02 Details
Superdrol (Methasterone)
Superdrol (Methasterone) 20mg tab 100 tabs
Methasterone; Superdrol; Methasteron; UNII-GH88DY98MR; 2alpha,17alpha-Dimethyldihydrotestosterone; NSC 40490
C21H34O2 = 318.4
CAS — 3381-88-2
ATC — A14AA04.
Methyldrostanolone is a C-17 alpha alkylated steroid, originally developed by the American pharmaceutical company Syntex. This steroid is already active and does not require conversion. Methyldrostanolone is the 17aa version of the injectable steroid drostanolone.
Pharmacologic Category
Dosing: Adult
20mg every 24 hours. Taken orally
Dosing: Geriatric
Refer to adult dosing.
Dosing: Pediatric
Has not been studied in pediatric population.
Dosing: Renal Impairment
No dosage adjustment provided in manufacturer’s labeling; use with caution.
Dosing: Hepatic Impairment
No dosage adjustment provided in manufacturer’s labeling; use with caution.
Use
Methyldrostanolone has anabolic and androgenic properties. It has not been studied in humans for any specific disease.
Storage/Stability
Store at room temperature in a dark and dry place.
Contraindications
Hypersensitivity to methyldrostanolone or any component of the formulation.
Warnings/Precautions
- Gynecomastia: May cause gynecomastia.
- Hepatic effects: Prolonged use and/or high doses may cause peliosis hepatis or liver cell tumors, which may not be apparent until liver failure or intra-abdominal hemorrhage develops. Discontinue in case of cholestatic hepatitis with jaundice or abnormal liver function tests.
- Venous thromboembolism: Venous thromboembolic events, including deep vein thrombosis (DVT) and pulmonary embolism (PE), have been reported with testosterone products. Evaluate patients with symptoms of pain, edema, warmth, and erythema in the lower extremity for DVT and those with acute shortness of breath for PE. Discontinue therapy if a venous thromboembolism is suspected.
Disease-related concerns:
- Breast cancer: Use with caution in patients with breast cancer; may cause hypercalcemia by stimulating osteolysis.
- Edematous conditions: Use with caution in patients with conditions influenced by edema (eg, cardiovascular disease, migraine, seizure disorder, renal impairment); may cause fluid retention.
- Hepatic impairment: Use with caution in patients with hepatic impairment.
Pregnancy Risk Factor
X
Category X: Studies in animals or human beings have demonstrated fetal abnormalities, or there is evidence of fetal risk based on human experience, or both, and the risk of the use of the drug in pregnant women clearly outweighs any possible benefit. The drug is contraindicated in women who are or may become pregnant.
Pregnancy Considerations
Use is contraindicated in women who are or may become pregnant; masculinization of the fetus has been reported.
Lactation
Excretion in breast milk unknown/not recommended
Breast-Feeding Considerations
It is not known if methyldrostanolone is excreted in breast milk. Due to the potential for serious adverse reactions in the nursing infant, breast-feeding is not recommended.
Adverse Reactions
As with other 17α-alkylated compounds, methyldrostanolone is associated with hepatotoxicity and hepatic function should be monitored during therapy. It should probably be avoided in patients with hepatic impairment, and certainly if this is severe.
Frequency unknown.
Cardiovascular: Edema
Central nervous system: Depression, excitation, insomnia
Dermatologic: Acne (females and prepubertal males)
Also reported in females: Hirsutism, male-pattern baldness
Endocrine & metabolic: Electrolyte imbalances, glucose intolerance, gonadotropin secretion inhibited, gynecomastia, HDL decreased, LDL increased, libido changes
Also reported in females: Clitoral enlargement, menstrual irregularities
Genitourinary:
Prepubertal males: Increased or persistent erections, penile enlargement
Postpubertal males: Bladder irritation, epididymitis, impotence, oligospermia, priapism (chronic), testicular atrophy, testicular function inhibited
Hematologic: Prothrombin time increased, suppression of clotting factors
Hepatic: Alkaline phosphatase increased, ALT increased, AST increased, bilirubin increased, cholestatic jaundice, hepatic necrosis (rare), hepatocellular neoplasms, peliosis hepatis (with long-term therapy)
Neuromuscular & skeletal: CPK increased, premature closure of epiphyses (in children)
Renal: Creatinine excretion increased
Metabolism/Transport Effects
None known.
Drug Interactions
Corticosteroids, Warfarin and Antidiabetic agents.
Test Interactions
May suppress factors II, V, VII, and X; may increase PT; may decrease thyroxine-binding globulin and radioactive iodine uptake
Monitoring Parameters
Liver function tests, cholesterol profile, hemoglobin/hematocrit; INR/PT in patients on anticoagulant therapy
Children: Radiographs of left wrist and hand every 6 months (to assess bone maturation)
Adult females: Signs of virilization (deepening voice, hirsutism, acne, clitoromegaly); urine and serum calcium in women with breast cancer.
Dosage Forms
Oral Tablets: 10mg
Anatomic Therapeutic Chemical (ATC) Classification
- ATC — A14AA04.
Mechanism of Action
Methyldrostanolone is a 17alpha-alkylated anabolic-androgenic steroid and a synthetic derivative of testosterone with a similar mechanism of action that improves muscle mass, weight gain and sport performance.
Pharmacodynamics/Kinetics
Oral 17 alpha alkylated anabolic steroid with a bioavailability of 50% approximately (recommended to be taken with an empty stomach)
Metabolism: Hepatic
Half-life: 8-12 hours
Excretion: Renal