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Terlipressin

From Wikipedia, the free encyclopedia
Chemical compound

Pharmaceutical compound
Terlipressin
Clinical data
Trade namesTerlivaz
AHFS/Drugs.comInternational Drug Names
Routes of
administration
Intravenous
ATC code
Legal status
Legal status
Pharmacokinetic data
Protein binding~30%
Identifiers
  • 1-{[(4R,7S,10S,13S,16S,19R)-19-{[({[(aminoacetyl)amino]acetyl}amino)acetyl]amino}-7-(2-amino-2-oxoethyl)-10-(3-amino-3-oxopropyl)-13-benzyl-16-(4-hydroxybenzyl)-6,9,12,15,18-pentaoxo-1,2-dithia-5,8,11,14,17-pentaazacycloicosan-4-yl]carbonyl}-L-prolyl-N-(2-amino-2-oxoethyl)-L-lysinamide
CAS Number
PubChemCID
DrugBank
ChemSpider
UNII
KEGG
CompTox Dashboard(EPA)
ECHA InfoCard100.035.149Edit this at Wikidata
Chemical and physical data
FormulaC52H74N16O15S2
Molar mass1227.38 g·mol−1
3D model (JSmol)
  • O=C(N)CNC(=O)[C@@H](NC(=O)[C@H]4N(C(=O)[C@H]1NC(=O)[C@@H](NC(=O)[C@@H](NC(=O)[C@@H](NC(=O)[C@@H](NC(=O)[C@@H](NC(=O)CNC(=O)CNC(=O)CN)CSSC1)Cc2ccc(O)cc2)Cc3ccccc3)CCC(=O)N)CC(=O)N)CCC4)CCCCN
  • InChI=1S/C52H74N16O15S2/c53-17-5-4-9-31(45(76)60-23-41(57)72)63-51(82)38-10-6-18-68(38)52(83)37-27-85-84-26-36(61-44(75)25-59-43(74)24-58-42(73)22-54)50(81)65-34(20-29-11-13-30(69)14-12-29)48(79)64-33(19-28-7-2-1-3-8-28)47(78)62-32(15-16-39(55)70)46(77)66-35(21-40(56)71)49(80)67-37/h1-3,7-8,11-14,31-38,69H,4-6,9-10,15-27,53-54H2,(H2,55,70)(H2,56,71)(H2,57,72)(H,58,73)(H,59,74)(H,60,76)(H,61,75)(H,62,78)(H,63,82)(H,64,79)(H,65,81)(H,66,77)(H,67,80)/t31-,32-,33-,34-,35-,36-,37-,38-/m0/s1 checkY
  • Key:BENFXAYNYRLAIU-QSVFAHTRSA-N checkY
  (verify)

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]

Medical uses

[edit]

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]

Contraindications

[edit]

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]

Society and culture

[edit]

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.

References

[edit]
  1. ^abcdef"Terlivaz- terlipressin injection, powder, lyophilized, for solution".DailyMed. 19 September 2022.Archived from the original on 28 September 2022. Retrieved27 September 2022.
  2. ^"Drug Approval Package: Terlivaz". U.S.Food and Drug Administration (FDA). 7 October 2022. Retrieved4 December 2022.
  3. ^"Drug Approval Package: Terlivaz".U.S.Food and Drug Administration (FDA). 7 October 2022. Archived fromthe original on December 4, 2022. Retrieved23 January 2023.
  4. ^ab"Advancing Health Through Innovation: New Drug Therapy Approvals 2022".U.S.Food and Drug Administration (FDA). 10 January 2023. Archived fromthe original on January 10, 2023. Retrieved22 January 2023.Public Domain This article incorporates text from this source, which is in thepublic domain.
  5. ^New Drug Therapy Approvals 2022.U.S.Food and Drug Administration (FDA) (Report). January 2024. Archived fromthe original(PDF) on 14 January 2024. Retrieved14 January 2024.Public Domain This article incorporates text from this source, which is in thepublic domain.
  6. ^O'Brien A, Clapp L, Singer M (April 2002). "Terlipressin for norepinephrine-resistant septic shock".Lancet.359 (9313):1209–1210.doi:10.1016/S0140-6736(02)08225-9.PMID 11955542.S2CID 38463837.
  7. ^Evans L, Rhodes A, Alhazzani W, Antonelli M, Coopersmith CM, French C, et al. (November 2021)."Surviving Sepsis Campaign: International Guidelines for Management of Sepsis and Septic Shock 2021".Critical Care Medicine.49 (11):e1063–e1143.doi:10.1097/CCM.0000000000005337.PMID 34605781.
  8. ^Uriz J, Ginès P, Cárdenas A, Sort P, Jiménez W, Salmerón JM, et al. (July 2000). "Terlipressin plus albumin infusion: an effective and safe therapy of hepatorenal syndrome".Journal of Hepatology.33 (1):43–48.doi:10.1016/S0168-8278(00)80158-0.PMID 10905585.
  9. ^Ioannou G, Doust J, Rockey DC (2003). Ioannou GN (ed.)."Terlipressin for acute esophageal variceal hemorrhage".The Cochrane Database of Systematic Reviews (1) CD002147.doi:10.1002/14651858.CD002147.PMC 7017851.PMID 12535432.
  10. ^"FDA approves treatment to improve kidney function in adults with hepatorenal syndrome".FDA. 14 September 2022. Archived fromthe original on 2023-02-10. Retrieved2023-02-21.
  11. ^"GLYPRESSIN 1mg/8.5mL Solution for Injection; Terlipressin acetate"(PDF).Medsafe, New Zealand Medicines and Medical Devices Safety Authority. New Zealand Ministry of Health. Archived fromthe original(PDF) on 2021-12-20.
  12. ^"Terlipressin".Drugs.com.Archived from the original on 2019-06-26. Retrieved2018-01-23.

External links

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