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Laropiprant
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| Systematic (IUPAC) name | |
| (-)-[(3R)-4-(4-chlorobenzyl)-7-fluoro-5-(methylsulfonyl)-1,2,3,4-tetrahydrocyclopenta[b]indol-3-yl]acetic acid | |
| Identifiers | |
| CAS number | |
| ATC code | ? |
| PubChem | ? |
| Chemical data | |
| Formula | C21H19ClFNO4S |
| Mol. mass | 435.90 g/mol |
| Pharmacokinetic data | |
| Bioavailability | ? |
| Metabolism | ? |
| Half life | ? |
| Excretion | ? |
| Therapeutic considerations | |
| Licence data |
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| Pregnancy cat. |
? |
| Legal status | |
| Routes | Oral |
Laropiprant (pINN; codenamed MK-0524A) is tested in combination with niacin to reduce blood cholesterol (LDL and VLDL). This combination will be marketed by Merck & Co. under the tradenames Cordaptive and Tredaptive.
Laropiprant itself has no cholesterol lowering effect, but it reduces facial flushes induced by niacin. In a trial with 1613 patients, 10.2% patients stopped taking the medication in the Cordaptive group versus 22.2% under niacin monotherapy.[1]
Method of action
Niacin in cholesterol lowering doses (500-2000 mg per day) causes facial flushes by stimulating biosynthesis of prostaglandin D2, especially in the skin. PG D2 acts as a vasodilator via DP1 receptors, increasing blood flow and thus leading to flushes.
Laropiprant acts as a DP1 antagonist, reducing the vasodilation.
References
- ^ E Lai et al (2007). "Suppression of Niacin-induced Vasodilation with an Antagonist to Prostaglandin D2 Receptor Subtype 1". Clinical Pharmacology & Therapeutics 81: 849-857.
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Wikipedia content modification information:
- This page was last modified on 25 August 2008, at 18:24.
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