International reference: 1 US FDA recall for this ingredient
Lack of Assurance of Sterility (nandrolone)
US-market enforcement records (OpenFDA), shown for reference - not specific to this product in Kenya.
What it does
Nandrolone is a synthetic hormone used to help with certain medical conditions.
Commonly used for: anemia (low red blood cells), muscle wasting diseases, osteoporosis (weak bones)
Read more in plain English ↓Plain-language summary for general understanding - not medical advice. Always follow your pharmacist/doctor.
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Source: Pharmacy and Poisons Board · fetched 2026-01-28 21:12:03 · updated 2026-07-20 08:55:06
Drug Interactions
2Moderate (2)
Coumarins - increases anticoagulant effect
Nandrolone is predicted to increase the anticoagulant effect of coumarins. Monitor and adjust dose.
Phenindione - increases anticoagulant effect
Nandrolone is predicted to increase the anticoagulant effect of phenindione. Monitor and adjust dose. Theoretical Naproxen → see NSAIDs Naratriptan → see triptans Natalizumab → see monoclonal antibodi
Data from BNF 85 (British National Formulary). This is not a substitute for professional medical advice. Matched via: exact
About this medicine
Nandrolone is a synthetic hormone used to help with certain medical conditions.
What it treats
- anemia (low red blood cells)
- muscle wasting diseases
- osteoporosis (weak bones)
How it works
Nandrolone helps to build muscle and improve bone strength by acting like the male hormone testosterone.
Who it's for
This medication is for people who have specific health conditions that cause low muscle mass or low red blood cell levels.
AI-assisted summary grounded in BNF data - general information only, not medical advice. Always confirm with your pharmacist or doctor.
Clinical monograph: Nandrolone
BNF-referencedNandrolone is an anabolic steroid that is used primarily for the treatment of osteoporosis in postmenopausal women and for certain conditions related to muscle wasting. It promotes muscle growth and increases bone density. Nandrolone is administered via deep intramuscular injection and is known for its potential side effects, including virilism and changes in libido. It is crucial for patients receiving this medication to undergo regular dental check-ups due to risks associated with dental health.
Indications
- Osteoporosis in postmenopausal women
- Muscle wasting conditions
Dosage
Adults: 50 mg every 3 weeks via deep intramuscular injection.
Mechanism of action
Nandrolone functions by modulating muscle remodeling in response to functional overload, which is critical for muscle growth. It alters morphological characteristics and gene expression related to muscle growth, including the regulation of cell cycle proteins that are involved in muscle hypertrophy. Specifically, nandrolone administration can decrease the induction of small muscle fibers and inhibit the expression of myogenic regulatory factors that are essential for muscle development.
Pharmacodynamics
As an anabolic steroid, nandrolone enhances protein synthesis and promotes positive nitrogen balance in the body. It has a high affinity for androgen receptors, leading to increased muscle mass and strength. Additionally, nandrolone has been noted to improve bone density, making it beneficial in the treatment of osteoporosis.
Pharmacokinetics
Nandrolone is administered via intramuscular injection, resulting in a slow release into the systemic circulation. It has a half-life that allows for less frequent dosing, typically every 3 weeks. The metabolism of nandrolone occurs primarily in the liver, with excretion mainly through the urine. The pharmacokinetic profile can be affected by individual patient factors such as hepatic and renal function.
Contra-indications
- Acute porphyrias
- Malignant disease
- Severe hepatic impairment
- Cardiac impairment
- Diabetes mellitus
- Epilepsy
- Hypertension
- Migraine
- Skeletal metastases
Adverse effects
- Clitoromegaly
- Dysphonia
- Hepatic disorders
- Hirsutism
- Hypertension
- Increased libido
- Nausea
- Oedema
- Skin reactions
- Sodium retention
- Decreased urine flow
- Virilism (with high doses, including voice changes - sometimes irreversible)
Interactions
- Nandrolone + Coumarins: Moderate (increases anticoagulant effect)
- Nandrolone + Phenindione: Moderate (increases anticoagulant effect)
Precautions
- Caution in patients with cardiac impairment
- Caution in patients with renal impairment (increased risk of fluid retention and heart failure)
- Inform patients about the risk of osteonecrosis of the jaw
- Patients should maintain good oral hygiene and report dental issues
Pregnancy
Nandrolone is contraindicated during pregnancy due to potential harm to the fetus.
