米勃酮
Mibolerone
dimethyl-nortestosterone
別名: Cheque Drops · dimethyl-nortestosterone · NSC-72260 · U-10997 · 19-nor-steroid
由 VetSheet 獸醫團隊審訂更新於 2026年4月5日本內容以實證獸醫文獻為本
劑量為持牌獸醫專業人員的臨床參考。請務必對照最新藥品說明書及個別病患確認。
各物種劑量
🌎 NA — North America🌍 EU — Europe
狗
| 適應症 | 劑量 | 途徑 | 頻次 | 療程 | 地區 |
|---|---|---|---|---|---|
| Suppression of estrus | 0.5-11 kg: 30 micrograms (0.3 mL) PO per day; 12-22 kg: 60 micrograms (0.6 mL) PO per day; 23-45 kg: 120 micrograms (1.2 mL) PO per day; >45 kg: 180 micrograms (1.8 mL) PO per day. German shepherds or German shepherd crosses: 180 micrograms (1.8 mL) PO per day; regardless of weight | PO | q24h | Treatment must begin at least 30 days prior to proestrus | 🌎 NA |
| Pseudocyesis (false pregnancy) | 10 times the dosage listed above for suppression of estrus | PO | q24h | 5 days | 🌎 NA |
| Pseudocyesis (false pregnancy) | 16 micrograms/kg | PO | q24h | 5 days | 🌎 NA |
| Cystic endometrial hyperplasia (CEH) | 30 micrograms/25lb. body weight | PO | q24h | 6 months | 🌎 NA |
| Treatment of severe galactorrhea | 8-18 micrograms/kg | PO | q24h | 5 days | 🌎 NA |
- Suppression of estrus: If dog comes into estrus after receiving the drug for 30 or more days, stop drug and determine that the dog is not pregnant before resuming therapy. If owner compliance has been determined, increase dosage by 20-50%.
- Treatment of severe galactorrhea: Once discontinued, prolactin may surge and galactorrhea resume.
劑量為持牌獸醫專業人員的臨床參考。請務必對照最新藥品說明書及個別病患確認。
概覽
米勃酮(Mibolerone)是一種強效的雄激素、同化類固醇及抗促性腺激素 19-去甲類固醇藥物。
- 過去以 Cheque® Drops 品牌銷售,目前市面取得不易,主要透過調劑藥局取得,在美國被列為第三級管制藥品。
- 臨床用途包括母犬的發情抑制、假孕及嚴重溢乳症的治療。
警告: 米勃酮對貓的治療指數極窄且具有高度毒性,絕對不可用於貓咪患者。
作用機制
Mibolerone exerts its effects via a negative feedback mechanism on the anterior pituitary gland.
- Blocks luteinizing hormone (LH) release → prevents follicular maturation → inhibits ovulation and corpus luteum development.
- The net result is the suppression of the estrous cycle if administered prior to (up to 30 days) the onset of proestrus.
- After discontinuation, the next estrus typically occurs within 7-200 days (average 70 days).
安全性與警告
禁忌症
- Perianal adenoma or perianal adenocarcinoma
- Other androgen-dependent neoplasias
- Pregnant or lactating bitches
- Patients with ongoing or a history of liver or kidney disease
- Bedlington Terriers
- Cats
不良反應
- Premature epiphyseal closure (in prepuberal females)
- Clitoral enlargement / hypertrophy
- Vaginitis / Vulvovaginitis
- Increased body odor
- Abnormal behavior (e.g., riding/mounting behavior)
- Urinary incontinence
- Voice deepening
- Enhanced clinical signs of seborrhea oleosa
- Epiphora (tearing)
- Hepatic changes (intranuclear hyaline bodies) and rare hepatic dysfunction
- Increased kidney weight
- Fatalities, thyroid dysfunction, and pancreatic dysfunction (in cats)
注意事項
Mibolerone should not be used in pregnant bitches as masculinization of female fetuses will occur (changes in vagina patency, phallus-like structure, testes-like structures). It inhibits lactation and should not be used in nursing bitches. The manufacturer recommends discontinuing the product after 24 months of use. Do not use to abbreviate an estrous period or in bitches prior to their first estrous period. Extremely toxic to cats.
藥物相互作用
Increased seizure activity has been reported in a dog previously controlled on phenytoin.
Should generally not be used concurrently.
Should generally not be used concurrently.
監測
- Clinical signs of estrus
- Liver function tests (baseline, annual, or as needed)
- Physical examination of genitalia
藥物動力學
吸收
Well absorbed from the intestine after oral administration.
代謝
Rapidly metabolized in the liver to over 10 separate metabolites.
排除
Excretion is apparently equally divided between the urine and feces.
過量
In dogs, the drug did not cause death in doses up to 30,000 micrograms/kg/day when administered to beagles for 28 days. In cats, dosages as low as 120 micrograms/day have resulted in fatalities.
可用產品
劑型
- Oral drops (compounded)
獸醫用
- Commercially prepared mibolerone preparations are apparently no longer being marketed. Available from compounding pharmacies. Class-III controlled substance in the USA.
各地核准狀態
暫無法規資料: 🇺🇸 US · 🇪🇺 EU · 🇬🇧 UK · 🇭🇰 HK · 🇹🇼 TW · 🇯🇵 JP · 🇰🇷 KR · 🇦🇺 AU
儲存與穩定性
The original manufacturer states that the compound is stable under ordinary conditions and temperatures. If using a compounded preparation, follow specific instructions from the pharmacy.
飼主須知
- 嚴格遵醫囑: 請務必完全按照指示給藥。漏服可能導致治療失敗(例如狗狗發情)。
- 行為改變: 您可能會注意到狗狗出現騎乘行為增加、聲音變低沉或體味加重等變化。
- 外觀改變: 可能會出現輕微的陰蒂腫大或陰道分泌物。如果情況嚴重,請聯繫您的獸醫。
- 處理注意事項: 由於這是一種同化類固醇,處理藥物時請戴上手套,特別是如果您已懷孕。
請勿給貓咪服用! 此藥物對貓咪具有高度毒性,甚至可能致命。
VetSheet 藥物參考供持牌獸醫專業人員作臨床決策輔助之用,不能取代專業判斷或廠方最新藥品說明書。
