Buserelin
Also known as: Suprefact
Buserelin is a GnRH receptor superagonist that initially stimulates and then, with continuous non-pulsatile exposure, desensitizes pituitary gonadotrophs to suppress LH, FSH and downstream testosterone or estradiol production.
- Drug class
- GnRH agonist (LHRH analogue)
- Primary targets
- GnRH/LHRH receptor, Pituitary gonadotrophs, LH, FSH
- Dose reference
- Label/trial reference figures, not recommendations: advanced prostate cancer 500 mcg SC every 8 hours for 7 days, then 200 mcg SC daily or 400 mcg intranasally three times daily; endometriosis 400 mcg intranasally three times daily for up to ~6 months.
- Half-life
- Short elimination half-life, reported around 72-80 minutes (about 1-2 hours) regardless of route.
- Developer / origin
- Hoechst AG (Frankfurt, Germany); rights now held by Sanofi
- Reference year
- 1984
- Evidence score
- 4/5 - Approved GnRH agonist with label and trial support
Approved uses
- Hormone-dependent advanced (metastatic) prostate cancer (e.g. Health Canada Suprefact label)
- Endometriosis
- Pituitary down-regulation in assisted reproduction/IVF (protocol use)
Approved GnRH agonist with label and trial support
Buserelin is an approved GnRH agonist (Suprefact) in Canada and parts of Europe for hormone-dependent advanced prostate cancer and endometriosis, with a substantial randomized/comparative trial record for IVF down-regulation; it is not FDA-approved in the US.
Investigational compound with human randomized or phase 2/3 evidence.
Evidence basis
- Health Canada Suprefact product monograph documents approved prostate cancer and endometriosis indications, dosing and safety
- Multiple PubMed-indexed randomized and comparative trials evaluate buserelin for IVF down-regulation and GnRH-agonist ovulation triggering
- Pharmacovigilance and pharmacology literature characterize class mechanism, ~72-80 min half-life and adverse-event profile
Key references
- Health CanadaSuprefact (buserelin acetate) Product Monograph
- BC CancerBuserelin Drug Monograph
- PubMedGnRH agonist (buserelin) or hCG for ovulation induction in GnRH antagonist IVF/ICSI cycles: a prospective randomized study
- PubMedThe use of the GnRH analogue buserelin for IVF -- does it improve fertility?
- PLOS OneAdverse event profile differences among long-acting GnRH analogs: a real-world pharmacovigilance study
How to read this entry
Dose references and half-life values are pulled from trial protocols, labels, reviews, or published summaries where available. They are context for research and comparison, not a personal dosing recommendation.
Status matters: approved drugs have regulated indications; investigational compounds are still being studied; research-only peptides do not have established human dosing, safety, or efficacy for consumer use.
Buserelin guides
Read the matching guide or adjacent research pages for more context.
Peptide calculators
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Compare with related peptides
Stay inside the same research category and compare mechanism, status and evidence quality.
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Nafarelin is a potent GnRH receptor agonist that initially stimulates pituitary LH and FSH release but with continued dosing downregulates the receptor, suppressing gonadotropins and sex steroid production.
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