Triptorelin Nasal Spray

Description

Triptorelin Nasal Spray

Triptorelin nasal spray is a peptide which is currently used in the treatment of fertility problems. The peptide is a combination of two peptides – Gonadotropin-releasing hormone (GnRH) and luteinizing hormone (LH). The pituitary gland secretes this hormone in the brain, and it is responsible for regulating the ovulation cycle.

An abnormal production of this hormone in the ovaries causes a problem with the ovulation process. This then causes infertility as the egg will not be released during ovulation which leads to a difficulty in conceiving. Sometimes the ovaries produce too much gonadotropin-releasing hormone in one ovary or in several ovaries, which may also lead to infertility.

Specifications

Molecular Formula: C64H82N18O13
Molecular Weight: 1311.4 g/mol
Sequence: H-Pyr-His-Trp-Ser-Tyr-D-Trp-Leu-Arg-Pro-Gly-NH2

Size: 15ml | 30ml

Research

Increases Testosterone in Men

Triptorelin nasal spray has been demonstrated to boost testosterone levels early in long-term administration and only begins to inhibit production after repeated exposure. A testosterone flare occurs during the first few weeks of treatment with Triptorelin. This implies Triptorelin nasal spray may enhance testosterone levels in some men if appropriately administered.

Triptorelin is an analogue of GnRH (Gonadotropin-Releasing Hormone) that can stimulate the anterior pituitary gland to release hormones follicle stimulating hormone (FSH) and luteinizing hormone (LH). Triptorelin does this when pulsed. The magnitude and frequency of GnRH pulses and Triptorelin dosage determine FSH and LH levels.

If Triptorelin is given consistently rather than pulsatile, it will reduce LH and FSH secretion and testosterone and oestrogen production.

Most Triptorelin research focuses on long-term use to inhibit sex hormones focusing on oncology and sex hormones in cancer. Triptorelin may restore sexual function, fertility, and testosterone levels; however, data is preliminary.

Breast cancer research

Triptorelin is currently being studied as a Tamoxifen substitute and adjuvant. In phase 3 clinical trial, Triptorelin combined with zoledronic acid or letrozole reduced disease-free 5-year survival rates in premenopausal women more than Tamoxifen [1].

Adding Triptorelin to Tamoxifen improves disease management and survival, especially in high-risk patients who have already been prescribed chemotherapy [2]. The potential to improve the efficacy and duration of hormone therapy for breast cancer has made Triptorelin nasal spray research a prominent topic.

Prostate Cancer Treatment

Triptorelin reduces prostate cancer growth in studies by lowering testosterone levels. Triptorelin improves the 10-year mortality rate for those suffering with hormone-sensitive prostate cancer to under 5%. In addition, it reduces the need for surgery [3]. Triptorelin has helped most men live longer with prostate cancer during studies. Combining Triptorelin with other treatments may increase its benefits.

Combining Triptorelin nasal spray and radiation therapy appears to be equally effective as total androgen blockade [4]. Many men find the adverse effects of total androgen blocking unacceptable. Minimizing side effects while maintaining efficacy can enhance the quality of life and treatment adherence.

Triptorelin may also help reduce lower urinary tract symptoms in males with prostate cancer, lowering severe symptoms from 54% to 16% weekly [5]. Similar studies in China, Belgium, and South Korea verified these results [6]. These findings suggest that Triptorelin may effectively treat BPH and other diseases that affect male urine function.

Triptorelin could treat one of the most severe and life-altering symptoms of prostate cancer.

Safeguards fertility

Chemotherapy can cause infertility in younger patients. However a small piece of clinical research found that triptorelin helps sustain fertility in some young women under going chemotherapy [7]. Triptorelin has also been shown to delay the onset of early menopause in chemotherapy patients by around 17% [8].

Furthermore, Triptorelin medication can boost spontaneous pregnancy chances in women with adenomyosis [9]. Endometriosis sufferers also benefit.

Endometriosis 

Research reveals Triptorelin nasal spray reduces endometriosis discomfort and reduces nodule volume. This may make Triptorelin an effective pre-surgical therapy to minimise bleeding and other complications associated with endometriosis surgery [10]. Preliminary research reveals Triptorelin nasal spray can improve laparoscopic endometriosis surgery.

It is highly successful in terms of post-operative pregnancy rates [11]. In a three month clinical trial, triptorelin reduced pain in 80% of endometriosis patients and diarrhoea in 60%. Triptorelin is not a cure for endometriosis but can help with the management of symptoms. Future studies on the peptide may find permanent cures for endometriosis.

Immune Function

Rat studies show that LHRH directly affects the thymus and controls a crucial part of the immune system. Ageing reduces the number of places on the thymus where LHRH agonists can bind. This, in turn, causes the thymus mass to drop by 50 per cent over time. This results in the immune system of aging individuals being less effective.

It has been shown that giving an LHRH agonist like Triptorelin nasal spray makes the thymus grow faster and reverses some of the effects of getting older [12]. Some scientists believe that taking Triptorelin supplements could help stop the changes in thymic mass with aging. Thus making the immune system work better, and this peptide could be used both to treat and prevent diseases.

Summary

Triptorelin peptide offers a huge range of benefits due to its synthetic analogue of gonadotropin-releasing hormone (GnRH) properties. It reduces pituitary secretion of gonadotropins luteinizing hormone (LH) and follicle-stimulating hormone (FSH), subsequently decreasing testosterone, making it useful in the treatment of advanced prostate cancer. Furthermore, it has been shown to improve thymus proliferation and reverse some effects of aging, showcasing its potential as an immunomodulatory agent. Additionally, Triptorelin demonstrates greater potency than endogenous LHRH and is more resistant to proteolysis, which contributes to its therapeutic efficacy.

References

[1] https://pubmed.ncbi.nlm.nih.gov/ 31164265/

[2] https://pubmed.ncbi.nlm.nih.gov/ 29177573/

[3] https://pubmed.ncbi.nlm.nih.gov/ 27246172/

[4] https://pubmed.ncbi.nlm.nih.gov/ 29715154/

[5] https://pubmed.ncbi.nlm.nih.gov/  29789236/

[6] https://pubmed.ncbi.nlm.nih.gov/ 26161142/

[7] https://pubmed.ncbi.nlm.nih.gov/ 29620680/

[8] https://pubmed.ncbi.nlm.nih.gov/ 21771987/

[9] https://pubmed.ncbi.nlm.nih.gov/ 31067498/

[10] https://pubmed.ncbi.nlm.nih.gov/ 24832495/

[11] https://pubmed.ncbi.nlm.nih.gov/ 30344551/

[12] https://pubmed.ncbi.nlm.nih.gov/ 2546733/

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