680 |
<!-- Chemical and physical data --> |
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| synonyms = (''Z'')-Toremifene; 4-Chlorotamoxifen; 4-CT; Acapodene; CCRIS-8745; FC-1157; FC-1157a; GTx-006; NK-622; NSC-613680 |
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| C = 26 |
| C = 26 |
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| Cl = 1 |
| Cl = 1 |
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| H = 28 |
| H = 28 |
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| N = 1 |
| N = 1 |
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| O = 1 |
| O = 1 |
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| SMILES = ClCCC(/c1ccccc1)=C(/c2ccc(OCCN(C)C)cc2)c3ccccc3 |
| SMILES = ClCCC(/c1ccccc1)=C(/c2ccc(OCCN(C)C)cc2)c3ccccc3 |
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| StdInChI = 1S/C26H28ClNO/c1-28(2)19-20-29-24-15-13-23(14-16-24)26(22-11-7-4-8-12-22)25(17-18-27)21-9-5-3-6-10-21/h3-16H,17-20H2,1-2H3/b26-25- |
| StdInChI = 1S/C26H28ClNO/c1-28(2)19-20-29-24-15-13-23(14-16-24)26(22-11-7-4-8-12-22)25(17-18-27)21-9-5-3-6-10-21/h3-16H,17-20H2,1-2H3/b26-25- |
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| StdInChIKey = XFCLJVABOIYOMF-QPLCGJKRSA-N |
| StdInChIKey = XFCLJVABOIYOMF-QPLCGJKRSA-N |
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| StdInChIKey_Ref = {{stdinchicite|correct|chemspider}} |
| StdInChIKey_Ref = {{stdinchicite|correct|chemspider}} |
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| StdInChI_Ref = {{stdinchicite|correct|chemspider}} |
| StdInChI_Ref = {{stdinchicite|correct|chemspider}} |
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| verifiedrevid = 470611877 |
| verifiedrevid = 470611877 |
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}} |
}} |
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'''ଟୋରେମିଫେନ ('''[[ଇଂରାଜୀ ଭାଷା|ଇଂରାଜୀ ଭାଷାରେ]] '''Toremifene),''' ଅନ୍ୟମାନଙ୍କ ମଧ୍ୟରେ '''ଫାରେଷ୍ଟନ୍''' ଏକ ବେପାର ନାମ, ହେଉଛି ଏକ ଔଷଧ ଯାହା ମୁଖ୍ୟତଃ [[ଋତୁବନ୍ଦ]] ମହିଳାମାନଙ୍କର ଆଗେଇ ଯାଇଥିବା ସ୍ତନ କର୍କଟ ରୋଗର ଚିକିତ୍ସା ପାଇଁ ବ୍ୟବହୃତ ହୁଏ ।