医薬品リファレンス
Thyrotropin alfa
Thyrotropin alfa is a medicine in the class endocrine. It is used for thyroid cancer.
- 薬効分類: Endocrine
- 効能・効果: thyroid cancer
最終更新日 出典: US FDA label
医療従事者向け・参照専用。このページは簡潔な要約であり、医学的助言ではなく、公式の添付文書や臨床判断に代わるものではありません。処方・調剤の前に必ず確認してください。
このページの臨床コンテンツは英語でのみ提供されています。
要点
- 薬効分類
- Endocrine
- ATCコード
- H01AB01
- 一般的な剤形
- 注射剤
- 一般的な規格
- 0.9 mg/ml
- 商品名
- 3
- 国・市場
- 3
何に使われるか
作用のしくみ
Thyrotropin alfa binds TSH receptors on normal thyroid epithelial cells or well-differentiated thyroid cancer tissue, stimulating iodine uptake and organification and synthesis and secretion of thyroglobulin, T3 and T4. This increases radioiodine uptake for scan detection or radioiodine killing of thyroid cells.
成人の通常用量（添付文書の要約）
Adjunctive diagnostic tool or adjunct for thyroid remnant ablation in well-differentiated thyroid cancer: 0.9 mg intramuscular injection to the buttock, followed by a second 0.9 mg intramuscular injection 24 hours later; intramuscular only, not intravenous
妊娠と授乳
- 妊娠
- Unsafe Used with radioiodine, it is contraindicated in pregnancy (UK label) because the fetus would be exposed to radiation, which can cause permanent thyroid damage. Data on thyrotropin alfa alone are too few to assess risk; no animal studies. Exclude pregnancy before use.
- 授乳
- Unsafe With radioiodine: contraindicated (therapy) or stop breastfeeding after the dose (diagnosis), because of radiation to the infant and breast. Alone: no milk data; UK label says do not use while breastfeeding; US label: weigh benefits. Large protein, unlikely to reach the infant.
報告されている副作用
- Nausea
- Headache
- Fatigue
- Vomiting
- Dizziness
- Asthenia
禁忌
- When given with radioiodine, the contraindications to radioiodine also apply to the combination regimen.
- Combination with radioiodine is contraindicated in pregnancy.
- Concomitant use with therapeutic radioiodine is contraindicated in lactating women.
注意が必要な方
- Hyperthyroidism: transient significant rise in thyroid hormone in patients with substantial thyroid tissue in situ or functional metastases; deaths reported. Elderly and heart disease patients are at risk; consider hospitalization and observation.
- Stroke reported within 72 hours of administration, mostly in young women taking oral contraceptives or with other stroke risk factors. Ensure patients are well hydrated beforehand.
- Sudden rapid painful tumor enlargement may occur (hemiplegia, hemiparesis, vision loss, laryngeal edema, respiratory distress). Consider glucocorticoid pretreatment.
妊娠中または授乳中であること、腎臓や肝臓の病気、アレルギー、ほかに使用しているすべての薬やサプリメントについて、薬剤師または医師にお伝えください。
Pro+会員向け
ページ全体を見る
アカウントを作成してPro+トライアルを始めると、Thyrotropin alfaの完全なモノグラフ（用量、妊娠・授乳、副作用、警告、すべての相互作用）を表示できます。
- Dosing by age, kidney and liver function, and further dose lines
- Renal and hepatic dose adjustments
- Dosing in older adults
- How to give it
- Pharmacokinetics
- Patient counselling points
- IV preparation and dilution
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同じ分類のほかの薬剤
よくある質問
What is Thyrotropin alfa used for?
Thyrotropin alfa is a medicine in the class endocrine. It is used for Thyroid cancer.
What side effects have been reported with Thyrotropin alfa?
Nausea, Headache, Fatigue, Vomiting, Dizziness, Asthenia.
Can Thyrotropin alfa be taken in pregnancy or while breastfeeding?
Pregnancy: Unsafe. Used with radioiodine, it is contraindicated in pregnancy (UK label) because the fetus would be exposed to radiation, which can cause permanent thyroid damage. Data on thyrotropin alfa alone are too few to assess risk; no animal studies. Exclude pregnancy before use. Breastfeeding: Unsafe. With radioiodine: contraindicated (therapy) or stop breastfeeding after the dose (diagnosis), because of radiation to the infant and breast. Alone: no milk data; UK label says do not use while breastfeeding; US label: weigh benefits. Large protein, unlikely to reach the infant.
What does Thyrotropin alfa interact with?
MediHelp does not list a checked interaction for Thyrotropin alfa yet. Always tell your pharmacist about every medicine you take.
完全なモノグラフ、用量、相互作用チェッカーはMediHelpアプリで
MediHelpアプリで、完全なリファレンスを開き、複数薬剤の相互作用をチェックし、用量ツールを利用できます。
