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Pentoxifylline
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| Systematic (IUPAC) name | |
| 3,7-Dihydro-3,7-dimethyl-1-(5-oxohexyl)-1H-purine-2,6-dione | |
| Identifiers | |
| CAS number | |
| ATC code | C04 |
| PubChem | |
| DrugBank | |
| Chemical data | |
| Formula | C13H18N4O3 |
| Mol. mass | 278.31 |
| Pharmacokinetic data | |
| Bioavailability | Near 100% for oral dosing |
| Metabolism | Hepatic and via erythrocytes |
| Half life | 0.4 - 0.8 hours (1 - 1.6 hours for active metabolite) |
| Excretion | Mainly urine (<4% feces) |
| Therapeutic considerations | |
| Pregnancy cat. |
C(US) |
| Legal status | |
| Routes | Oral |
Pentoxifylline is the International Nonproprietary Name (INN) of a drug sold by Aventis under the name Trental. Its chemical name is 1-(5-oxohexyl)-3, 7-dimethylxanthine. Pentoxifylline is a xanthine derivative.
This drug is passed into the breast milk. Animal studies have shown no evidence of teratogenicity at high doses.
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Uses
It is used to treat intermittent claudication resulting from obstructed arteries in the limbs, and vascular dementia.[1]
Pentoxifylline improves blood flow through blood vessels and therefore helps with blood circulation in the arms and legs (e.g. intermittent claudication).
It also helps prevent strokes, can be used in managing sickle cell disease and improves blood flow to the brain.
Pentoxifylline has also been used to treat nausea and headaches in the mountains (altitude sickness), and has been shown to reduce mortality in acute alcoholic and non-alcoholic steatohepatitis, presumably through its ability to inhibit TNF-alpha.
Mechanism
Pentoxifylline is a PDE4 inhibitor increasing intracellular cAMP and stimulating PKA activity.
It is also a known inhibitor of Tumor necrosis factor-alpha.
Drug interaction
Co-administration of pentoxifylline and sodium thiopental causes death by acute pulmonary oedema in rats.[2]
Alternative brand names
- Pentoxil (Upsher Smith)
- Pentoxin (Ratiopharm)
- Artal (Leiras)
References
- ^ (1996) European Pentoxifylline Multi-Infarct Dementia Study. Eur Neurol. 36(5):315-21. PMID 8864715
- ^ Pereda J, Gómez-Cambronero L, Alberola A, Fabregat G, Cerdá M, Escobar J, Sabater L, García-de-la-Asunción J, Viña J, Sastre J. Department of Physiology, School of Medicine, University of Valencia, Valencia, Spain. Br J Pharmacol. 2006 Oct;149(4):450-5. Epub 2006 Sep 4.PMID: 16953192.
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Wikipedia content modification information:
- This page was last modified on 4 October 2008, at 13:12.
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