Categorie
Accolate
Les marques,
Accolate
Analogs
Accolate
Les marques melange
No information avaliable
Accolate
Formule chimique
C31H33N3O6S
Accolate
RX lien
http://www.rxlist.com/cgi/generic/zafirlukast.htm
Accolate
FDA fiche
Accolate
msds (fiche de securite des materiaux)
Accolate
Synthese de reference
FJ Brown et al., Eur. pat. Appl. 199543; PR Bernstein et al, US Pat.. 4.859.692 (1986, 1989 fois à ICI)
Accolate
Poids moleculaire
575.676 g/mol
Accolate
Point de fusion
139 oC
Accolate
H2O Solubilite
Aucune information disponible
Accolate
Etat
Solid
Accolate
LogP
5.787
Accolate
Formes pharmaceutiques
Tablet
Accolate
Indication
Pour la prophylaxie et le traitement de l'asthme.
Accolate
Pharmacologie
Le zafirlukast est un synthétique, antagoniste sélectif des récepteurs des leucotriènes peptide (ARLT) indiqué pour la prophylaxie et le traitement de l'asthme. Les patients souffrant d'asthme ont été trouvés dans une étude à 25 - 100 fois plus sensibles à l'activité des bronchoconstricting LTD4 inhalé que les sujets non asthmatiques. Dans des études in vitro ont démontré que le zafirlukast contrarié l'activité contractile de trois leucotriènes (LTC4, LTD4 et LTE4) dans la conduite des muscles lisses des voies aériennes à partir d'animaux de laboratoire et des humains. Le zafirlukast empêché intradermique LTD4 induite augmente la perméabilité vasculaire cutanée et inhalation inhibée LTD4 induite par l'afflux des éosinophiles dans les poumons des animaux.
Accolate
Absorption
Rapidement absorbé après administration orale, réduit après un repas riche en gras ou riches en protéines.
Accolate
Toxicite
Les effets secondaires comprennent l'estomac éruption cutanée et bouleversée.
Accolate
Information pour les patients
Patients should be told that a rare side effect of ACCOLATE is hepatic dysfunction, and to contact their physician
immediately if they experience symptoms of hepatic dysfunction (eg. right upper quadrant abdominal pain, nausea,
fatigue, lethargy, pruritus, jaundice, flu-like symptoms, and anorexia). Liver failure resulting in liver
transplantation and death has occurred in patients taking zafirlukast .
ACCOLATE is indicated for the chronic treatment of asthma and should be taken regularly as prescribed, even during
symptom-free periods. ACCOLATE is not a bronchodilator and should not be used to treat acute episodes of asthma.
Patients receiving ACCOLATE should be instructed not to decrease the dose or stop taking any other antiasthma
medications unless instructed by a physician. Women who are breast-feeding should be instructed not to take ACCOLATE.
Alternative antiasthma medication should be considered in such patients.
The bioavailability of ACCOLATE may be decreased when taken with food. Patients should be instructed to take
ACCOLATE at least 1 hour before or 2 hours after meals.
Eosinophilic Conditions: In rare cases, patients on ACCOLATE therapy may present with systemic
eosinophilia, eosinophilic pneumonia, or clinical features of vasculitis consistent with Churg-Strauss syndrome, a
condition which is often treated with systemic steroid therapy. These events usually, but not always, have been
associated with the reduction of oral steroid therapy. Physicians should be alert to eosinophilia, vasculitic rash,
worsening pulmonary symptoms, cardiac complications, and/or neuropathy presenting in their patients. A causal
association between ACCOLATE and these underlying conditions has not been established .
Accolate
Organismes affectes
Les humains et autres mammifères