Naprelan
Brand names,
Naprelan
Analogs
Naprelan
Brand Names Mixture
Naprelan
Chemical_Formula
C4H6CaO4
Naprelan
RX_link
No information avaliable
Naprelan
fda sheet
Naprelan
msds (material safety sheet)
Naprelan
Synthesis Reference
No information avaliable
Naprelan
Molecular Weight
158.17 g/mol
Naprelan
Melting Point
> 160 oC
Naprelan
H2O Solubility
No information avaliable
Naprelan
State
Solid
Naprelan
LogP
No information avaliable
Naprelan
Dosage Forms
Capsule; Drops; Liquid; Powder for solution; Solution; Tablet
Naprelan
Indication
Used to treat hyperphosphatemia (too much phosphate in the blood) in patients with kidney disease.
Naprelan
Pharmacology
Patients with advanced renal insufficiency (creatinine clearance less than 30 ml/min) exhibit phosphate retention and some degree of hyperphosphatemia. The retention of phosphate plays a pivotal role in causing secondary hyperparathyroidism associated with osteodystrophy, and soft-tissue calcification. The mechanism by which phosphate retention leads to hyperparathyroidism is not clearly delineated. Therapeutic efforts directed toward the control of hyperphosphatemia include reduction in the dietary intake of phosphate, inhibition of absorption of phosphate in the intestine with phosphate binders, and removal of phosphate from the body by more efficient methods of dialysis. The rate of removal of phosphate by dietary manipulation or by dialysis is insufficient. Dialysis patients absorb 40% to 80% of dietary phosphorus. Therefore, the fraction of dietary phosphate absorbed from the diet needs to be reduced by using phosphate binders in most renal failure patients on maintenance dialysis. Calcium acetate when taken with meals combines with dietary phosphate to form insoluble calcium phosphate which is excreted in the feces. Maintenance of serum phosphorus below 6.0 mg/dl is generally considered as a clinically acceptable outcome of treatment with phosphate binders. Calcium acetate is highly soluble at neutral pH, making the calcium readily available for binding to phosphate in the proximal small intestine.
Naprelan
Absorption
40% is absorbed in the fasting state and approximately 30% is absorbed in the nonfasting state following oral administration.
Naprelan
side effects and Toxicity
Oral, rat: LD50 = 4280 mg/kg. Symptoms of overdose include mild hypercalcemia (constipation; loss of appetite; nausea and vomiting), and severe hypercalcemia (confusion; full or partial loss of consciousness; incoherent speech).
Naprelan
Patient Information
No information avaliable
Naprelan
Organisms Affected
Humans and other mammals