<ref name="AHFS2021">{{Cite web |title=Toremifene Monograph for Professionals |url=https://www.drugs.com/monograph/toremifene.html |url-status=live |archive-url=https://web.archive.org/web/20210120044145/https://www.drugs.com/monograph/toremifene.html |archive-date=20 January 2021 |access-date=8 October 2021 |website=Drugs.com |language=en}}</ref> ଏହା [[ପ୍ରୋସ୍ଟେଟ କର୍କଟ|ପ୍ରୋଷ୍ଟେଟ କର୍କଟର]] ପ୍ରତିରୋଧ ପାଇଁ ମଧ୍ୟ ବ୍ୟବହୃତ ହୋଇପାରେ। <ref name="AHFS2021" |
'''ଟୋରେମିଫେନ ('''[[ଇଂରାଜୀ ଭାଷା|ଇଂରାଜୀ ଭାଷାରେ]] '''Toremifene),''' ଅନ୍ୟମାନଙ୍କ ମଧ୍ୟରେ '''ଫାରେଷ୍ଟନ୍''' ଏକ ବେପାର ନାମ, ହେଉଛି ଏକ ଔଷଧ ଯାହା ମୁଖ୍ୟତଃ [[ଋତୁବନ୍ଦ]] ମହିଳାମାନଙ୍କର ଆଗେଇ ଯାଇଥିବା ସ୍ତନ କର୍କଟ ରୋଗର ଚିକିତ୍ସା ପାଇଁ ବ୍ୟବହୃତ ହୁଏ ।<ref name="AHFS2021">{{Cite web |title=Toremifene Monograph for Professionals |url=https://www.drugs.com/monograph/toremifene.html |url-status=live |archive-url=https://web.archive.org/web/20210120044145/https://www.drugs.com/monograph/toremifene.html |archive-date=20 January 2021 |access-date=8 October 2021 |website=Drugs.com |language=en}}</ref> ଏହା [[ପ୍ରୋସ୍ଟେଟ କର୍କଟ|ପ୍ରୋଷ୍ଟେଟ କର୍କଟର]] ପ୍ରତିରୋଧ ପାଇଁ ମଧ୍ୟ ବ୍ୟବହୃତ ହୋଇପାରେ। <ref name="AHFS2021" /> ଏହା ପାଟିରେ ଦିଆଯାଏ ।<ref name="AHFS2021" /> |
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ସାଧାରଣ ପାର୍ଶ୍ୱ ପ୍ରତିକ୍ରିୟାରେ ମୁହଁ ଗରମ ଯୁକ୍ତ ଲାଲ, ଝାଳ ବୋହିବା, [[ଅଇ|ଅଇ,]] [[ବାନ୍ତି]], ମୁଣ୍ଡ ବୁଲାଇବା, [[ଯୋନୀ ସ୍ରାବ|ଯୋନୀ ସ୍ରାବ ହେବା]] ଏବଂ [[ଯୋନୀପଥ ରକ୍ତସ୍ରାବ|ଯୋନୀ ରକ୍ତସ୍ରାବ]] ହୋଇପାରେ ।<ref name="AHFS2021" |
ସାଧାରଣ ପାର୍ଶ୍ୱ ପ୍ରତିକ୍ରିୟାରେ ମୁହଁ ଗରମ ଯୁକ୍ତ ଲାଲ, ଝାଳ ବୋହିବା, [[ଅଇ|ଅଇ,]] [[ବାନ୍ତି]], ମୁଣ୍ଡ ବୁଲାଇବା, [[ଯୋନୀ ସ୍ରାବ|ଯୋନୀ ସ୍ରାବ ହେବା]] ଏବଂ [[ଯୋନୀପଥ ରକ୍ତସ୍ରାବ|ଯୋନୀ ରକ୍ତସ୍ରାବ]] ହୋଇପାରେ ।<ref name="AHFS2021" /> ଏହା ରକ୍ତ ଜମାଟ ବାନ୍ଧିବା, [[ଅନିୟମିତ ହୃତ୍ ସ୍ପନ୍ଦନ|ଅନିୟମିତ ହୃଦସ୍ପନ୍ଦନ]], [[ପରଳ|ମୋତିଆବିନ୍ଦୁ]], ଦୃଷ୍ଟିହାନୀ, ଅଧିକ ଯକୃତ ଏନଜାଇମ୍, ଏଣ୍ଡୋମେଟ୍ରିଆଲ୍ ହାଇପରପ୍ଲାସିଆ ଏବଂ [[ଗର୍ଭାଶୟ ଅନ୍ତଃସ୍ତର କର୍କଟ]] ରୋଗ ମଧ୍ୟ ସୃଷ୍ଟି କରିପାରେ ।<ref name="AHFS2021" /> ଅସ୍ଥି ମେଟାଷ୍ଟାସିସ ଥିବା ମହିଳାମାନଙ୍କଠାରେ [[ହାଇପରକ୍ୟାଲସେମିଆ|ଉଚ୍ଚ ରକ୍ତ କ୍ୟାଲସିୟମ୍ ସ୍ତର]] ହୋଇପାରେ ।<ref name="AHFS2021" /> |
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ଏହି ଔଷଧ ହେଉଛି ଏକ ଚୟନକୃତ ଏଷ୍ଟ୍ରୋଜେନ୍ ରିସେପ୍ଟର ମୋଡ୍ୟୁଲେଟର (SERM) ଏବଂ ତେଣୁ ଏହା ଜୈବିକ ଲକ୍ଷଧାରୀ ଏଷ୍ଟ୍ରାଡିଓଲ ଭଳି ଏକ ମିଶ୍ରିତ ଆଗୋନିଷ୍ଟ-ଆଣ୍ଟାଗୋନିଷ୍ଟ ଅଭିଗ୍ରାହକ ।<ref name="RosenthalBurchum2017">{{ |
