NANDROLONE DECANOATE (nan'droe-lone) Androlone-D, Deca-Durabolin, Hybolin Decaneate NANDROLONE PHENPROPIONATE Durabolin, Hybolin Improved, Nandrobolic Classifications: hormone and synthetic substitute; anabolic/androgen steroid Prototype: Testosterone Pregnancy Category: X Controlled Substance: Schedule III
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100 mg/mL, 200 mg/mL injection
Synthetic steroid with high ratio of anabolic activity to androgenic activity. Both esters have same actions and uses but
differ in duration of action. Decanoate actions last 34 wk; phenpropionate ester continues to exert anabolic effect
for 13 wk.
Increase hemoglobin and red cell mass and increase lean body mass in patients with cachexia (muscle wasting).
Control of metastatic breast cancer, management of anemia of renal insufficiency.
Males with prostate or breast cancer; liver dysfunction, nephrotic syndrome, hypercalcemia; pregnancy (category X), lactation.
Benign prostatic hypertrophy, history of MI.
Anemia (Decanoate) Adult: IM 50200 mg/wk Child: IM 213 y, 2550 mg q34wk
Metastatic Breast Cancer (Phenpropionate) Adult: IM 50100 mg/wk
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Intramuscular
- Inject drug deep IM, preferably into gluteal muscle in adult. Follow agency policy regarding IM site in small child.
- Intermittent therapy is usually recommended (4-mo course of treatment followed by 68-wk rest period).
Body as a Whole: Muscle cramps. GI: Nausea, vomiting, diarrhea, anorexia, abdominal fullness, cholestatic jaundice, hepatic necrosis, hepatocellular neoplasms. Hematologic: Leukopenia. Metabolic: Sodium, chloride, water, potassium, phosphate, and calcium retention, ankle edema, glucose intolerance, increased cholesterol. CNS: Excitation, insomnia, chills, toxic confusion. Endocrine: Acne, virilization.
Drug: May increase hypoprothrombinemic effects of warfarin; may decrease insulin and sulfonylurea requirements; corticosteroids may increase edema. Herbal: Echinacea may increase risk of hepatotoxicity.
Absorption: Slowly absorbed from IM injection site over 4 d. Peak: 36 d. Metabolism: Metabolized in liver to active metabolite. Half-Life: 68 d.
Assessment & Drug Effects
- Lab tests: Obtain baseline and periodic liver function evaluations and electrolyte levels.
- Monitor for S&S of hepatic toxicity (see Appendix F) and electrolyte imbalance, especially hyperkalemia and hypercalcemia
(see Appendix F).
- Monitor diabetics for loss of glycemic control.
Patient & Family Education
- Note: In women, the drug may cause virilization (e.g., increased facial and body hair, deepening of voice).
- Do not breast feed while taking this drug.