Fluoxymesterone

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Anabolic steroid



Overview[edit | edit source]

Fluoxymesterone is a synthetic anabolic steroid derived from testosterone. It is known for its potent androgenic and anabolic effects, making it useful in various medical treatments. Fluoxymesterone is marketed under several brand names, including Halotestin and Ultandren.

Chemical Structure and Synthesis[edit | edit source]

Chemical synthesis of Fluoxymesterone

Fluoxymesterone is chemically classified as a 17_-alkylated derivative of testosterone. The presence of a fluorine atom at the 9_ position and a hydroxyl group at the 11_ position distinguishes it from other anabolic steroids. The synthesis of fluoxymesterone involves multiple steps, starting from testosterone or its derivatives, and includes halogenation and hydroxylation reactions.

Mechanism of Action[edit | edit source]

Fluoxymesterone exerts its effects by binding to the androgen receptor, which is present in various tissues throughout the body. This binding initiates a cascade of events that lead to increased protein synthesis, muscle growth, and the development of male secondary sexual characteristics. The drug also has a significant impact on erythropoiesis, enhancing the production of red blood cells.

Medical Uses[edit | edit source]

Fluoxymesterone is primarily used in the treatment of male hypogonadism, a condition characterized by low testosterone levels. It is also prescribed for delayed puberty in males and certain types of breast cancer in females. The anabolic properties of fluoxymesterone make it beneficial in promoting weight gain and muscle mass in patients suffering from chronic wasting conditions.

Side Effects[edit | edit source]

The use of fluoxymesterone can lead to a range of side effects, particularly due to its androgenic activity. Common side effects include acne, hirsutism, and voice deepening in females. Long-term use can result in liver damage, cardiovascular issues, and alterations in lipid profile. Due to its potential for abuse, fluoxymesterone is classified as a controlled substance in many countries.

Contraindications[edit | edit source]

Fluoxymesterone is contraindicated in patients with prostate cancer, male breast cancer, and in women who are pregnant or may become pregnant. It should be used with caution in individuals with pre-existing liver or cardiovascular conditions.

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Contributors: Prab R. Tumpati, MD