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Bromocriptine

From Wikipedia, the free encyclopedia

Chemical structure of Bromocriptine
Bromocriptine
Systematic (IUPAC) name
 ?
Identifiers
CAS number 25614-03-3
ATC code G02CB01 N04BC01
PubChem 31101
DrugBank APRD00622
Chemical data
Formula C32H40BrN5O5 
Mol. mass 654.595
Pharmacokinetic data
Bioavailability  ?
Metabolism  ?
Half life  ?
Excretion  ?
Therapeutic considerations
Pregnancy cat.

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Legal status

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Routes  ?

Bromocriptine (brand names include Parlodel), an ergoline derivative, is a dopamine agonist that is used in the treatment of pituitary tumors and Parkinson's disease.

Contents

[edit] Uses

Amenorrhea, female infertility, galactorrhea, hypogonadism, and acromegaly may all be caused by pituitary problems, such as hyperprolactinaemia, and therefore, these problems may be treated by this drug.

It's also used in some countries following childbirth to prevent lactation if the mother does not wish to breastfeed. (One of dopamine's effects on the pituitary is as an antagonist of prolactin production by lactotrophs.) The FDA removed this indication in 1995, because of concerns with respect to an increased risk of heart attack, seizure and stroke.

Because of prolactin's role in stimulating proliferation of the T-lymphocytes of the immune system, bromocriptine has also been used to suppress the immune system in organ transplant patients.[1]

Because of its effects as a dopamine agonist, bromocriptine has potential use in treating addiction to cocaine, a drug that exhibits its own effects by blocking dopamine reuptake. Although it has negligible subjective effects when administered alone, studies show it has the potential to significantly ease the cocaine withdrawal syndrome.[2][3]

[edit] Structure

Like all ergopeptides, bromocriptine is a cyclol; two peptide groups of its tripeptide moiety (shown in black at the upper left of the Figure) are crosslinked, forming the >N-C(OH)< juncture between the two lactam rings.

[edit] See also

Carbegoline

[edit] External links

[edit] Notes and references

  1. ^ Clodi M, Kotzmann H, Riedl M, Schmidt A, Barnas U, Muhlbacher F, Mustafa G, Horl WH, Waldhausl W, Mayer G, Luger A., 1997. The long-acting dopamine agonist bromocriptine mesylate as additive immunosuppressive drug after kidney transplantation. Nephrol Dial Transplant. 1997 Apr;12(4):748-52.
  2. ^ Campbell A, Baldessarini RJ, Cremens C, Teicher MH, Marsh E, Kula NS, 1989. Bromocriptine antagonizes behavioral effects of cocaine in the rat. Neuropsychopharmacology 1989 Sep; 2(3):209-24.
  3. ^ KL Preston, JT Sullivan, EC Strain and GE Bigelow, 1992. Effects of cocaine alone and in combination with bromocriptine in human cocaine abusers. J Pharmacol Exp Ther. 1992 Jul;262(1):279-91.


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