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Hydrocortamate Hydrochloride - General Information: Hydrocortamate Hydrochloride is a synthetic glucocorticoid used for its anti-inflammatory or immunosuppressive properties to treat inflammation due to corticosteroid-responsive dermatoses. Glucocorticoids are a class of steroid hormones characterised by an ability to bind with the cortisol receptor and trigger a variety of important cardiovascular, metabolic, immunologic and homeostatic effects. Pharmacology: Hydrocortamate Hydrochloride is a synthetic glucocorticoid used for its anti-inflammatory or immunosuppressive properties to treat inflammation due to corticosteroid-responsive dermatoses. Glucocorticoids are a class of steroid hormones characterised by an ability to bind with the cortisol receptor and trigger a variety of important cardiovascular, metabolic, immunologic and homeostatic effects. Glucocorticoids are distinguished from mineralocorticoids and sex steroids by having different receptors, target cells, and effects. Technically, the term corticosteroid refers to both glucocorticoids and mineralocorticoids, but is often used as a synonym for glucocorticoid. Glucocorticoids suppress cell-mediated immunity. They act by inhibiting genes that code for the cytokines IL-1, IL-2, IL-3, IL-4, IL-5, IL-6, IL-8 and TNF-alpha, the most important of which is the IL-2. Reduced cytokine production limits T cell proliferation. Glucocorticoids also suppress humoral immunity, causing B cells to express lower amounts of IL-2 and IL-2 receptors. This diminishes both B cell clonal expansion and antibody synthesis. The diminished amounts of IL-2 also leads to fewer T lymphocyte cells being activated. Additional information about Hydrocortamate HydrochlorideHydrocortamate Hydrochloride Indication: Used topically as an antiinflammatory in the treatment of steroid-responsive dermatoses Mechanism Of Action: Hydrocortamate Hydrochloride binds to the cytosolic glucocorticoid receptor. After binding the receptor the newly formed receptor-ligand complex translocates itself into the cell nucleus, where it binds to many glucocorticoid response elements (GRE) in the promoter region of the target genes. The DNA bound receptor then interacts with basic transcription factors, causing the increase in expression of specific target genes. The anti-inflammatory actions of corticosteroids are thought to involve lipocortins, phospholipase A2 inhibitory proteins which, through inhibition arachidonic acid, control the biosynthesis of prostaglandins and leukotrienes. The immune system is suppressed by corticosteroids due to a decrease in the function of the lymphatic system, a reduction in immunoglobulin and complement concentrations, the precipitation of lymphocytopenia, and interference with antigen-antibody binding. Drug Interactions: Not Available Food Interactions: Not Available Generic Name: Hydrocortamate Synonyms: Not Available Where to order Hydrocortamate (and Hydrocortamate Hydrochloride analogs) online: Drug Category: Corticosteroid; Glucocorticoids; Anti-inflammatory, steroidal; Immunosuppressive Agents Drug Type: Small Molecule; Approved Other Brand Names containing Hydrocortamate: Hydrocortamate Hydrochloride; Magnacort; Ulcort; Absorption: Not Available Toxicity (Overdose): Side effects include burning, itching, irritation, dryness, folliculitis, hypertrichosis, acneiform eruptions, hypopigmentation, perioral dermatitis, allergic contact dermatitis, maceration of the skin, secondary infection, skin atrophy, striae, miliaria. Protein Binding: Not Available Biotransformation: Primarily hepatic via CYP3A4 Half Life: Not Available Dosage Forms of Hydrocortamate Hydrochloride: Not Available Chemical IUPAC Name: [2-(11,17-dihydroxy-10,13-dimethyl-3-oxo-2,6,7,8,9,11,12,14,15,16-decahydro-1H-cyclopenta[a]phenanthren-17-yl)-2-oxoethyl] 2-diethylaminoacetate Chemical Formula: C27H41NO6 Hydrocortamate on Wikipedia: Not Available Organisms Affected: Humans and other mammals
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