Added medroxyprogesterone acetate (MPA) (#715)
* Add Medroxyprogesterone acetate (MPA) * Refine dosage * Migrate to csv * Add CAS RN for Medroxyprogesterone Acetate * Update content/zh-cn/docs/medicine/antiandrogen/medroxyprogesterone/index.md * Update index.md Signed-off-by: Jaida Wu <mlgmxyysd@meowcat.org> Signed-off-by: Jaida Wu <i@neko.ink> Co-authored-by: septs <github@septs.pw>pull/718/head
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title: 醋酸甲羟孕酮(安宫黄体酮)
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description: 醋酸甲羟孕酮(Medroxyprogesterone Acetate),是一种类固醇孕激素,具有抗促性腺激素作用,可以抑制体内雄激素水平。在无法获取到醋酸环丙孕酮(Cyproterone Acetate)时可作为替代品服用,但效果稍差。
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---
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{{< notice warning "用药安全提示" >}}
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请仔细阅读说明书并在医师指导下使用药物。
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{{< /notice >}}
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醋酸甲羟孕酮(Medroxyprogesterone Acetate, MPA),是一种类固醇孕激素,具有抗促性腺激素作用,可以抑制体内雄激素水平。[^1] 在无法获取到 [醋酸环丙孕酮(Cyproterone Acetate)]]({{< ref cyproterone >}}) 时可作为替代品服用,但效果稍差。[^2]
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## 基本信息
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### 醋酸甲羟孕酮片
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```csv
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品牌,厂商,规格,性状,批准文号,包装图片
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仙琚<sup>®</sup>,浙江仙琚制药股份有限公司,2mg × 100 片/瓶,白色片,[国药准字 H33020715](https://www.nmpa.gov.cn/datasearch/search-info.html?nmpa=aWQ9YjQ4MWM3ZWQ4NGNkM2VhNTcxODBmOTk5YmJiZDRjZjYmaXRlbUlkPWZmODA4MDgxODNjYWQ3NTAwMTg0MDg4MWY4NDgxNzlm),
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创盈<sup>®</sup> 斯利安<sup>®</sup>,北京斯利安药业有限公司,250mg × 30 片/瓶,白色片,[国药准字 H11021562](https://www.nmpa.gov.cn/datasearch/search-info.html?nmpa=aWQ9ZTBhNTViM2RlOGZjYmFjMjE3NjkxODM1NjIxMmJlMmYmaXRlbUlkPWZmODA4MDgxODNjYWQ3NTAwMTg0MDg4MWY4NDgxNzlm),
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博泰维康<sup>®</sup>,南京臣功制药股份有限公司,2mg × 100 片/瓶,双凸、椭圆形白色片,[国药准字 H41025341](https://www.nmpa.gov.cn/datasearch/search-info.html?nmpa=aWQ9OWJkMTlhMzI4ZTZlNTg1NDM5MzBlNmEzNTgwOTEyNWQmaXRlbUlkPWZmODA4MDgxODNjYWQ3NTAwMTg0MDg4MWY4NDgxNzlm),
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法禄达<sup>®</sup> FARLUTAL<sup>®</sup>,Pfizer Italia s.r.l.,500mg × 30 片/盒,双凸、椭圆形白色片,[H20140648](https://www.nmpa.gov.cn/datasearch/search-info.html?nmpa=aWQ9NTg4MDMyY2EwNTdiOWNjMTJhNDg2YjAwYjNmMGE4ZmEmaXRlbUlkPWZmODA4MDgxODNjYWQ3NTAwMTg0MDg4NjY1NzExODAw),
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```
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- 商品名:醋酸甲羟孕酮片
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- [说明书 (仙琚<sup>®</sup>)](/images/medicine/medroxyprogesterone/xianju-manual-zh.png)
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## 说明
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- 国内还有其他批准上市的品牌,未完全列出
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## 使用方式与用量
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- 服用方式:口服
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- 建议使用剂量:**10 ~ 20 mg/天**[^3]
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- 达到效果的情况下尽量减少用量。
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- 停药时须逐步减药。
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## 副作用
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- **血栓栓塞性疾病**:可能导致血栓栓塞和血栓性疾病(例如,血栓性静脉炎、肺栓塞、脑血管功能不全、冠状动脉闭塞、视网膜血栓形成、肠系膜血栓形成)。[^4] [^5]
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- **抑郁**:MPA 可能会导致抑郁风险升高。[^5]
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- **对肝脏的影响**:可能会导致肝功能障碍(如黄疸)。使用前应当检查**肝功能**并定期检查,如果出现或怀疑有此类影响,请停止服用并重新评估风险。[^4]
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- **乳腺癌风险**:与雌二醇合用时可一定程度提高其风险。[^5]
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- **对视力的影响**:可能会出现原因不明的突然或逐渐丧失部分或全部视力、眼球突出或复视、视乳头水肿或视网膜病变。[^5]
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- 肾上腺抑制:MPA 可能会导致肾上腺抑制并可能干扰碳水化合物代谢,但不会导致糖尿病。[^4]
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- 男性化症状:MPA 仍有微弱雄激素效力和糖皮质激素效力,可能引起痤疮、体毛生长、脱发等雄激素敏感症状。[^4]
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- 体重变化[^5]
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- 体液潴留[^5]
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## 成分信息
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- 有效成分:醋酸甲羟孕酮(Medroxyprogesterone Acetate)
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- 化学名称:6α-甲基-17α-羟基孕甾-4-烯-3,20-二酮醋酸酯
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- 分子式:C<sub>24</sub>H<sub>34</sub>O<sub>4</sub>
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- 分子量:386.53
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- CAS RN:[71-58-9](https://webbook.nist.gov/cgi/cbook.cgi?ID=71-58-9)
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[^1]: [Medroxyprogesterone Acetate (Pharmacology)](https://en.wikipedia.org/wiki/Medroxyprogesterone_acetate#Pharmacology)
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[^2]: [Hormone treatment of the adult transsexual patient](https://pubmed.ncbi.nlm.nih.gov/16286768/)
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[^3]: [Medroxyprogesterone Acetate in Gender-Affirming Therapy for Transwomen: Results From a Retrospective Study](https://doi.org/10.1210/jc.2018-02253)
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[^4]: [Medroxyprogesterone Acetate (Side effects)](https://en.wikipedia.org/wiki/Medroxyprogesterone_acetate#Side_effects)
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[^5]: [Cautions for medroxyPROGESTERone](https://www.drugs.com/monograph/medroxyprogesterone.html#warnings)
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