ଏହି ଔଷଧ ହେଉଛି ଏକ ଚୟନକୃତ ଏଷ୍ଟ୍ରୋଜେନ୍ ରିସେପ୍ଟର ମୋଡ୍ୟୁଲେଟର (SERM) ଏବଂ ତେଣୁ ଏହା ଜୈବିକ ଲକ୍ଷଧାରୀ ଏଷ୍ଟ୍ରାଡିଓଲ ଭଳି ଏକ ମିଶ୍ରିତ ଆଗୋନିଷ୍ଟ-ଆଣ୍ଟାଗୋନିଷ୍ଟ ଅଭିଗ୍ରାହକ ।<ref name="RosenthalBurchum2017">{{cite book|author1=Laura Rosenthal|author2=Jacqueline Burchum|title=Lehne's Pharmacotherapeutics for Advanced Practice Providers - E-Book|url=https://books.google.com/books?id=gfYoDgAAQBAJ&pg=PA931|date=17 February 2017|publisher=Elsevier Health Sciences|isbn=978-0-323-44779-9|pages=931–|access-date=25 May 2021|archive-date=29 August 2021|archive-url=https://web.archive.org/web/20210829091617/https://books.google.com/books?id=gfYoDgAAQBAJ&pg=PA931|url-status=live}}</ref> <ref name="SchiffArrillaga2017">{{Cite book |last=David Schiff |url=https://books.google.com/books?id=wQI2DwAAQBAJ&pg=PA296 |title=Cancer Neurology in Clinical Practice: Neurological Complications of Cancer and its Treatment |last2=Isabel Arrillaga |last3=Patrick Y. Wen |date=16 September 2017 |publisher=Humana Press |isbn=978-3-319-57901-6 |pages=296– |access-date=25 May 2021 |archive-url=https://web.archive.org/web/20210829091612/https://books.google.com/books?id=wQI2DwAAQBAJ&pg=PA296 |archive-date=29 August 2021 |url-status=live}}</ref> ଏହାର [[ହାଡ଼]], ଗର୍ଭାଶୟ ଓ [[ଯକୃତ]] ଉପରେ ଏଷ୍ଟ୍ରୋଜେନିକ ପ୍ରଭାବ ଏବଂ [[ସ୍ତନ|ସ୍ତନ ଉପରେରେ]] ଆଣ୍ଟିଏଷ୍ଟ୍ରୋଜେନିକ୍ ପ୍ରଭାବ ରହିଛି ।<ref name="MillerIngle2002">{{Cite book |last=William R. Miller |url=https://books.google.com/books?id=00_LBQAAQBAJ&pg=PA55 |title=Endocrine Therapy in Breast Cancer |last2=James N. Ingle |date=8 March 2002 |publisher=CRC Press |isbn=978-0-203-90983-6 |pages=55–57 |access-date=25 May 2021 |archive-url=https://web.archive.org/web/20200219010243/https://books.google.com/books?id=00_LBQAAQBAJ&pg=PA55 |archive-date=19 February 2020 |url-status=live}}</ref> <ref name="MorrowJordan2003">{{Cite book |last=Monica Morrow |url=https://books.google.com/books?id=HXKibhaF5lMC&pg=PA192 |title=Managing Breast Cancer Risk |last2=Virgil Craig Jordan |publisher=PMPH-USA |year=2003 |isbn=978-1-55009-260-8 |pages=192– |access-date=2021-05-25 |archive-url=https://web.archive.org/web/20210829091612/https://books.google.com/books?id=HXKibhaF5lMC&pg=PA192 |archive-date=2021-08-29 |url-status=live}}</ref> <ref name="ScholarlyEditions2013">{{Cite