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QuickView for Pentamidine (compound)


PubChem
Name: Pentamidine
PubChem Compound ID: 359323
Description: Antiprotozoal agent effective in trypanosomiasis, leishmaniasis, and some fungal infections; used in treatment of PNEUMOCYSTIS pneumonia in HIV-infected patients. It may cause diabetes mellitus, central nervous system damage, and other toxic effects.
Molecular formula: C21H30N4O6S
Molecular weight: 466.552 g/mol
Synonyms:
DivK1c_000389; Spectrum_000750; KBio2_003798; 140-64-7; KBio2_001230; KBio1_000389; SMR000059147; KBio2_006366; Prestwick0_000553; Pentamidine isethionate.
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DrugBank
Identification
Name: Pentamidine
Name (isomeric): DB00738
Drug Type: small molecule
Description: Antiprotozoal agent effective in trypanosomiasis, leishmaniasis, and some fungal infections; used in treatment of PNEUMOCYSTIS pneumonia in HIV-infected patients. It may cause diabetes mellitus, central nervous system damage, and other toxic effects.
Synonyms:
4, 4'-Diamidinodiphenoxypentane; Pentamide; Pentamidine Isethionate; PNT; 1,3-bis(4-amidinophenoxy)pentane
Brand: Pneumopent, Pentam, NebuPent, Pentacarinat, Pentam 300
Category: Trypanocidal Agents, Antiprotozoal Agents, Antifungal Agents
CAS number: 100-33-4
Pharmacology
Indication: For the treatment of pneumonia due to <i>Pneumocystis carinii</i>.
Pharmacology:
Pentamidine is an antiprotozoal agent. It is an aromatic diamidine, and is known to have activity against Pneumocystis carinii. The exact nature of its antiprotozoal action is unknown. in vitro studies with mammalian tissues and the protozoan Crithidia oncopelti indicate that the drug interferes with nuclear metabolism producin...
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Mechanism of Action: The mode of action of pentamidine is not fully understood. It is thought that the drug interferes with nuclear metabolism producing inhibition of the synthesis of DNA, RNA, phospholipids, and proteins.
Absorption: Absorbed poorly through the gastrointestinal tract and is usually administered parenterally.
Protein binding: 69%
Biotransformation: Hepatic.
Half Life: 9.1-13.2 hours
Toxicity: Symptoms of overdose include pain, nausea, anorexia, hypotension, fever, rash, bad taste in mouth, confusion/hallucinations, dizziness, and diarrhea.
Affected organisms: Pneumocystis carinii
Interactions
Drug interaction:
ThiothixeneMay cause additive QTc-prolonging effects. Increased risk of ventricular arrhythmias. Consider alternate therapy. Thorough risk:benefit assessment is required prior to co-administration.
ThioridazineIncreased risk of cardiotoxicity and arrhythmias
VorinostatAdditive QTc prolongation may occur. Consider alternate therapy or monitor for QTc prolongation as this can lead to Torsade de Pointes (TdP).
ZalcitabineAdditive risk of pancreatitis. Concomitant therapy should be avoided.
QuinupristinThis combination presents an increased risk of toxicity
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