♦Goserelin Acetate
(goe’-se-rel-in)
Zoladex
Pregnancy Category X
Mechanism of Action
This drug is an analogue for luteinizing hormone-releasing hormone and acts on the pituitary hormone to inhibit the secretion of gonadotropin, causing chemical orchiectomy within 2 to 4 weeks.
Indications
♦ Advanced prostatic cancer when orchiectomy or estrogen administration is not indicated
♦ Endometriosis
♦ Advanced breast cancer
Metabolism/Excretion
Metabolized in the liver; excreted in the urine. Half-life: 4.2 hours.
Dosage Range
Adult
♦ Men: A 3.6-mg implant every 28 days or a 10.8-mg implant every 12 weeks; intended for long-term administration.
♦ Women: A 3.6-mg implant every 28 days; recommended duration is 6 months.
Pediatric
Safety and efficacy not established.
Drug Preparation/Stability
Available as a preloaded, sterile, disposable syringe with a 14-gauge needle. The unit is contained in a sealed, light- and moisture-proof, aluminum foil laminate pouch containing a desiccant capsule. The pouch should be stored at room temperature.