book |url=https://books.google.com/books?id=AAzZGOf6rl0C&pg=PT51 |title=Selective Estrogen Receptor Modulators—Advances in Research and Application: 2013 Edition: ScholarlyBrief |date=1 May 2013 |publisher=ScholarlyEditions |isbn=978-1-4901-0447-8 |pages=51– |access-date=25 May 2021 |archive-url=https://web.archive.org/web/20210829091613/https://books.google.com/books?id=AAzZGOf6rl0C&pg=PT51 |archive-date=29 August 2021 |url-status=live}}</ref> <ref name="RosenthalBurchum2017" /> ଏହା ଏକ ଟ୍ରାଇଫିନାଇଲଏଥିଲିନ୍ ବ୍ୟୁତ୍ପନ୍ନ ଏବଂ [[ଟାମୋକ୍ସିଫେନ|ଟାମୋକ୍ସିଫେନ୍]] ସହିତ ନିବିଡ଼ ସମ୍ପର୍କ ଅଛି ।<ref name="CanoAlsina2006">{{Cite book |last=Antonio Cano |url=https://books.google.com/books?id=heJDAAAAQBAJ&pg=PA52 |title=Selective Estrogen Receptor Modulators: A New Brand of Multitarget Drugs |last2=Joacquim Calaf i Alsina |last3=Jose Luis Duenas-Diez |date=22 September 2006 |publisher=Springer Science & Business Media |isbn=978-3-540-34742-2 |pages=52– |access-date=25 May 2021 |archive-url=https://web.archive.org/web/20210624212016/https://books.google.com/books?id=heJDAAAAQBAJ&pg=PA52 |archive-date=24 June 2021 |url-status=live}}</ref> |
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୧୯୯୬ ମସିହାରେ ୟୁରୋପରେ ଏବଂ ୧୯୯୭ରେ ଯୁକ୍ତରାଷ୍ଟ୍ରରେ ଚିକିତ୍ସା ପାଇଁ ଟୋରେମିଫେନ ଅନୁମୋଦିତ ହୋଇଥିଲା ।<ref name="EPAR2021">{{Cite web |title=Fareston |url=https://www.ema.europa.eu/en/medicines/human/EPAR/fareston |url-status=live |archive-url=https://web.archive.org/web/20201125065417/https://www.ema.europa.eu/en/medicines/human/EPAR/fareston |archive-date=25 November 2020 |access-date=8 October 2021}}</ref> <ref name="AHFS2021" |
୧୯୯୬ ମସିହାରେ ୟୁରୋପରେ ଏବଂ ୧୯୯୭ରେ ଯୁକ୍ତରାଷ୍ଟ୍ରରେ ଚିକିତ୍ସା ପାଇଁ ଟୋରେମିଫେନ ଅନୁମୋଦିତ ହୋଇଥିଲା ।<ref name="EPAR2021">{{Cite web |title=Fareston |url=https://www.ema.europa.eu/en/medicines/human/EPAR/fareston |url-status=live |archive-url=https://web.archive.org/web/20201125065417/https://www.ema.europa.eu/en/medicines/human/EPAR/fareston |archive-date=25 November 2020 |access-date=8 October 2021}}</ref> <ref name="AHFS2021" /> ୧୯୭୮ ମସିହାରେ ଟାମୋକ୍ସିଫେନ୍ ପରଠାରୁ ଏହା ପ୍ରଥମ ଆଣ୍ଟିଏଷ୍ଟ୍ରୋଜେନ୍ ଭାବରେ ପ୍ରବର୍ତ୍ତିତ ହୋଇଥିଲା ।