| Clinical data | |
|---|---|
| Trade names | Terlivaz |
| AHFS/Drugs.com | International Drug Names |
| Routes of administration | Intravenous |
| ATC code | |
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| Pharmacokinetic data | |
| Protein binding | ~30% |
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| CompTox Dashboard(EPA) | |
| ECHA InfoCard | 100.035.149 |
| Chemical and physical data | |
| Formula | C52H74N16O15S2 |
| Molar mass | 1227.38 g·mol−1 |
| 3D model (JSmol) | |
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Terlipressin, sold under the brand nameTerlivaz among others, is ananalogue ofvasopressin used as a vasoactivedrug in the management oflow blood pressure. It has been found to be effective whennorepinephrine does not help. Terlipressin is a vasopressin receptor agonist.[1]
Terlipressin was approved for medical use in the United States in 2022.[1][3][4] The USFood and Drug Administration (FDA) considers it to be afirst-in-class medication.[4][5]
Terlipressin isindicated to improve kidney function in adults withhepatorenal syndrome with rapid reduction in kidney function.[1]
Indications for use include norepinephrine-resistantseptic shock[6] although, 2021 Surviving Sepsis Guidelines recommend against its use for adults with septic shock[7] andhepatorenal syndrome.[8] In addition, it is used to treat bleedingesophageal varices.[9]
Terlipressin is contraindicated in people experiencing hypoxia or worsening respiratory symptoms and in people with ongoing coronary, peripheral or mesenteric ischemia.[1] Terlipressin may cause fetal harm when used during pregnancy.[1]
Terlipressin is available in United States,[10] New Zealand,[11] Australia, the European Union,[12] India, Indonesia, Pakistan, UAE. It is sold under various brand names including Glypressin and Terlivaz.