Breast-feeding
The effects of nandrolone during breastfeeding are unknown; caution is advised.
Storage
Store in a cool, dry place, away from direct sunlight. Keep out of reach of children.
Formulations
- Nandrolone decanoate (deep intramuscular injection)
AI-synthesized from BNF references - general information only, not a substitute for professional medical advice or the current BNF. Verify doses with a pharmacist.
Molecular reference: Nandrolone
PubChem CID 9904Molecular formula: C18H26O2
Mechanism of action
Functionally overloading rat soleus muscle by synergist ablation induces a rapid increase in mass. Muscle remodeling during the first week of overload is critical for the overload-induced growth. Anabolic steroid modulation of this overload-induced remodeling response is not well understood. The purpose of this study was to determine whether pretreatment with nandrolone decanoate, a clinically administered anabolic steroid, alters muscle morphology and gene expression related to muscle growth during the initiation of functional overload in the rat soleus muscle. Adult (5 mo) male Fisher 344 x Brown Norway rats were randomly assigned to control (Sham), 3-day functional overload (OV), nandrolone decanoate administration (ND), or 3-day functional overload with nandrolone decanoate administration (OV+ND) treatment groups. Morphologically, OV increased the percentage of small (361%) and large (150%) fibers and expanded the ECM 50%. ND administration decreased the 3-day OV induction of small fibers 51% and nuclei associated with the ECM 20%. ND administration also attenuated the induction of cell cycle regulator p21 (64%) and myogenin (37%) mRNAs after 3 days of overload. These data demonstrate that nandrolone decanoate pretreatment can alter morphological and cell cycle regulator expression related to muscle growth at the onset of functional overload. Anabolic-androgenic steroids (AASs) are widely abused by adolescents, although persistent AAS use can cause several adverse physical and mental effects, including drug dependence. The first aim of the present study was to study the action of nandrolone decanoate on dopaminergic and serotonergic activities in the brains of rats. In order to evaluate the anabolic or toxic effects of the dosing regimens used, selected peripheral effects were monitored as well. Male Wistar rats were treated for 2 weeks. Injections containing nandrolone (5 and 20 mg/kg, i.m.) or vehicle were given once daily, 5 days a week. The levels of dopamine (DA), 5-hydroxytryptamine (5-HT) and their metabolites were assayed from dissected brain regions 3 days after the last injection. Blood was collected for chemical assays before, after 1 week treatment and at decapitation. Both doses of nandrolone significantly increased the levels of 3,4-dihydroxyphenylacetic acid (DOPAC), a metabolite of DA in the cerebral cortex, and the higher dose of nandrolone increased the concentrations of 5-HT in the cerebral cortex compared with the vehicle. In addition, after nandrolone treatment, the levels of hemoglobin and erythrocytes increased, and reticulocyte levels decreased. The results suggest that nandrolone at supraphysiological doses, high enough to induce erythropoiesis, induces changes in the dopaminergic and serotonergic neuronal system in the brains of rats. These phenomena may account to some of the observed central stimulatory properties that have been reported following AAS abuse. Reverses catabolic processes and negative nitrogen balance by promoting protein anabolism and stimulating appetite if there is concurrently a proper intake of calories and proteins. /Anabolic steroids/ Antianemic: Anemias due to bone marrow failure: Increases production and urinary excretion of erythropoietin. Anemias due to deficient red cell production : Stimulates erythropoietin production and may have a direct action on bone marrow. Anemias associated with renal disease: increases hemoglobin and red blood cell volume. /Anabolic steroids/
Source: PubChem (NCBI) · pathways from PathBank, Reactome, WikiPathways & PharmGKB.