์์คํธ๋ฆฌ์ฌ
์์คํธ๋ฆฌ์ฌ์ ํ๋ถ ๋น๋จ์์๊ธฐ์ ์์คํธ๋ก๊ฒ ์์ฉ์ฒด์ ๋์ ์นํ๋ ฅ์ ๊ฐ์ง ํฉ์ฑ ๋จ๊ธฐ ์์ฉ ์์คํธ๋ก๊ฒ์ ๋๋ค. ์ฃผ๋ก ์ค์ฑํ๋ ์์ปท ๊ฐ์ ์๋ ๊ด์ฝ๊ทผ ๊ธฐ๋ฅ ๋ถ์ (USMI) ๊ด๋ฆฌ์ ์ฌ์ฉ๋ฉ๋๋ค.
์์ฉ ๊ธฐ์ : Estriol binds to **estrogen receptors** in the lower urogenital tract โ increases resting urethral muscle tone and mucosal vascularity โ improves urodynamic function and urethral closure pressure.
๋๋ฌผ ์ข ๋ณ ์ฉ๋
- All indications ยท Do not use. ยท PO ยท N/A ยท N/A ยท Contraindicated or not recommended for use in cats.
- Urethral sphincter mechanism incompetence (USMI) in spayed bitches ยท Starting dose: 1 mg/dog. If successful, reduce to 0.5 mg/dog. If unsuccessful, increase to 2 mg/dog. Minimum effective dose: 0.5 mg/dog. Maximum dose: 2 mg/dog. ยท PO ยท q24h (can consider q48h for maintenance once response is seen) ยท Long-term ยท Alternate-day dosing can be considered once a response has been seen.
์ฉ๋์ ๋ฉดํ ์์ ์ ๋ฌธ๊ฐ๋ฅผ ์ํ ์์ ์ฐธ๊ณ ์๋ฃ์ ๋๋ค. ํญ์ ์ต์ ๋ผ๋ฒจ๊ณผ ๊ฐ๋ณ ํ์์ ๋ํด ํ์ธํ์ญ์์ค.
ํฌ์ฌ ๊ฒฝ๋ก
๊ธ๊ธฐ
- Intact bitches
- Polyuria/polydipsia (PU/PD) of unknown origin
- Animals < 1 year old
์ด์๋ฐ์
- Oestrogenic effects (swollen vulva, attractiveness to males) in 5-9% of dogs at 2 mg/day
- Bone marrow suppression (rare, but possible with long-term use)
- Gastrointestinal upset (mild)
์ฝ๋ฌผ ์ํธ์์ฉ
- Phenylpropanolamine ยท Concurrent administration may potentiate efficacy in treating urinary incontinence (synergistic effect). ยท minor
๋ชจ๋ํฐ๋ง
- Clinical response (resolution of urinary incontinence)
- Complete Blood Count (CBC) periodically for long-term use to monitor for bone marrow suppression
- Signs of estrogenic side effects (vulvar swelling)
๊ณผ์ฉ๋
Overdose may lead to exaggerated estrogenic effects, including pronounced vulvar swelling, attractiveness to male dogs, and potentially an increased risk of **bone marrow suppression** (anemia, thrombocytopenia, leukopenia). Treatment is supportive and symptomatic; discontinue the drug until signs resolve.
VetSheet ์ฝ๋ฌผ ๋ ํผ๋ฐ์ค๋ ๋ฉดํ ์์ ์ ๋ฌธ๊ฐ๋ฅผ ์ํ ์์ ์์ฌ๊ฒฐ์ ๋ณด์กฐ ๋๊ตฌ์ด๋ฉฐ, ์ ๋ฌธ์ ํ๋จ์ด๋ ์ ์กฐ์ฌ์ ์ต์ ๋ผ๋ฒจ์ ๋์ ํ์ง ์์ต๋๋ค.