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Sulfinpyrazone

From Wikipedia, the free encyclopedia
Chemical compound

Pharmaceutical compound
Sulfinpyrazone
Clinical data
Trade namesAnturan, Anturane, Apo-sulfinpyrazone
AHFS/Drugs.comMonograph
MedlinePlusa682339
Routes of
administration
By mouth intravenous
ATC code
Pharmacokinetic data
Protein binding98–99%
Metabolismliver
Excretionkidney
Identifiers
  • 1,2-diphenyl-4-[2-(phenylsulfinyl)ethyl]pyrazolidine-3,5-dione
CAS Number
PubChemCID
IUPHAR/BPS
DrugBank
ChemSpider
UNII
KEGG
ChEBI
ChEMBL
CompTox Dashboard(EPA)
ECHA InfoCard100.000.325Edit this at Wikidata
Chemical and physical data
FormulaC23H20N2O3S
Molar mass404.48 g·mol−1
3D model (JSmol)
  • O=C2N(c1ccccc1)N(C(=O)C2CCS(=O)c3ccccc3)c4ccccc4
  • InChI=1S/C23H20N2O3S/c26-22-21(16-17-29(28)20-14-8-3-9-15-20)23(27)25(19-12-6-2-7-13-19)24(22)18-10-4-1-5-11-18/h1-15,21H,16-17H2 checkY
  • Key:MBGGBVCUIVRRBF-UHFFFAOYSA-N checkY
  (verify)

Sulfinpyrazone is auricosuricmedication used to treatgout. It also sometimes is used to reduceplatelet aggregation by inhibitingdegranulation of platelets which reduces the release ofADP andthromboxane.

Like other uricosurics, sulfinpyrazone works by competitively inhibitinguric acid reabsorption in theproximal tubule of thekidney.

Contraindications

[edit]

Sulfinpyrazone must not be used in persons withrenal impairment or a history of uric acid kidney stones.[1]

Research

[edit]

Trial have found that,Sulfinpyrazone taken in specific daily dose immediately following a patient having suffered from amyocardial infarction seem to drastically reduce the incidence of sudden death by as much as 43% and cardiac mortality by 32% in the 24 months following theirheart attack.[2]

References

[edit]
  1. ^Underwood M (June 2006)."Diagnosis and management of gout".BMJ.332 (7553):1315–9.doi:10.1136/bmj.332.7553.1315.PMC 1473078.PMID 16740561.
  2. ^Anturane Reinfarction Trial Research Group (1980-01-31)."Sulfinpyrazone in the Prevention of Sudden Death after Myocardial Infarction".New England Journal of Medicine.302 (5):250–256.doi:10.1056/NEJM198001313020502.ISSN 0028-4793.PMID 6985706.
pyrazolones /
pyrazolidines
salicylates
acetic acid derivatives
and related substances
oxicams
propionic acid
derivatives (profens)
n-arylanthranilic
acids (fenamates)
COX-2 inhibitors
(coxibs)
other
NSAID
combinations
Key:underline indicates initially developed first-in-class compound of specific group;#WHO-Essential Medicines;withdrawn drugs;veterinary use.
Drugs used forgout (M04)
Uricosurics
primary
secondary
Xanthine oxidase inhibitors
purine analogues
other
Mitotic inhibitors
Other
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