<ref name="DiSaiaCreasman2017">{{Cite book |last=Philip J. DiSaia |url=https://books.google.com/books?id=MkoQDgAAQBAJ&pg=PA124 |title=Clinical Gynecologic Oncology E-Book |last2=William T. Creasman |last3=Robert S Mannel |last4=D. Scott McMeekin, David G Mutch |date=4 February 2017 |publisher=Elsevier Health Sciences |isbn=978-0-323-44316-6 |pages=124– |access-date=25 May 2021 |archive-url=https://web.archive.org/web/20210829091700/https://books.google.com/books?id=MkoQDgAAQBAJ&pg=PA124 |archive-date=29 August 2021 |url-status=live}}</ref> [[ଯୁକ୍ତରାଷ୍ଟ୍ର ଆମେରିକା|ଯୁକ୍ତରାଷ୍ଟ୍ରରେ]] ଏହା ଏକ ସାଧାରଣ ଔଷଧ ଭାବରେ ଉପଲବ୍ଧ ।<ref name="Drugs.com-Generic">{{Cite news|url=https://www.drugs.com/availability/generic-fareston.html|title=Generic Fareston Availability - Drugs.com|work=Drugs.com|access-date=2019-04-19|archive-url=https://web.archive.org/web/20171229112908/https://www.drugs.com/availability/generic-fareston.html|archive-date=2017-12-29|language=en-US}}</ref> ଯୁକ୍ତରାଜ୍ୟରେ ଏକ ମାସର ଔଷଧ ବ୍ୟବହାର ପାଇଁ ପ୍ରାୟ ୩୦ ପାଉଣ୍ଡ ଖର୍ଚ୍ଚ ହୁଏ ।<ref name="BNF80">{{Cite book |title=BNF |date=September 2020 - March 2021 |publisher=BMJ Group and the Pharmaceutical Press |year= |isbn=978-0-85711-369-6 |edition=80 |location= |page=1006}}</ref> ଯୁକ୍ତରାଷ୍ଟ୍ରରେ ଏହି ରାଶିର ମୂଲ୍ୟ ପ୍ରାୟ ୩୨୫ ଡଲାର ଅଟେ ।<ref>{{Cite web |title=Toremifene Prices, Coupons & Savings Tips - GoodRx |url=https://www.goodrx.com/toremifene#:~:text=About%20Toremifene,average%20retail%20price%20of%20%24978.41. |url-status=live |archive-url=https://web.archive.org/web/20160503044935/http://www.goodrx.com/toremifene#:~:text=About%20Toremifene,average%20retail%20price%20of%20%24978.41. |archive-date=3 May 2016 |access-date=8 October 2021 |website=GoodRx}}</ref> |
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== ଆଧାର == |
== ଆଧାର == |
୧୫:୪୦, ୧୨ ମଇ ୨୦୨୪ ହୋଇଥିବା ରିଭିଜନ
Clinical data | |
---|---|
Pronunciation | /ˈtɔːrəmɪfiːn/ |
Trade names | Fareston, others |
Synonyms | (Z)-Toremifene; 4-Chlorotamoxifen; 4-CT; Acapodene; CCRIS-8745; FC-1157; FC-1157a; GTx-006; NK-622; NSC-613680 |
AHFS/Drugs.com | monograph |
MedlinePlus | a608003 |
data | |
Routes of administration | By mouth |
Pharmacokinetic data | |
Bioavailability | Good/~100%[୩][୨] |
