Product image of Metrelef (Buserelin Acetate) supplied by GNH India

Metrelef

Active Ingredient:
Buserelin Acetate
Origin:
EU

Metrelef (Buserelin Acetate)

Buserelin acetate, the active ingredient in Metrelef, is a gonadotropin‑releasing hormone (GnRH) agonist presented as a nasal spray for nasal use. It treats prostate cancer, endometriosis, uterine fibroids and is used in assisted reproductive technology for ovulation induction.

GNH India supplies Metrelef as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, oncology centres, fertility clinics and pharmacies worldwide.

Manufacturer / TM Owner

Cheplapharm Arzneimittel Gmbh

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Indications & Clinical Uses

  • Metrelef is a GnRH agonist used in hormone‑dependent conditions and reproductive medicine.
  • Prostate cancer: suppresses testosterone production to help control tumor growth.
  • Endometriosis: lowers estrogen stimulation, reducing lesion activity and pain.
  • Uterine fibroids: decreases gonadotropin drive, contributing to fibroid shrinkage.
  • Assisted reproductive technology (ovulation induction): regulates pituitary hormone release to synchronize follicular development.

How It Works

  • Buserelin acetate binds to pituitary GnRH receptors, initially causing a surge in luteinizing hormone (LH) and follicle‑stimulating hormone (FSH) release. Continued exposure leads to receptor down‑regulation and desensitisation, resulting in markedly reduced LH and FSH secretion and consequently lower sex‑steroid production.

Side Effects

Common Side Effects

  • Nasal irritation or discharge
  • Headache
  • Hot flashes or sweating
  • Decreased libido
  • Mood changes or mild depression
  • Mild abdominal discomfort

Serious or Rare Side Effects

  • Anaphylactic reaction
  • Severe hypotension
  • Pituitary apoplexy (rare)
  • Cardiac arrhythmia
  • Adrenal insufficiency
  • Severe allergic dermatitis

Precautions & Warnings

  • Before initiating therapy, consider the following precautions.
  • Monitor hormone levels: schedule regular LH, FSH and testosterone assessments.
  • Cardiovascular assessment: evaluate for ischemic heart disease or arrhythmias.
  • Liver function: use caution in patients with hepatic impairment.
  • Hypersensitivity: avoid if known allergy to buserelin or excipients.
  • Pregnancy risk: contraindicated in pregnancy; ensure effective contraception.
  • Store at below 25°C: keep in the original pack, protect from moisture and heat.

Avoid Interactions

Metrelef may interact with other medications that affect hormonal pathways.

Major Interactions (Avoid)

  • Concurrent use of other GnRH analogues or antagonists
  • Combined therapy with estrogen replacement that may blunt efficacy
  • Simultaneous administration of potent androgenic agents

Moderate Interactions (Monitor Closely)

  • Anticoagulants: hormonal changes may alter bleeding risk
  • Antidepressants: potential amplification of mood‑related side effects
  • Systemic steroids: may influence hypothalamic‑pituitary‑adrenal axis balance

Frequently Asked Questions

Metrelef, containing buserelin acetate, is prescribed for hormone‑dependent conditions such as prostate cancer, endometriosis, uterine fibroids, and it is also employed in assisted reproductive technology to induce ovulation by controlling pituitary hormone release.

Buserelin acetate is a synthetic GnRH agonist that first stimulates, then desensitises pituitary GnRH receptors. This leads to an initial rise in LH and FSH followed by a sustained decline, reducing downstream sex‑steroid production and suppressing hormone‑driven disease processes.

The specific dose and administration schedule of Metrelef are determined by the prescribing clinician based on the individual’s diagnosis, disease severity, and response to therapy. Patients should follow the exact regimen provided by their healthcare professional.

Metrelef is contraindicated in pregnancy because it suppresses sex‑steroid production, which can harm fetal development. Its safety during breastfeeding has not been established, and women should discuss alternative options with their physician if they are pregnant or nursing.

To order Metrelef, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India supplies hospitals, pharmacies and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details (including any cold‑chain requirements) and necessary import documentation.

Metrelef (buserelin acetate) is similar in mechanism to other GnRH agonists such as leuprorelin and goserelin, offering nasal administration rather than injectable forms. This route can improve patient convenience, though efficacy and safety profiles are comparable across the class when used appropriately.

Metrelef nasal spray should be stored at room temperature, preferably below 25 °C. Keep the device in its original packaging, protect it from moisture and direct sunlight, and avoid freezing to maintain product stability.

Metrelef is delivered as a nasal spray. The patient sprays the prescribed number of sprays into each nostril according to the prescriber’s instructions, typically after priming the device. Proper technique ensures consistent dosing and optimal therapeutic effect.

Serious risks include severe allergic reactions (anaphylaxis), pituitary apoplexy, significant hypotension, cardiac arrhythmias, and adrenal insufficiency. Patients should be monitored closely for any signs of these events and seek immediate medical attention if they occur.

Metrelef should not be used by individuals with known hypersensitivity to buserelin acetate or any formulation components, patients with uncontrolled cardiovascular disease, those who are pregnant, or anyone for whom hormonal suppression is contraindicated without appropriate medical supervision.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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