Tetracosactide

Tetracosactide
Clinical data
AHFS/Drugs.com International Drug Names
MedlinePlus a605020
Pregnancy cat.  ?
Legal status  ?
Identifiers
CAS number 16960-16-0
ATC code H01AA02
PubChem CID 16129617
ChemSpider 10481947
UNII 72YY86EA29 Y
KEGG D00284
ChEBI CHEBI:3901
Chemical data
Formula C136H210N40O31S 
Mol. mass 2933.44 g/mol

Tetracosactide (marketed under the brand name Synacthen) is a synthetic analogue of the naturally occurring adrenocorticotrophic hormone (ACTH).

Contents

Pharmacology

In the normal situation, ACTH is released from the pituitary gland at the base of the brain. It acts on the adrenal glands to stimulate the production of steroid hormones (glucocorticoids). If the adrenal glands are healthy, a single injection of tetracosactide results in a rise in blood cortisol (hydrocortisone) concentrations in 30 minutes. If the adrenal glands appear not to be working then tetracosactide injection can be given to check whether the problem is due to diseased or damaged adrenals or due to lack of pituitary ACTH.

Uses

This medication is used for diagnostic purposes only (e.g. in short synacthen test). It is suitable for treatment of adrenal insufficiency of central origin.

As well as its legitimate medical applications, it has been widely reported that Synacthen has also been used as an illegal performance enhancing drug by professional cyclists.[1]

It has been used in the treatment of spasm.[2]

See also

References