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QuickView for Desogestrel (compound)


PubChem
Name: Desogestrel
PubChem Compound ID: 40973
Description: A synthetic progestational hormone used often as the progestogenic component of combined oral contraceptive agents.
Molecular formula: C22H30O
Molecular weight: 310.473 g/mol
Synonyms:
C07629; Desogestrel; Desogestrel (USAN); Desogestrel [USAN:BAN:INN]; Desogestrelum [INN-Latin]; Org-2969; D02367; 13-Ethyl-11-methylene-18,19-dinor-17alpha-pregn-4-en-20-yn-17-ol; EINECS 258-929-4; HSDB 3593.
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DrugBank
Identification
Name: Desogestrel
Name (isomeric): DB00304
Drug Type: small molecule
Description: A synthetic progestational hormone used often as the progestogenic component of combined oral contraceptive agents.
Synonyms:
Desogestrelum [INN-Latin]
Brand: Cerazette
Brand name mixture:
Kariva(Desogestrel + Ethinyl Estradiol), Mircette(Desogestrel + Ethinyl Estradiol), Cyclessa(Desogestrel + Ethinyl Estradiol), Marvelon 28 Tab(Desogestrel + Ethinyl Estradiol), Marvelon 21 Tab(Desogestrel + Ethinyl Estradiol), Desogen(Desogestrel + Ethinyl Estradiol), Ortho-Cept 28 Day(Desogestrel + Ethinyl Estradiol), Ortho-Cept 21 Day(Desogest...
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Category: Progestins, Contraceptives, Oral, Synthetic
CAS number: 54024-22-5
Pharmacology
Indication: For the prevention of pregnancy in women who elect to use this product as a method of contraception.
Pharmacology:
Desogestrel is used as a female contraceptive. Desogestrel is a progestin or a synthetic form of the naturally occurring female sex hormone, progesterone. In a woman's normal menstrual cycle, an egg matures and is released from the ovaries (ovulation). The ovary then produces progesterone, preventing the release of further eggs and priming the lini...
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Mechanism of Action:
Binds to the progesterone and estrogen receptors. Target cells include the female reproductive tract, the mammary gland, the hypothalamus, and the pituitary. Once bound to the receptor, progestins like desogestrel will slow the frequency of release of gonadotropin releasing hormone (GnRH) from the hypothalamus and blunt the pre-ovulatory LH (lutein...
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Absorption: Following oral administration, the relative bioavailability of desogestrel, as measured by serum levels of etonogestrel, is approximately 84%. The absolute oral bioavailability is about 76%.
Protein binding: 98.3%
Biotransformation: Desogestrel is rapidly and completely metabolized by hydroxylation in the intestinal mucosa and on first pass through the liver. It is primarily metabolized to 3α-hydroxydesogestrel with small amounts of 3β-hydroxydesogestrel being formed. Both of these metabolites are then rapidly oxidized to its active metabolite, etonogestrel (3-ketodesogestrel). Other metabolites (e.g. 2-hydroxydesogestrel) with no pharmacologic action have also been identified. Desogestrel and some of its metabolites (e.g. 3β-hydroxydesogestrel, 15β-hydroxydesogestrel) may also undergo glucuronide and sulfate conjugation. Early in vitro studies demonstrated that CYP2C9 and possibly CYP2C19 were involved in the conversion of desogestrel to 3α-hydroxydesogestrel and 3β-hydroxydesogestrel (PMID 9864282); however, later clinical studies conducted in humans refuted this result (PMID 15963096). The latter study indicates that CYP3A4 plays an important role in metabolizing etonogestrel. Thus, strong CYP3A4 inhibitors or inducers could result in increased side effects or therapeutic failure, respectively.
Half Life: 27.8±7.2 hours
Toxicity: Symptoms of overdose include nausea and vaginal bleeding.
Affected organisms: Humans and other mammals
Interactions
Drug interaction:
WarfarinDesogestrol may alter the anticoagulant effect of warfarin. Concomitant therapy should be avoided. Monitor for changes in coagulation status if desogestrol is initiated, discontinued or dose changed.
TretinoinOral Tretinoin may decrease the effect of oral contraceptive, Desogestrel. An alternate form of contraception should be used during concomitant therapy.
LamotrigineThe oral contraceptive decreases the effect of lamotrigine
ColesevelamBile Acid Sequestrants may decrease the serum concentration of Contraceptives (Progestins). Administer oral progestin-containing contraceptives at least 1-4 hours prior to or 4-6 hours after administration of a bile acid sequestrant. Consider alternatives in order to avoid this combination when possible, due to the risk for impaired contraceptive effectiveness.
ArtemetherArtemether may decrease the effectiveness of desogestrel by increasing its metabolism via CYP3A4. Consider an alternate non-hormonal means of contraception during artemether therapy.
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Targets