Protein binding | 99.7%[୩] |
Metabolism | Liver (CYP3A4)[୧][୨] |
Metabolites | N-Desmethyltoremifene; 4-Hydroxytoremifene; Ospemifene[୪][୫] |
Elimination half-life | Toremifene: 3–7 days[୩] Metabolites: 4–21 days[୨][୫][୩] |
Excretion | Feces: 70% (as metabolites)[୨] |
Identifiers | |
| |
ECHA InfoCard | 100.125.139 |
Chemical and physical data | |
Formula | C26H28ClNO |
Molar mass | ୪୦୫.୯୭ g·mol−1 |
3D model (JSmol) | |
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(verify) |
ଟୋରେମିଫେନ (ଇଂରାଜୀ ଭାଷାରେ Toremifene), ଅନ୍ୟମାନଙ୍କ ମଧ୍ୟରେ ଫାରେଷ୍ଟନ୍ ଏକ ବେପାର ନାମ, ହେଉଛି ଏକ ଔଷଧ ଯାହା ମୁଖ୍ୟତଃ ଋତୁବନ୍ଦ ମହିଳାମାନଙ୍କର ଆଗେଇ ଯାଇଥିବା ସ୍ତନ କର୍କଟ ରୋଗର ଚିକିତ୍ସା ପାଇଁ ବ୍ୟବହୃତ ହୁଏ ।[୬] ଏହା ପ୍ରୋଷ୍ଟେଟ କର୍କଟର ପ୍ରତିରୋଧ ପାଇଁ ମଧ୍ୟ ବ୍ୟବହୃତ ହୋଇପାରେ। [୬] ଏହା ପାଟିରେ ଦିଆଯାଏ ।[୬]
ସାଧାରଣ ପାର୍ଶ୍ୱ ପ୍ରତିକ୍ରିୟାରେ ମୁହଁ ଗରମ ଯୁକ୍ତ ଲାଲ, ଝାଳ ବୋହିବା, ଅଇ, ବାନ୍ତି, ମୁଣ୍ଡ ବୁଲାଇବା, ଯୋନୀ ସ୍ରାବ ହେବା ଏବଂ ଯୋନୀ ରକ୍ତସ୍ରାବ ହୋଇପାରେ ।[୬] ଏହା ରକ୍ତ ଜମାଟ ବାନ୍ଧିବା, ଅନିୟମିତ ହୃଦସ୍ପନ୍ଦନ, ମୋତିଆବିନ୍ଦୁ, ଦୃଷ୍ଟିହାନୀ, ଅଧିକ ଯକୃତ ଏନଜାଇମ୍, ଏଣ୍ଡୋମେଟ୍ରିଆଲ୍ ହାଇପରପ୍ଲାସିଆ ଏବଂ ଗର୍ଭାଶୟ ଅନ୍ତଃସ୍ତର କର୍କଟ ରୋଗ ମଧ୍ୟ ସୃଷ୍ଟି କରିପାରେ ।[୬] ଅସ୍ଥି ମେଟାଷ୍ଟାସିସ ଥିବା ମହିଳାମାନଙ୍କଠାରେ ଉଚ୍ଚ ରକ୍ତ କ୍ୟାଲସିୟମ୍ ସ୍ତର ହୋଇପାରେ ।[୬]
ଏହି ଔଷଧ ହେଉଛି ଏକ ଚୟନକୃତ ଏଷ୍ଟ୍ରୋଜେନ୍ ରିସେପ୍ଟର ମୋଡ୍ୟୁଲେଟର (SERM) ଏବଂ ତେଣୁ ଏହା ଜୈବିକ ଲକ୍ଷଧାରୀ ଏଷ୍ଟ୍ରାଡିଓଲ ଭଳି ଏକ ମିଶ୍ରିତ ଆଗୋନିଷ୍ଟ-ଆଣ୍ଟାଗୋନିଷ୍ଟ ଅଭିଗ୍ରାହକ ।[୧] [୭] ଏହାର ହାଡ଼, ଗର୍ଭାଶୟ ଓ ଯକୃତ ଉପରେ ଏଷ୍ଟ୍ରୋଜେନିକ ପ୍ରଭାବ ଏବଂ ସ୍ତନ ଉପରେରେ ଆଣ୍ଟିଏଷ୍ଟ୍ରୋଜେନିକ୍ ପ୍ରଭାବ ରହିଛି ।[୮] [୯] [୧୦] [୧] ଏହା ଏକ ଟ୍ରାଇଫିନାଇଲଏଥିଲିନ୍ ବ୍ୟୁତ୍ପନ୍ନ ଏବଂ ଟାମୋକ୍ସିଫେନ୍ ସହିତ ନିବିଡ଼ ସମ୍ପର୍କ ଅଛି ।[୧୧]
୧୯୯୬ ମସିହାରେ ୟୁରୋପରେ ଏବଂ ୧୯୯୭ରେ ଯୁକ୍ତରାଷ୍ଟ୍ରରେ ଚିକିତ୍ସା ପାଇଁ ଟୋରେମିଫେନ ଅନୁମୋଦିତ ହୋଇଥିଲା ।[୧୨] [୬] ୧୯୭୮ ମସିହାରେ ଟାମୋକ୍ସିଫେନ୍ ପରଠାରୁ ଏହା ପ୍ରଥମ ଆଣ୍ଟିଏଷ୍ଟ୍ରୋଜେନ୍ ଭାବରେ ପ୍ରବର୍ତ୍ତିତ ହୋଇଥିଲା ।[୧୩] ଯୁକ୍ତରାଷ୍ଟ୍ରରେ ଏହା ଏକ ସାଧାରଣ ଔଷଧ ଭାବରେ ଉପଲବ୍ଧ ।[୧୪] ଯୁକ୍ତରାଜ୍ୟରେ ଏକ ମାସର ଔଷଧ ବ୍ୟବହାର ପାଇଁ ପ୍ରାୟ ୩୦ ପାଉଣ୍ଡ ଖର୍ଚ୍ଚ ହୁଏ ।[୧୫] ଯୁକ୍ତରାଷ୍ଟ୍ରରେ ଏହି ରାଶିର ମୂଲ୍ୟ ପ୍ରାୟ ୩୨୫ ଡଲାର ଅଟେ ।[୧୬]
ଆଧାର[ସମ୍ପାଦନା]
- ↑ ୧.୦ ୧.୧ ୧.୨ Laura Rosenthal; Jacqueline Burchum (17 February 2017). Lehne's Pharmacotherapeutics for Advanced Practice Providers - E-Book. Elsevier Health Sciences. pp. 931–. ISBN 978-0-323-44779-9. Archived from the original on 29 August 2021. Retrieved 25 May 2021.
- ↑ ୨.୦ ୨.୧ ୨.୨ ୨.୩ Vincent T. DeVita Jr.; Theodore S. Lawrence; Steven A. Rosenberg (7 January 2015). DeVita, Hellman, and Rosenberg's Cancer: Principles & Practice of Oncology. Wolters Kluwer Health. pp. 1126–. ISBN 978-1-4698-9455-3. Archived from the original on 14 April 2020. Retrieved 25 May 2021.
- ↑ ୩.୦ ୩.୧ ୩.୨ ୩.୩ Taras TL, Wurz GT, Linares GR, DeGregorio MW (November 2000). "Clinical pharmacokinetics of toremifene". Clin Pharmacokinet. 39 (5): 327–34. doi:10.2165/00003088-200039050-00002. PMID 11108432.
- ↑ Bruce A. Chabner; Dan L. Longo (7 December 2011). Cancer Chemotherapy and Biotherapy: Principles and Practice. Lippincott Williams & Wilkins. pp. 659–. ISBN 978-1-4511-4820-6. Archived from the original on 20 June 2017. Retrieved 25 May 2021.
- ↑ ୫.୦ ୫.୧ "Archive copy" (PDF). Archived (PDF) from the original on 2021-03-31. Retrieved 2021-05-25.
{{cite web}}
: CS1 maint: archived copy as title (link) - ↑ ୬.୦ ୬.୧ ୬.୨ ୬.୩ ୬.୪ ୬.୫ ୬.୬ "Toremifene Monograph for Professionals". Drugs.com (in ଇଂରାଜୀ). Archived from the original on 20 January 2021. Retrieved 8 October 2021.
- ↑ David Schiff; Isabel Arrillaga; Patrick Y. Wen (16 September 2017). Cancer Neurology in Clinical Practice: Neurological Complications of Cancer and its Treatment. Humana Press. pp. 296–. ISBN 978-3-319-57901-6. Archived from the original on 29 August 2021. Retrieved 25 May 2021.
- ↑ William R. Miller; James N. Ingle (8 March 2002). Endocrine Therapy in Breast Cancer. CRC Press. pp. 55–57. ISBN 978-0-203-90983-6. Archived from the original on 19 February 2020. Retrieved 25 May 2021.
- ↑ Monica Morrow; Virgil Craig Jordan (2003). Managing Breast Cancer Risk. PMPH-USA. pp. 192–. ISBN 978-1-55009-260-8. Archived from the original on 2021-08-29. Retrieved 2021-05-25.
- ↑ Selective Estrogen Receptor Modulators—Advances in Research and Application: 2013 Edition: ScholarlyBrief. ScholarlyEditions. 1 May 2013. pp. 51–. ISBN 978-1-4901-0447-8. Archived from the original on 29 August 2021. Retrieved 25 May 2021.
- ↑ Antonio Cano; Joacquim Calaf i Alsina; Jose Luis Duenas-Diez (22 September 2006). Selective Estrogen Receptor Modulators: A New Brand of Multitarget Drugs. Springer Science & Business Media. pp. 52–. ISBN 978-3-540-34742-2. Archived from the original on 24 June 2021. Retrieved 25 May 2021.
- ↑ "Fareston". Archived from the original on 25 November 2020. Retrieved 8 October 2021.
- ↑ Philip J. DiSaia; William T. Creasman; Robert S Mannel; D. Scott McMeekin, David G Mutch (4 February 2017). Clinical Gynecologic Oncology E-Book. Elsevier Health Sciences. pp. 124–. ISBN 978-0-323-44316-6. Archived from the original on 29 August 2021. Retrieved 25 May 2021.
- ↑ "Generic Fareston Availability - Drugs.com". Drugs.com (in ଆମେରିକୀୟ ଇଂରାଜୀ). Archived from the original on 2017-12-29. Retrieved 2019-04-19.
- ↑ BNF (80 ed.). BMJ Group and the Pharmaceutical Press. September 2020 – March 2021. p. 1006. ISBN 978-0-85711-369-6.
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: CS1 maint: date format (link) - ↑ "Toremifene Prices, Coupons & Savings Tips - GoodRx". GoodRx. Archived from the original on 3 May 2016. Retrieved 8 October 2021.